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Updated: May 24, 2025
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Acute Stroke Units Nested within Broader Neurology: Care Bundles for Nursing to Enhance Competence and
Marianne Elisabeth Klinke1,2, Bjorn Logi Thorarinsson3, Ólafur Árni Sveinsson3,4
1Faculty of Nursing and Midwifery, School of Health Sciences, University of Iceland Eiriksgata, Reykjavik, 34 107, Iceland. marianne@hi.is.
Purpose Of Review:
The benefits of acute stroke unit care, with nurses as central figures, are well-documented. As care bundles gain traction to enhance evidence-based nursing care, this review explores their development and adaptation in a setting where stroke care is integrated into general neurology. It also highlights key elements for reinforcing competence and interdisciplinary support.
Recent Findings:
Most evidenced based acute stroke unit recommendations focus on hyperacute medical management. In comparison, the literature on decision-making for selecting and evaluating key components of nursing surveillance to support specialized stroke care in geographically smaller settings is sparse although the benefits of nursing care bundles is emerging. Well-structured care bundles, grounded in robust evidence and supported by thorough documentation and effective implementation strategies, provide a clear framework for nursing care, facilitate continuous monitoring, and are useful for enhancing practices especially in smaller stroke units that lack the resources of more comprehensive state-of-the-art units. Tailoring stroke nursing care bundles to local contexts requires an adaptable approach.
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