Nursing Care for Stroke Patients: Current Practice and Future Needs

Background: Stroke is the second leading cause of death and the third leading cause of disability worldwide. Stroke nurses play an important role in the care of patients living with stroke by using best practices and adhering to stroke-management guidelines. This study aims at examining the current...

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Main Authors: Lisa A. Babkair, Razan A. Safhi, Raghad Balshram, Rahaf Safhei, Atheer Almahamdy, Fatimah Hamad Hakami, Ali Matouq Alsaleh
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Nursing Reports
Subjects:
Online Access:https://www.mdpi.com/2039-4403/13/3/106
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author Lisa A. Babkair
Razan A. Safhi
Raghad Balshram
Rahaf Safhei
Atheer Almahamdy
Fatimah Hamad Hakami
Ali Matouq Alsaleh
author_facet Lisa A. Babkair
Razan A. Safhi
Raghad Balshram
Rahaf Safhei
Atheer Almahamdy
Fatimah Hamad Hakami
Ali Matouq Alsaleh
author_sort Lisa A. Babkair
collection DOAJ
description Background: Stroke is the second leading cause of death and the third leading cause of disability worldwide. Stroke nurses play an important role in the care of patients living with stroke by using best practices and adhering to stroke-management guidelines. This study aims at examining the current nursing practice for stroke patients in Saudi Arabia. Method: A cross-sectional descriptive design was used to collect data from nurses working in the stroke unit and intensive care unit between the period of February and June 2022 using electronic self-administered questionnaires. Results: A convenience sample of 131 nurses who provided care for stroke patients was enrolled. Significant differences in nursing practice were found between the stroke units and the intensive care units regarding the activation of the stroke code, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 48.34, <i>p</i> < 0.001; transferring stroke patients to a designated bed, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 48.74, <i>p</i> = 0.002; applying the NIHSS, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 70.11, <i>p</i> < 0.001; using the modified Rankin scale, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 61.24, <i>p</i> < 0.001; providing intervention for neglect syndrome, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 44.72, and hemianopsia, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 39.22; screening for poststroke depression, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 101.59, <i>p</i> < 0.001; assessing for psychosocial needs, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 74.44, <i>p</i> < 0.001, and encouraging patients to express their feelings, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 58.64, <i>p</i> < 0.001; educating patients and families about stroke prevention, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 40.51, <i>p</i> < 0.001. Conclusion: As per the results of the study, there is an urgent need for stroke units run by specialized stroke nurses to provide early stroke management and improve survivors’ outcomes. Structured stroke-care programs are needed to improve nursing practice and meet the international standard of stroke care.
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spelling doaj.art-fe1b0ff34f6d459a9c8ee99007a17d492023-11-19T12:16:35ZengMDPI AGNursing Reports2039-439X2039-44032023-09-011331236125010.3390/nursrep13030106Nursing Care for Stroke Patients: Current Practice and Future NeedsLisa A. Babkair0Razan A. Safhi1Raghad Balshram2Rahaf Safhei3Atheer Almahamdy4Fatimah Hamad Hakami5Ali Matouq Alsaleh6Faculty of Nursing, King AbdulAziz University, Jeddah 21589, Saudi ArabiaFaculty of Nursing, King AbdulAziz University, Jeddah 21589, Saudi ArabiaFaculty of Nursing, King AbdulAziz University, Jeddah 21589, Saudi ArabiaFaculty of Nursing, King AbdulAziz University, Jeddah 21589, Saudi ArabiaFaculty of Nursing, King AbdulAziz University, Jeddah 21589, Saudi ArabiaKing Fahad General Hospital, Jeddah 23325, Saudi ArabiaNational Neuroscience Institute Nursing Administration, King Fahad Medical City, Riyadh 12231, Saudi ArabiaBackground: Stroke is the second leading cause of death and the third leading cause of disability worldwide. Stroke nurses play an important role in the care of patients living with stroke by using best practices and adhering to stroke-management guidelines. This study aims at examining the current nursing practice for stroke patients in Saudi Arabia. Method: A cross-sectional descriptive design was used to collect data from nurses working in the stroke unit and intensive care unit between the period of February and June 2022 using electronic self-administered questionnaires. Results: A convenience sample of 131 nurses who provided care for stroke patients was enrolled. Significant differences in nursing practice were found between the stroke units and the intensive care units regarding the activation of the stroke code, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 48.34, <i>p</i> < 0.001; transferring stroke patients to a designated bed, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 48.74, <i>p</i> = 0.002; applying the NIHSS, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 70.11, <i>p</i> < 0.001; using the modified Rankin scale, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 61.24, <i>p</i> < 0.001; providing intervention for neglect syndrome, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 44.72, and hemianopsia, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 39.22; screening for poststroke depression, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 101.59, <i>p</i> < 0.001; assessing for psychosocial needs, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 74.44, <i>p</i> < 0.001, and encouraging patients to express their feelings, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 58.64, <i>p</i> < 0.001; educating patients and families about stroke prevention, <i>X</i><sup>2</sup> (4, <i>N</i> = 131) = 40.51, <i>p</i> < 0.001. Conclusion: As per the results of the study, there is an urgent need for stroke units run by specialized stroke nurses to provide early stroke management and improve survivors’ outcomes. Structured stroke-care programs are needed to improve nursing practice and meet the international standard of stroke care.https://www.mdpi.com/2039-4403/13/3/106critical carenursing trainingnursing practicestrokestroke patientsstroke unit
spellingShingle Lisa A. Babkair
Razan A. Safhi
Raghad Balshram
Rahaf Safhei
Atheer Almahamdy
Fatimah Hamad Hakami
Ali Matouq Alsaleh
Nursing Care for Stroke Patients: Current Practice and Future Needs
Nursing Reports
critical care
nursing training
nursing practice
stroke
stroke patients
stroke unit
title Nursing Care for Stroke Patients: Current Practice and Future Needs
title_full Nursing Care for Stroke Patients: Current Practice and Future Needs
title_fullStr Nursing Care for Stroke Patients: Current Practice and Future Needs
title_full_unstemmed Nursing Care for Stroke Patients: Current Practice and Future Needs
title_short Nursing Care for Stroke Patients: Current Practice and Future Needs
title_sort nursing care for stroke patients current practice and future needs
topic critical care
nursing training
nursing practice
stroke
stroke patients
stroke unit
url https://www.mdpi.com/2039-4403/13/3/106
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