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Updated: Jul 24, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Promoting evidence-based practice: implementing the American Stroke Association's acute stroke program.
Darina Kavanagh1, Phyllis Connolly, Jayne Cohen
1Regional Medical Center, San Jose, CA 95116, USA. darina.kavanagh@hcahealthcare.com
Implementing a change model for evidence-based practice improved patient care and outcomes in an acute care hospital. This study highlights the successful application of the Rosswurm and Larrabee model for the American Stroke Association
Area of Science:
- Healthcare Management
- Clinical Practice Improvement
- Nursing Research
Background:
- Evidence-based practice (EBP) is crucial for enhancing patient care outcomes.
- Existing literature extensively discusses the importance of EBP.
- Implementing EBP requires structured change models for successful adoption.
Purpose of the Study:
- To describe the application of the Rosswurm and Larrabee model for EBP implementation.
- To evaluate the effectiveness of this model in an acute care setting.
- To assess the impact of implementing the American Stroke Association's Acute Stroke Program.
Main Methods:
- Utilized the Rosswurm and Larrabee model for change.
- Implemented the American Stroke Association's Acute Stroke Program.
- Focused on an acute care hospital setting.
Main Results:
- The implementation of the evidence-based practice model was effective.
- Demonstrated improvements in patient care.
- Showcased enhanced patient outcomes.
Conclusions:
- The Rosswurm and Larrabee model facilitates effective EBP implementation.
- Successful EBP integration leads to better patient care and outcomes.
- This exemplar demonstrates the value of structured approaches in acute care settings.
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