J Korean Acad Fundam Nurs.  2012 Feb;19(1):87-97.

Evaluation of Applications of Adaptation of the Evidence-Based Nursing Practice Guidelines Patients with Acute Stroke

• Song SL
• Cho MS
• Kim JH
• Han YK
• Yan HM

Abstract

PURPOSE
This study was done to evaluate nursing guidelines for patients with acute stroke, developed by adapting the guidelines of Registered Nurses Association of Ontario, Canada to clinical settings on a large scale and evaluating the effectiveness as a research study. METHOD: The general characteristics of the 319 patients and the effectiveness of guideline application were evaluated in terms of structure, process, and outcome using questionnaires on the guidelines application with reference to the medical records of patients with acute stroke hospitalized on a ward of the stroke center of S General Hospital in Seoul.
RESULTS
Structures as a guidance system for assessment were consistent with the recommendations. With respect to the process of the guidelines, for items on nursing assessment, improved performance was found to be statistically significant. For outcomes of the guidelines, complications occurred in 8 patients (5.3%) prior to application of the guidelines and 11 patients (6.5%) after application of the guidelines, but this result was not statistically significant (p=.841).
CONCLUSION
The results of the study indicate that for the effectiveness of the guidelines, accessibility to the guidelines and effectiveness of quality improvement need to be evaluated, in addition to complications of a stroke.

Keyword

Evidence-Based Nursing; Practice Guideline; Stroke; Care; Complication

MeSH Terms

Canada
Evidence-Based Nursing
Hospitals, General
Humans
Medical Records
Nursing Assessment
Ontario
Quality Improvement
Surveys and Questionnaires
Stroke