Knowledge of acute stroke management and the predictors among Malaysian healthcare professionals
Background Despite rapid advances in acute ischaemic stroke (AIS) management, many healthcare professionals (HCPs) might not be aware of the latest recommended management of AIS patients. Therefore, we aimed to determine the level and factors associated with AIS management knowledge among Malaysian...
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| Format: | Article |
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PeerJ Inc.
2022-04-01
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| Online Access: | https://peerj.com/articles/13310.pdf |
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| author | Stephenie Ann Albart Abdul Hanif Khan Yusof Khan Aneesa Abdul Rashid Wan Asyraf Wan Zaidi Mohammad Zulkarnain Bidin Irene Looi Fan Kee Hoo |
| author_facet | Stephenie Ann Albart Abdul Hanif Khan Yusof Khan Aneesa Abdul Rashid Wan Asyraf Wan Zaidi Mohammad Zulkarnain Bidin Irene Looi Fan Kee Hoo |
| author_sort | Stephenie Ann Albart |
| collection | DOAJ |
| description | Background Despite rapid advances in acute ischaemic stroke (AIS) management, many healthcare professionals (HCPs) might not be aware of the latest recommended management of AIS patients. Therefore, we aimed to determine the level and factors associated with AIS management knowledge among Malaysian HCPs. Methods This cross-sectional online questionnaire study was conducted nationwide among 627 HCPs in Malaysia using the Acute Stroke Management Questionnaire (ASMaQ). Multiple logistic regression was used to predict the relationship between the independent variables (age, gender, years of service, profession, work setting, work sector, seeing stroke patients in daily practice, and working with specialists) and the outcome variable (good vs poor knowledge). Results Approximately 76% (95% CI [73–79%]) of HCPs had good overall knowledge of stroke. The highest proportion of HCPs with good knowledge was noted for General Stroke Knowledge (GSK) [88.5% (95% CI [86–91%])], followed by Advanced Stroke Management (ASM) [61.2% (95% CI [57–65%])] and Hyperacute Stroke Management (HSM) [58.1% (95% CI [54–62%])]. The odds of having poor knowledge of stroke were significantly higher among non-doctor HCPs [adjusted OR = 3.46 (95% CI [1.49–8.03]), P = 0.004]; among those not seeing stroke patients in daily practice [adjusted OR = 2.67 (95% CI [1.73–4.10]), P < 0.001]; and among those working without specialists [adjusted OR = 2.41 (95% CI [1.38–4.18]), P = 0.002]. Conclusions Stroke education should be prioritised for HCPs with limited experience and guidance. All HCPs need to be up-to-date on the latest AIS management and be able to make a prompt referral to an appropriate facility. Therefore, more stroke patients will benefit from advanced stroke care. |
| first_indexed | 2024-03-09T06:31:08Z |
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| institution | Directory Open Access Journal |
| issn | 2167-8359 |
| language | English |
| last_indexed | 2024-03-09T06:31:08Z |
| publishDate | 2022-04-01 |
| publisher | PeerJ Inc. |
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| spelling | doaj.art-87d31ee874e943f08f22061e85a079412023-12-03T11:06:04ZengPeerJ Inc.PeerJ2167-83592022-04-0110e1331010.7717/peerj.13310Knowledge of acute stroke management and the predictors among Malaysian healthcare professionalsStephenie Ann Albart0Abdul Hanif Khan Yusof Khan1Aneesa Abdul Rashid2Wan Asyraf Wan Zaidi3Mohammad Zulkarnain Bidin4Irene Looi5Fan Kee Hoo6Clinical Research Centre, Ministry of Health Malaysia, Hospital Seberang Jaya, Seberang Jaya, Penang, MalaysiaDepartment of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaDepartment of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaDepartment of Medicine, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, Kuala Lumpur, MalaysiaDepartment of Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaClinical Research Centre, Ministry of Health Malaysia, Hospital Seberang Jaya, Seberang Jaya, Penang, MalaysiaDepartment of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaBackground Despite rapid advances in acute ischaemic stroke (AIS) management, many healthcare professionals (HCPs) might not be aware of the latest recommended management of AIS patients. Therefore, we aimed to determine the level and factors associated with AIS management knowledge among Malaysian HCPs. Methods This cross-sectional online questionnaire study was conducted nationwide among 627 HCPs in Malaysia using the Acute Stroke Management Questionnaire (ASMaQ). Multiple logistic regression was used to predict the relationship between the independent variables (age, gender, years of service, profession, work setting, work sector, seeing stroke patients in daily practice, and working with specialists) and the outcome variable (good vs poor knowledge). Results Approximately 76% (95% CI [73–79%]) of HCPs had good overall knowledge of stroke. The highest proportion of HCPs with good knowledge was noted for General Stroke Knowledge (GSK) [88.5% (95% CI [86–91%])], followed by Advanced Stroke Management (ASM) [61.2% (95% CI [57–65%])] and Hyperacute Stroke Management (HSM) [58.1% (95% CI [54–62%])]. The odds of having poor knowledge of stroke were significantly higher among non-doctor HCPs [adjusted OR = 3.46 (95% CI [1.49–8.03]), P = 0.004]; among those not seeing stroke patients in daily practice [adjusted OR = 2.67 (95% CI [1.73–4.10]), P < 0.001]; and among those working without specialists [adjusted OR = 2.41 (95% CI [1.38–4.18]), P = 0.002]. Conclusions Stroke education should be prioritised for HCPs with limited experience and guidance. All HCPs need to be up-to-date on the latest AIS management and be able to make a prompt referral to an appropriate facility. Therefore, more stroke patients will benefit from advanced stroke care.https://peerj.com/articles/13310.pdfStrokeAcute stroke managementKnowledgeHealthcare professionalPredictorsQuestionnaire |
| spellingShingle | Stephenie Ann Albart Abdul Hanif Khan Yusof Khan Aneesa Abdul Rashid Wan Asyraf Wan Zaidi Mohammad Zulkarnain Bidin Irene Looi Fan Kee Hoo Knowledge of acute stroke management and the predictors among Malaysian healthcare professionals PeerJ Stroke Acute stroke management Knowledge Healthcare professional Predictors Questionnaire |
| title | Knowledge of acute stroke management and the predictors among Malaysian healthcare professionals |
| title_full | Knowledge of acute stroke management and the predictors among Malaysian healthcare professionals |
| title_fullStr | Knowledge of acute stroke management and the predictors among Malaysian healthcare professionals |
| title_full_unstemmed | Knowledge of acute stroke management and the predictors among Malaysian healthcare professionals |
| title_short | Knowledge of acute stroke management and the predictors among Malaysian healthcare professionals |
| title_sort | knowledge of acute stroke management and the predictors among malaysian healthcare professionals |
| topic | Stroke Acute stroke management Knowledge Healthcare professional Predictors Questionnaire |
| url | https://peerj.com/articles/13310.pdf |
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