A half-day stroke workshop based on the Kirkpatrick model to improve new clinical staff behavior

The present study aimed to determine the validity and usefulness of scales and training programs for clinical staff to evaluate nerve signs as an initial response to stroke. We developed a stroke workshop, using the analysis, design, development, implementation, and evaluation (ADDIE) model method based on instructional systems design theory.

The workshop aimed to improve the basic first aid skills of clinical staff for stroke. The participants (n=46) were randomly assigned to conventional Cincinnati Pre-hospital Stroke Scale (CPSS) or modified CPSS groups (simple randomization). Short-term case simulation was conducted immediately after the training as well as 6 months later to evaluate the nurses' skills. We conducted evaluations, using an instructional framework throughout the ADDIE process. We used the Kirkpatrick model to evaluate the educational effect of up to level 3 in this study. The Wilcoxon signed-rank test was used to analyze differences between the pre-test and post-test groups.

The evaluation of the new clinical staff stroke emergency training program, either using the conventional CPSS or the modified CPSS, showed that the participants were highly satisfied and exhibited improved knowledge and skills (conventional CPSS: 3.05 ± 0.73 vs 3.64 ± 0.59, P = 0.012 and modified CPSS: 2.95 ± 0.97 vs 3.61 ± 0.49, P = 0.111, before training vs after training, respectively). On the other hand, it was difficult for the participants to evaluate neurologic conditions using the modified CPSS compared with the conventional CPSS.

These results demonstrated that stroke care training is effective in reaction, learning, and behavior. The modified CPSS could be useful as with the conventional CPSS. In future, evaluation of neurological conditions should be improved.