Nursing students' misunderstandings when learning about stroke care: A phenomenographic study

Zarandona, Jagoba; Cillero, Itziar Hoyos; Arrue, Marta

doi:10.1016/j.nedt.2018.11.013

Cited by 12 publications

(5 citation statements)

References 18 publications

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“…Standardized practice in the use of assessment scales is needed, because the greatest variation existed in training methods for the use of the instruments (Kirschen et al, ; Vink et al, ). Nurses have shown low neurological assessment competency because of fragmented curriculum allocations for neurological assessment and neurological disorders (Shin et al, ; Zarandona, Hoyos Cillero, & Arrue, ). In Korea, a person who graduates from a college of nursing accredited by the Korean Accreditation Board of Nursing Education can become a registered nurse when s/he passes the national license examination administered by the Korea Health Personnel Licensing Examination Institute.…”

Section: Discussionmentioning

confidence: 99%

“…Standardized practice in the use of assessment scales is needed, because the greatest variation existed in training methods for the use of the instruments (Kirschen et al, 2019;Vink et al, 2018). Nurses have shown low neurological assessment competency because of fragmented curriculum allocations for neurological assessment and neurological disorders (Shin et al, 2017;Zarandona, Hoyos Cillero, & Arrue, 2019 (Dancer, Brown, & Yanase, 2017).…”

Section: Discussionmentioning

confidence: 99%

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Training needs analysis of Korean nurses' neurological assessment competency

Bae

Roh

2019

Nursing & Health Sciences

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Despite the importance of neurological assessment, there is a lack of research directed at nurses' competency in performing these assessments. We aimed to identify nurses' competency levels in performing neurological assessments and prioritize their related training needs using importance–performance analysis. This survey research was conducted and reported based on the enhancing the quality and transparency of health research (EQUATOR) guidelines. A total of 213 nurses participated in a descriptive, cross‐sectional survey study. Exploratory factor analysis identified seven factors that together accounted for 70.34% of the variance: cerebral function, signs and symptoms, pathologic reflexes, motor strength, assessment of an unconscious patient, reporting and documentation, and neurological assessment scales. [Correction added on 10 February 2020, after first online publication: the value of the variance has been corrected from ‘7.34%’ to ‘70.34%’ in the preceding sentence.] There were significant gaps between importance and performance for all seven factors. The importance–performance matrix identified the neurological assessment scales factor as a high priority for continuing education. Emergency department nurses reported lower neurological assessment competency when compared with ward and intensive care unit nurses. The analysis of training needs is beneficial for developing programs to enhance neurological assessment competency. Training in neurological assessment scales is a priority for nurses, and they prefer simulation‐ and practicum‐based methods.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Training needs analysis of Korean nurses' neurological assessment competency

Bae

Roh

2019

Nursing & Health Sciences

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“…The activities of daily living of patients in both groups were evaluated before intervention (T0), 1 month after intervention (T1), 3 months after intervention (T2), and 6 months after intervention (T3) by the activity of daily living (ADL) scale [ 12 ] (0–100 points), which included 10 items such as eating, getting dressed, and defecation control, with higher scores indicating better ADL.…”

Section: Methodsmentioning

confidence: 99%

“…e activities of daily living of patients in both groups were evaluated before intervention (T0), 1 month after intervention (T1), 3 months after intervention (T2), and 6 months after intervention (T3) by the activity of daily living (ADL) scale [12] (0-100 points), which included 10 items such as eating, getting dressed, and defecation control, with higher scores indicating better ADL. e trunk control of patients at different times was evaluated by the trunk control test (TCT) [13], in which there were 4 steps and each step was divided into 3 grades, with 0 point indicating the patient was unable to perform movement without assistance, 12 points indicating the patient was able to perform movement with a little help (for example, leaning on or grabbing objects), and 25 points indicating the patient was able to complete movement normally.…”

Section: Observation Indexesmentioning

confidence: 99%

Effect of Continuous Care Combined with Constraint-Induced Movement Therapy Based on a Continuing Care Health Platform on MBI and FMA Scores of Acute Stroke Patients

Pan

Zang

Wang

et al. 2022

Journal of Healthcare Engineering

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Background and Objective. The study was carried out under the background that out-of-hospital rehabilitation of acute stroke patients is of great importance for the recovery of nerve and limb functions. We aimed to investigate the effects of continuous nursing combined with CIMT by a health platform on the limb motor function and quality of life in acute stroke patients. Methods. 68 acute stroke patients admitted to our hospital from July 2018 to July 2019 were selected as the study participants and divided into group A and group B based on the odd and even numbers of their admission numbers, with 34 cases in each group. Patients in group B accepted the routine rehabilitation exercise, while patients in group A accepted the continuous care combined with constraint-induced movement therapy (CIMT) under a health platform, so as to compare their upper limb function recovery by the Fugl–Meyer assessment (FMA) and improved median Barthel index (MBI). Results. The general information of the two groups were not obviously different ( P > 0.05) but comparable; after intervention, the FMA scores (38.42 ± 7.62 vs 31.22 ± 7.25) and MBI scores (78.63 ± 6.52 vs 70.24 ± 6.48) of patients in group A were significantly higher than those of group B ( P < 0.001); the activities of daily living (ADL) and trunk control test (TCT) scores at T1, T2, and T3 of group A were significantly higher than those of group B ( P < 0.05); at 6 months after discharge, the self-concept, self-care skills, self-care, self-responsibility, health knowledge level, and total ability scores of patients in group A were significantly higher than those in group B ( P < 0.05); the Generic Quality of Life Inventory-74 (GQOL-74) scores after intervention of the two groups were significantly higher than those before intervention ( P < 0.05) and those of group A were significantly higher than those of group B (72.13 ± 4.69 vs 63.19 ± 4.72; P < 0.05); when comparing with group B, group A presented significantly higher walking speed and gait period and lower support phase ( P < 0.05). Conclusion. The combination of continuous care and CIMT under a health platform can effectively promote the rehabilitation of upper limb functions and improve the activities of daily living and trunk control for acute stroke patients, with an effect better than conventional rehabilitation exercises, which is worthy of promotion.

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“…W badaniach przeprowadzonych przez Zarandona i wsp. [14] w dwóch szkołach pielęgniarskich w Hiszpanii zidentyfikowano trudności związane z nabywaniem wiedzy przez studentów na temat opieki nad pacjentem po udarze. Wyniki tych badań pozwoliły nauczycielom opracować odpowiednie strategie nauczania w zakresie opieki nad pacjentem po udarze w warunkach szpitalnych [14].…”

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Nursing level knowledge of strokes from the study of demographic and social factors

Gazdowicz

Cipora²,

Niemiec³

et al. 2021

PPS

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Introduction. Strokes often have very serious medical, social and economic consequences. Knowledge about strokes is the basis for effective prophylaxis and makes it possible to quickly notice the symptoms and initiate appropriate therapeutic treatment in a short time. The aim of the research was to assess the level of knowledge of nursing students about strokes, taking into account selected demographic and social factors. Material and methods. The research covered a group of 120 students of nursing at the State University of Jan Grodek in Sanok. The diagnostic survey method was used. The research tool was a proprietary questionnaire containing questions about the demographic and social situation and a stroke knowledge test. The IBM SPSS v 25.0 package was used in the statistical analysis. The value of p≤0.05 was adopted as statistically significant. Results. The mean age of the respondents in the years was 33.82 (SD 9.75). The vast majority of the respondents (94.2%) were women. The average level of knowledge about stroke was highest in the 31-40 age group (83.3%). A statistically significant relationship was found between the level of education of the respondents and the level of their knowledge about strokes (p = 0.029). On the other hand, the age, marital status, place of residence and social and living conditions of students did not significantly affect the level of their knowledge about stroke. Conclusions. The overall level of knowledge about strokes among nursing students was average. Most of the subjects studied were familiar with pre-hospital management procedures in the event of a stroke, but had significant gaps in knowledge regarding the time of thrombolytic treatment initiation after the onset of stroke. In the education of nursing students, particular attention should be paid to issues related to the prevention and management of strokes.

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Nursing students' misunderstandings when learning about stroke care: A phenomenographic study

Cited by 12 publications

References 18 publications

Training needs analysis of Korean nurses' neurological assessment competency

Training needs analysis of Korean nurses' neurological assessment competency

Effect of Continuous Care Combined with Constraint-Induced Movement Therapy Based on a Continuing Care Health Platform on MBI and FMA Scores of Acute Stroke Patients

Nursing level knowledge of strokes from the study of demographic and social factors

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