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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
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The lived experiences of nurses in one hyper-acute stroke unit
Elmer Javier Catangui1, Clifford John Roberts2
1Clinical Nurse Specialist in Stroke, Imperial College Healthcare NHS Trust, London.
British Journal of Nursing (Mark Allen Publishing)
|February 15, 2014
Summary
Nurses in hyper-acute stroke units (HASUs) play a vital role in thrombolysis treatment for acute ischemic stroke. Improving communication, teamwork, and training enhances their effectiveness and patient outcomes.
Area of Science:
- Neurology
- Nursing Science
- Healthcare Management
Background:
- Hyper-acute stroke units (HASUs) are integral to London's stroke care model.
- Thrombolysis is a critical treatment for acute ischemic stroke.
- Nurses in HASUs are actively involved in delivering thrombolysis.
Purpose of the Study:
- To investigate nurses' lived experiences in preparing for their thrombolysis role.
- To explore factors influencing nurses' participation in thrombolysis treatment.
- To understand the facilitators and barriers to effective thrombolysis delivery by nurses.
Main Methods:
- Phenomenological approach used to explore lived experiences.
- Qualitative study focusing on nurses' perspectives.
- Analysis of factors affecting nurses' roles in thrombolysis.
Main Results:
- Nurses' roles are crucial, involving facilitation, support, monitoring, anticipation, and prevention.
- Key factors affecting nurses' thrombolysis roles include communication, teamwork, clinical decision-making, training, staffing, and safety.
- Effective thrombolysis delivery is contingent on addressing these influencing factors.
Conclusions:
- Addressing identified factors can optimize nurses' thrombolysis roles.
- Improvements in communication and teamwork are essential for better patient outcomes.
- Enhanced nurse preparation and support are vital for successful thrombolysis implementation in HASUs.
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