scholarly journals ‘The Lynchpin of the Acute Stroke Service’—An envisioning of the scope and role of the advanced nurse practitioner in stroke care in a qualitative study

2020 ◽  
Vol 29 (23-24) ◽  
pp. 4795-4805
Author(s):  
Elizabeth Ann Laird ◽  
Claire McCauley ◽  
Assumpta Ryan ◽  
Alison Beattie
Keyword(s):  
Qualitative Study ◽  
Acute Stroke ◽  
Nurse Practitioner ◽  
Stroke Care ◽  
Stroke Service

Is the practice of goal-setting for patients in acute stroke care patient-centred and what factors influence this? A qualitative study

2015 ◽  
Vol 30 (5) ◽  
pp. 508-519 ◽  
Author(s):  
Sheeba Rosewilliam ◽  
Carron Sintler ◽  
Anand D Pandyan ◽  
John Skelton ◽  
Carolyn A Roskell
Keyword(s):  
Qualitative Study ◽  
Acute Stroke ◽  
Goal Setting ◽  
Stroke Care ◽  
Care Patient ◽  
Acute Stroke Care

Abstract NS8: The Effects of Introducing a Nurse Practitioner Stroke Champion into the Emergency Department

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Lindsay Olson-Mack ◽  
Jacqueline Reardon ◽  
Elton Hedden ◽  
Rowena Carino ◽  
Cynthia VanWyk ◽  
...  
Keyword(s):  
Emergency Department ◽  
Acute Stroke ◽  
Nurse Practitioner ◽  
Treatment Effectiveness ◽  
Stroke Care ◽  
Stroke Patients ◽  
Acute Stroke Care ◽  
Assessment And Treatment ◽  
Iv Tpa

Background and Purpose: Emergency Department (ED) physicians often manage acute stroke patients without Neurology support at the bedside. Without guidance, they are left to rapidly assess, diagnose and treat acute stroke patients with minimal follow up on treatment effectiveness and patient outcomes. We hypothesized that introducing a Nurse Practitioner (NP) as Stroke Champion into an ED that did not have access to in-house Neurology would drive awareness of acute stroke care, and positively change practice to decrease door to needle times. Methods: The NP started in the 24-bed ED in June 2012. The average daily census of the ED for 2012 was 135 patients per day, and from January to June 2012, ED physicians initiated 46 stroke codes. Although Neurologists were available via telephone, ED physicians were left to accurately assess and initiate stroke codes, determine eligibility, and order IV tPA. In collaboration with the Stroke Medical Director, the Stroke NP conducted multiple education sessions regarding timing metrics in acute stroke care and door to tPA goals with ED clinicians, radiology, lab and pharmacy departments. Data was shared with stakeholders monthly to drive performance improvement initiatives. Results: Rapid improvements were made in all metrics. Mean time to CT first image improved by 19.3 minutes (37.3 to 18.0 minutes) in 6 months, and to 14.7 minutes in 1 year. CT result mean turn-around-time decreased by 19 minutes (from 54.0 to 29.1 minutes) in the first 6 months, and by 22.6 minutes (from 54.0 to 26.0 minutes) at 12 months. Likewise, laboratory result turn-around-times dramatically decreased by a mean of 15.9 minutes (54.4 to 38.5 minutes) over 6 months, and by a mean of 23 minutes (54.4 to 31.0 minutes) within 12 months. IV tPA treatment rates increased from 5% to 14.4% of all ischemic strokes. Door to IV tPA treatment times decreased by a mean of 33.9 minutes (104.5 to 70.6 minutes) in 6 months, and by 46.8 minutes (from 104.5 to 57.7 minutes) within the year. Conclusions: Introducing an NP into the ED to serve as Stroke Champion can provide added support to improve care of acute stroke patients by expediting assessment and treatment.

Role of Neurostimulants During Acute Stroke Care: Do they Improve Wakefulness?

2021 ◽  
Author(s):  
Prateek Kumar Panda ◽  
Anju Mehra ◽  
Indar Kumar Sharawat
Keyword(s):  
Acute Stroke ◽  
Stroke Care ◽  
Acute Stroke Care

scholarly journals Barriers to evidence-based acute stroke care in Ghana: a qualitative study on the perspectives of stroke care professionals

BMJ Open ◽  
2017 ◽  
Vol 7 (4) ◽  
pp. e015385 ◽  
Author(s):  
Leonard Baatiema ◽  
Ama de-Graft Aikins ◽  
Adem Sav ◽  
George Mnatzaganian ◽  
Carina K Y Chan ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Acute Stroke ◽  
Stroke Care ◽  
Evidence Based ◽  
Acute Stroke Care

Disparities in Acute Stroke Care: Role of Race and Insurance Status.

2014 ◽  
Vol 1 (2) ◽  
pp. 35-41
Author(s):  
José R. Romero ◽  
◽  
Helena Lau ◽  
Michael R. Winter ◽  
Thanh N. Nguyen ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Stroke Care ◽  
Insurance Status ◽  
Acute Stroke Care

scholarly journals Patient‐centredness in acute stroke care – a qualitative study from the perspectives of patients, relatives and staff

2020 ◽  
Vol 27 (8) ◽  
pp. 1638-1646
Author(s):  
L. Busetto ◽  
C. Stang ◽  
J. Hoffmann ◽  
H. Amiri ◽  
F. Seker ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Acute Stroke ◽  
Stroke Care ◽  
Acute Stroke Care ◽  
Patient Centredness

scholarly journals Health care providers’ perceptions of factors that influence the provision of acute stroke care in urban and rural settings: A qualitative study

2020 ◽  
Vol 8 ◽  
pp. 205031212092108
Author(s):  
Mitchell Dwyer ◽  
Gregory M. Peterson ◽  
Seana Gall ◽  
Karen Francis ◽  
Karen M. Ford
Keyword(s):  
Qualitative Study ◽  
Focus Groups ◽  
Acute Stroke ◽  
Stroke Care ◽  
Rural Hospitals ◽  
Public Hospitals ◽  
Barriers And Facilitators ◽  
Care Providers ◽  
Acute Stroke Care ◽  
Data Set

Objectives: Individuals living in rural areas have comparatively less access to acute stroke care than their urban counterparts. Understanding the local barriers and facilitators to the use of current best practice for acute stroke may inform efforts to reduce this disparity. Methods: A qualitative study featuring semi-structured interviews and focus groups was conducted in the Australian state of Tasmania. Clinical staff from a range of disciplines involved in acute stroke care were recruited from three of the state’s four major public hospitals (one urban and two rural). A semi-structured interview guide based on the findings of an earlier quantitative study was used to elicit discussion about the barriers and facilitators associated with providing acute stroke care. An inductive process of thematic analysis was then used to identify themes and subthemes across the data set. Results: Two focus groups and five individual interviews were conducted. Four major themes were identified from analysis of the data: systemic issues, clinician factors, additional support and patient-related factors. Acute stroke care within the study’s urban hospital was structured and comprehensive, aided by the hospital’s acute stroke unit and specialist nursing support. In contrast, care provided in the study’s rural hospitals was somewhat less comprehensive, and often constrained by an absence of infrastructure or poor access to existing resources. Conclusion: The identified factors help to characterise acute stroke care within urban and rural hospitals and will assist quality improvement efforts in Tasmania’s hospitals.

Role of the nurse in acute stroke care

2020 ◽  
Vol 35 (4) ◽  
pp. 75-82
Author(s):  
Christopher Stephen Clare
Keyword(s):  
Acute Stroke ◽  
Stroke Care ◽  
Acute Stroke Care
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