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...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Published: |
PeerJ Inc.
2022
|
| _version_ | 1796984157763534848 |
|---|---|
| author | Albart, Stephenie Ann Yusof Khan, Abdul Hanif Khan Abdul Rashid, Aneesa Wan Zaidi, Wan Asyraf Bidin, Mohammad Zulkarnain Looi, Irene Hoo, Fan Kee |
| author_facet | Albart, Stephenie Ann Yusof Khan, Abdul Hanif Khan Abdul Rashid, Aneesa Wan Zaidi, Wan Asyraf Bidin, Mohammad Zulkarnain Looi, Irene Hoo, Fan Kee |
| author_sort | Albart, Stephenie Ann |
| collection | UPM |
| 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 | 2024-03-06T11:16:30Z |
| format | Article |
| id | upm.eprints-102065 |
| institution | Universiti Putra Malaysia |
| last_indexed | 2024-03-06T11:16:30Z |
| publishDate | 2022 |
| publisher | PeerJ Inc. |
| record_format | dspace |
| spelling | upm.eprints-1020652023-12-15T23:38:35Z http://psasir.upm.edu.my/id/eprint/102065/ Knowledge of acute stroke management and the predictors among Malaysian healthcare professionals Albart, Stephenie Ann Yusof Khan, Abdul Hanif Khan Abdul Rashid, Aneesa Wan Zaidi, Wan Asyraf Bidin, Mohammad Zulkarnain Looi, Irene Hoo, Fan Kee 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. PeerJ Inc. 2022-04-20 Article PeerReviewed Albart, Stephenie Ann and Yusof Khan, Abdul Hanif Khan and Abdul Rashid, Aneesa and Wan Zaidi, Wan Asyraf and Bidin, Mohammad Zulkarnain and Looi, Irene and Hoo, Fan Kee (2022) Knowledge of acute stroke management and the predictors among Malaysian healthcare professionals. PeerJ, 10. pp. 1-19. ISSN 2167-8359 https://peerj.com/articles/13310/ 10.7717/peerj.13310 |
| spellingShingle | Albart, Stephenie Ann Yusof Khan, Abdul Hanif Khan Abdul Rashid, Aneesa Wan Zaidi, Wan Asyraf Bidin, Mohammad Zulkarnain Looi, Irene Hoo, Fan Kee Knowledge of acute stroke management and the predictors among Malaysian healthcare professionals |
| 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 |
| work_keys_str_mv | AT albartstephenieann knowledgeofacutestrokemanagementandthepredictorsamongmalaysianhealthcareprofessionals AT yusofkhanabdulhanifkhan knowledgeofacutestrokemanagementandthepredictorsamongmalaysianhealthcareprofessionals AT abdulrashidaneesa knowledgeofacutestrokemanagementandthepredictorsamongmalaysianhealthcareprofessionals AT wanzaidiwanasyraf knowledgeofacutestrokemanagementandthepredictorsamongmalaysianhealthcareprofessionals AT bidinmohammadzulkarnain knowledgeofacutestrokemanagementandthepredictorsamongmalaysianhealthcareprofessionals AT looiirene knowledgeofacutestrokemanagementandthepredictorsamongmalaysianhealthcareprofessionals AT hoofankee knowledgeofacutestrokemanagementandthepredictorsamongmalaysianhealthcareprofessionals |