The Knowledge of Nurses about Evidence-based Guideline in Patients with Acute Ischemic Stroke

Abstract

Introduction: Stroke is the most common cerebrovascular disease and the third most common cause of disability in the world. The study aimed to assess the knowledge of nurses in emergency departments based on evidence-based care guidelines in the acute phase of ischemic stroke.
 Methods: This cross-sectional analytical study was performed on 129 nurses working in emergency departments of 16 hospitals of Guilan University of Medical Sciences in 2017. Samples were selected randomly. The study tool was a questionnaire with 10 multiple choice questions about the care of acute phase of ischemic stroke patients. Data were analyzed by SPSS software ver. 21 using descriptive tests, ANOVA, T-test, Chi-square.
 Results: The mean of the participants’ knowledge about acute phase of ischemic stroke care was 40.07 ± 16.46. The highest response rate was related to the symptoms of stroke (85.27%). There was a significant relationship between the number of beds in the hospitals and the nurses' knowledge about beginning treatment of Tissue Plasminogen Activator (tPA) (P<0.005), optimal level of blood pressure prior to administering intravenous tPA (P<0.001), and recommended dosage of tPA (P<0.001) .Also, a significant relationship was reported between the number of beds in the emergency departments and the nurses' knowledge about optimal level of blood pressure prior to administering intravenous tPA (P<0.001), and recommended dosage of tPA (P<0.001).
 Conclusion: The nurses' knowledge was not satisfactory about the guideline of the acute stage of ischemic stroke. Therefore, provision of evidence-based continuing education courses and mandatory attendance of emergency nurses in these courses is recommended.

Knowledge of acute stroke management and the predictors among Malaysian healthcare professionals

“…Almost 90% of our participants had good knowledge of items GSK-1 to GSK-7 and were well aware of the signs and symptoms of stroke. Our finding was also compared with previous studies, whereby 85% of nurses were able to recognise stroke symptoms ( Yeganeh et al, 2019 ), while among GPs, knowledge of the signs and symptoms of a stroke ranged from 79% to 99% ( Chang et al, 2020 ). The previous study among GPs and nurses with similar items to GSK-3, GSK-4, and GSK-5 reported a much lower percentage of knowledge, which was 15.4%, 66.8%, and 13.6%, respectively ( Yang et al, 2015 ).…”

“…The target population of the studies has mainly been general practitioners, paramedics, and emergency nurses. Previous studies had a wide variation in HCPs’ responses to the stroke knowledge questions, and most of them recommended stroke education to improve their knowledge ( Lin et al, 2017 ; Shahzad et al, 2018 ; Yeganeh et al, 2019 ; Chang et al, 2020 ; Blek & Szarpak, 2021 ; Kusuma et al, 2021 ).…”

“…Years of clinical experience ( Lin et al, 2017 ; Chang et al, 2020 ; Blek & Szarpak, 2021 ; Kusuma et al, 2021 ), profession ( Rababah, Al-Hammouri & AlNsour, 2021 ), working in stroke-related specialities ( Mellon et al, 2015 ), the number of beds ( Yeganeh et al, 2019 ), and the number of stroke cases ( Blek & Szarpak, 2021 ) were known to be associated factors of stroke management knowledge. However, previous studies did not explore factors such as the work sector (government vs private), work settings (hospital vs primary care clinic), and the presence of guidance from specialists.…”

Nurses Knowledge and Practice Concerning Nursing Management for Patients with Stroke

“…The nurses' knowledge was not satisfactory about the guideline of the acute stage of ischemic stroke. Therefore, provision of evidence-based continuing education courses and mandatory attendance of emergency nurses in these courses is recommend (Yeganeh et al, 2019).…”

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

“…The nurses' knowledge of the guidelines for the acute stage of ischemic stroke was not satisfactory. Therefore, the provision of evidence-based continuing education courses and the mandatory attendance of emergency nurses in these courses is recommended (Yeganeh et al, 2019). These results may be related to a decrease in the number of training sessions regarding stroke management, a lack of desire to learn by nurses, and multiple levels of education in nurses.…”