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Measuring the impact of an acute stroke program on patient outcomes
1Acute Stroke Program, Parkland Memorial Hospital, Dallas, Texas.
Summary
A nurse-managed acute stroke program improved patient outcomes. This study highlights the importance of specific nursing interventions in stroke care and recovery.
Area of Science:
- Neurology
- Nursing Science
- Public Health
Background:
- Stroke is a leading cause of death in the U.S., with 400,000 annual cases.
- Limited nursing research exists on the impact of interventions on stroke patient outcomes.
- A standardized medical treatment for stroke is still under development.
Purpose of the Study:
- To evaluate the effectiveness of a nurse-managed acute stroke program.
- To measure the program's impact on critical patient outcomes.
- To identify implications for nursing practice, education, and research.
Main Methods:
- A comparative study design was used.
- Patient data from before (1987) and after (1988) program implementation were analyzed.
- Key variables included length of stay, patient disposition, readmission rates, and compliance.
Main Results:
- The nurse-managed stroke program demonstrated positive effects on patient outcomes.
- Specific program components included daily assessments, patient education, support groups, staff training, discharge planning, and follow-up.
- Findings suggest the program's continued development is warranted.
Conclusions:
- The nurse-managed acute stroke program shows promise for improving stroke patient care.
- Nursing interventions play a crucial role in stroke management and recovery.
- Further research and implementation of such programs are recommended for nursing practice and education.