Abstract WP356: Impact of a Designed Acute Stroke Nursing Management Protocol on Nurse’s Knowledge and Practices

Abstract

Background: Stroke is a major public health problem worldwide and in Egypt. It is a life-threatening disease that requires early recognition, management and collaboration of all members of the health care team. Critical care nurses play an important role in all phases of care for stroke patients. Aim: study the impact of a designed acute stroke nursing management protocol on critical care nurses’ knowledge and practices. Hypothesis: The mean post-test total knowledge and practices scores of critical care nurses who are exposed to the designed nursing management protocol of care will be higher than their mean pre-test scores. Sample: A convenience sample of (30) nurses. Design: A quasi-experimental, single group interrupted time series design was utilized. Tools: tool (1): Nurses Knowledge Assessment Questionnaire (2): Pre /post observational checklists. Critical care nurses were assessed three times: before implementing the protocol of care, immediately after implementing the protocol of care, and two months after. Results: the current study revealed that most of the studied sample (80%) were female in the middle age groups (X= 30.16, SD =7.71), and the total mean knowledge scores in the second and third assessment times (X= 70.47, SD =6.27, X= 66.67, SD= 8.1) respectively, improved as compared to the first assessment time (X= 24.23, SD= 11.24) with a significant statistical difference between the three assessment times (F= 246.344, P ≤ 0.05). The total mean practices scores in the second assessment and third assessment times (X= 45.90, SD= 5.02, X= 39.87, SD= 4.54) respectively, was higher than the total mean practices scores in the first assessment (X= 22.10, SD= 7.42) with a significant statistical differences between the three assessments (F= 131.913, P ≤ 0.05) . A significant statistical differences between the three assessments was found regarding utilization of NIHSS and GCS (F= 420.310, 123.189, P ≤ 0.05). Conclusion: effectiveness of implementing the protocol of care where nurses’ knowledge and practices improved significantly as compared before implementing the protocol of care. So, the study recommends continuous training and education for nurses to improve their knowledge and practices with availability of Arabic references.

The Effect of Implementing Ischemic Stroke Nursing Management Protocol on Critical Care Nurses’ Knowledge and Practices

“…Additionally, hospitals tend to appoint newly graduated nurses as critical care nurses in ICUs. These findings are in agreement with the results of other studies (Khatab et al, 2019;Zidan et al, 2018).…”

“…The scores ≥ 80% (57 marks) were considered satisfactory practice level, while the scores < 80% (57 marks) were considered unsatisfactory practice level. This percentage was decided by a panel of experts, who argued that the lowest acceptable knowledge level for nurses who care for critically ill patients is 80% (Khalil et al, 2020;Zidan et al, 2018).…”

“…Some studies reported that most of the Egyptian nurses had insufficient knowledge and practices regarding the management of stroke patients (Khatab, Gomaa & Saaed, 2019;Shehata., Ahmed, Abdelalim & El Sherbiny, 2016;Zidan, Youssef, Abd-Allah & El-Feky, 2018). Stroke training programs were organized for nurses, but they were in the form of establishing standards (Kassem, Weheida, ElSayed, Ewada, & Elkersh, 2010), rehabilitation programs (Abd El-Hay, Abed Allah & Tag Eldein, 2018;Mohsen, El-Mokadem & Abdullah, 2016) or caregiver training programs (Elsheikh et al, 2020).…”

Effectiveness of an interventional program on nurses' knowledge concerning nursing management for patients with stroke

“…Stroke is a devastating disease that has a high mortality, morbidity, disability, and healthcare cost impact in the United States. Stroke is one of the most serious brain conditions that can result in death or long-term neurological dysfunction and impairment (Zidan, et al, 2017). A stroke is an abrupt change in brain function caused by a disruption in brain blood flow caused by blockage (87%) or hemorrhage (13%) that causes brain cell destruction and loss of function in the affected region (Hage, 2013).…”

Nurses Knowledge and Practice Concerning Nursing Management for Patients with Stroke

“…Stroke is a devastating disease with a high mortality, morbidity, disability, and healthcare cost impact in the United States. Stroke is one of the most serious neurological conditions that can result in death or long-term neurological dysfunction and impairment (Zidan, et al, 2017). A stroke is a sudden change in brain function caused by a blockage (87%) or a bleeding (13%), which stops blood from getting to the brain.…”