Abstract 3718: Specialized Nursing Team for Stroke Education Increases Compliance
Background and Purpose: Primary Stroke Center Certification through the Joint Commission requires specific education to patients who have sustained a stroke. Low rates of completed education were noted for stroke patients during our needs assessment. Issues with compliance included ambiguous admission diagnoses, lack of time for registered nurses to complete the education, and a deficiency in knowledge related to the Joint Commission’s certification standards. The purpose of this study was to assess the impact of a nursing stroke education team on the compliance rates of stroke education.
Methods: A group of NIHSS certified nurses volunteered to be on the team, named the Team About Stroke Education and Research (TASER). These nurses received in-depth education on stroke pathophysiology and treatments, adult learning theories, and the requirements for stroke certification through the Joint Commission. By using concurrent auditing and daily rounds, TASER nurses tracked possible stroke patients within the facility and were responsible for completing the educational requirements and related documentation. A goal of 85% of completed education was set. Data was collected using retrospective audits.
Results: During the six months prior to the TASER initiation, the percentage of inpatients with a discharge diagnosis of stroke who received required education was at 39.1% (9/23). During the six months after the TASER initiation, that percentage of patients who required education increased to 82.6% (19/23). TASER nurses identified 139 potential stroke patients in that 6 month period and educated a total of 68 patients, regardless of their final diagnosis, disposition, or destination.
Conclusions: The TASER program showed improvements in compliance of educational requirements. Although not at the goal of 85%, further education and additional TASER nurses may increase our numbers. Future testing of the retention of the education provided may be warranted.
- © 2012 by American Heart Association, Inc.