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Implementation of a Stroke Competency Program to Improve Nurses' Knowledge of and Adherence to Stroke Guidelines
Staci Sue Reynolds1, Laura L Murray, Susan M McLennon
1Questions or comments about this article may be directed to Staci Sue Reynolds, PhD RN ACNS-BC CCRN CNRN SCRN, at staci.reynolds1024@gmail.com. She is a Neuroscience CNS, Duke University Hospital, and a Clinical Associate, Duke University School of Nursing, Durham, NC. Laura L. Murray, PhD, is Professor, Department of Speech and Hearing Sciences, Indiana University, Bloomington, IN. Susan M. McLennon, PhD RN, is Assistant Chair and Associate Professor, Indiana University School of Nursing, Indianapolis, IN. Tamilyn Bakas, PhD RN FAHA FAAN, is Professor and Jane E. Procter Endowed Chair, University of Cincinnati College of Nursing, Cincinnati, OH.
A Stroke Competency Program improved nurses' knowledge and adherence to evidence-based stroke care. This multifaceted approach enhanced patient care by ensuring nurses followed best practices.
Area of Science:
- Nursing Science
- Evidence-Based Practice
- Stroke Care
Background:
- Nurses are crucial for evidence-based stroke care, but inconsistencies exist.
- Multifaceted strategies can promote evidence-based practice, yet optimal combinations are unknown.
Purpose of the Study:
- To assess if a tailored, multifaceted Stroke Competency Program enhances nurses' knowledge and adherence to evidence-based stroke care practices.
- The program integrated local opinion leaders, educational materials, and outreach.
Main Methods:
- A pretest/posttest design was employed.
- Nursing adherence was evaluated through documentation audits.
- Nurse knowledge was measured using an author-developed assessment.
Main Results:
- The program led to improvements in nursing adherence to stroke guidelines.
- Significant enhancements in nurses' knowledge regarding stroke care were observed.
- Most nurses had ~10 years of experience and were baccalaureate-prepared.
Conclusions:
- The Stroke Competency Program successfully improved nursing knowledge and adherence to stroke guidelines.
- Further research is needed to identify the most effective strategy bundles for implementing evidence into nursing practice.
- Future studies should utilize psychometrically sound outcome measures.
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