Implementation of evidence into practice: Development of a tool to improve emergency nursing care of acute stroke

2009 ◽  
Vol 12 (3) ◽  
pp. 110-119 ◽  
Author(s):  
Bree McGillivray ◽  
Julie Considine
Keyword(s):  
Acute Stroke ◽  
Nursing Care ◽  
Emergency Nursing ◽  
Practice Development

Emergency Nursing Care

2022 ◽  
pp. 1-416
Author(s):  
I.E. Babushkin ◽  
V.K. Karmanov
Keyword(s):  
Nursing Care ◽  
Emergency Nursing

scholarly journals Registered nurses’ experiences of providing respiratory care in relation to hospital- acquired pneumonia at in-patient stroke units: a qualitative descriptive study

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Gunilla Borglin ◽  
Miia Eriksson ◽  
Madeleine Rosén ◽  
Malin Axelsson
Keyword(s):  
Acute Stroke ◽  
Registered Nurses ◽  
Nursing Care ◽  
Descriptive Study ◽  
Respiratory Care ◽  
Evidence Based ◽  
Stroke Units ◽  
Qualitative Descriptive ◽  
Hospital Acquired Pneumonia ◽  
Hospital Acquired

Abstract Objective This study aimed to describe registered nurses’ (RNs) experiences of providing respiratory care in relation to hospital acquired pneumonia (HAP), specifically among patients with acute stroke being cared for at in-patient stroke units. Background One of the most common and serious respiratory complications associated with acute stroke is HAP. Respiratory care is among the fundamentals of patient care, and thus competency in this field is expected as part of nursing training. However, there is a paucity of literature detailing RNs’ experiences with respiratory care in relation to HAP, specifically among patients with acute stroke, in the context of stroke units. As such, there is a need to expand the knowledge base relating to respiratory care focusing on HAP, to assist with evidence-based nursing. Design A qualitative descriptive study. Method Eleven RNs working in four different acute stroke units in Southern Sweden participated in the current study. The data were collected through semi-structured interviews, and the transcribed interviews were analysed using inductive content analysis. Results Three overarching categories were identified: (1), awareness of risk assessments and risk factors for HAP (2) targeting HAP through multiple nursing care actions, and (3) challenges in providing respiratory care to patients in risk of HAP. These reflected the similarities and differences in the experiences that RNs had with providing respiratory care in relation to HAP among in-patients with acute stroke. Conclusions The findings from this study suggest that the RNs experience organisational challenges in providing respiratory care for HAP among patients with acute stroke. Respiratory care plays a vital role in the identification and prevention of HAP, but our findings imply that RNs’ knowledge needs to be improved, the fundamentals of nursing care need to be prioritised, and evidence-based guidelines must be implemented. RNs would also benefit from further education and support, in order to lead point-of-care nursing in multidisciplinary stroke teams.

Emergency nursing care of pediatric sickle cell patients: Meeting the challenge

2001 ◽  
Vol 17 (3) ◽  
pp. 220-225 ◽  
Author(s):  
KATHLEEN O’NEILL ◽  
STEVEN TAYLOR ◽  
KIRSTEN JOHNSON MOORE
Keyword(s):  
Sickle Cell ◽  
Nursing Care ◽  
Emergency Nursing

scholarly journals Quality of emergency nursing care in two tertiary healthcare settings in a developing Sub-Saharan African Country

2020 ◽  
Vol 10 ◽  
pp. S73-S77
Author(s):  
Alade A Ogunlade ◽  
Emmanuel O Ayandiran ◽  
Olufemi O Oyediran ◽  
Oyeyemi O Oyelade ◽  
Adenike AE Olaogun
Keyword(s):  
Nursing Care ◽  
African Country ◽  
Emergency Nursing ◽  
Healthcare Settings ◽  
Tertiary Healthcare ◽  
Sub Saharan

Abstract WP346: Improving Nursing Skills In Acute Stroke Patients Can Reduce The Time-to-treatment

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
ESTELA SANJUAN ◽  
PILAR MELER ◽  
MARTA RUBIERA ◽  
MARC RIBO ◽  
MARIAN MUCHADA ◽  
...  
Keyword(s):  
Emergency Room ◽  
Acute Stroke ◽  
Blood Sample ◽  
Treatment Decision ◽  
Emergency Nursing ◽  
Sample Collection ◽  
Stroke Patients ◽  
Time To Treatment ◽  
Nursing Professionals ◽  
Mean Time

INTRODUCTION: Intravenous tPa treatment is time dependent. The management of Hypertension (HTN) and Hyperglycemia (HGL), along with blood sample collection in the emergency room (ER) may cause delays in tPa treatment, if not performed at the same time that the neurologist is examining the patient. Our aim was to determine whether the emergency nursing professional skills can reduce the delay on tPa administration during the emergency room stay. Methodology: This is a prospective study of acute stroke patients evaluated in the ER. Time from presentation to the ER to treatment was evaluated (time to treatment decision). This time was considered delayed if it was more than 40 minutes. Exact times of nursing activities were recorded as well as the causes that can impact delay and can be solved by nursing professionals (baseline hypertension, hyperglycemia and time to blood sample collection). Results: From January to July 2012, 222 patients were evaluated. 50% were men, mean age of 71,1 ,and mean time spent in the ER was 18±9 minutes. 35 patients where hypertensive on admission(15,8%), 59 had hyperglycemia(26,6%) and 11 had both(5%). Mean time to obtain blood sample was 5±3 minutes. Seventy-three patients(32,8%) were treated with intravenous tpa. Door-to-needle time was 39±19 minutes and CT-to-bolus time 11±4 minutes. In up to 29 times, a cause of delay in tPa initiation >40minutes was identified. Of those, 11 were related to nursing actions: 4(14,8%) blood sample delays and 7(25,9%) delays in treatment of HBP or HGL. Conclusions: Emergency nursing professionals have a very important role in acute stroke and developing skills and training may reduce time-to-treatment. A specialized stroke code nurse would probably improve stroke management in emergency room.

Sign in / Sign up

Export Citation Format

Share Document