Abstract TP352: U.S. National Survey on Stroke Center Coordination: Time for Role Standardization?
Background: The stroke coordinator is largely responsible for Stroke Center quality. With more than 800 certified Stroke Centers now available, we sought to understand how coordinators manage their mission.
Methods: U.S. Stroke Center coordinators were invited to participate in two surveys via mail, fax, or SurveyMonkey.TM Data were entered and analyzed in SPSS using descriptive methods.
Results: Responses (n=301) were received from coordinators in 48 states and the District of Columbia. Highest degree earned was RN Diploma (4%), ADN (6%), BSN (36%), MSN (44%), PhD (3%), and post-APN neurovascular fellowship training (7%); approximately 15% of hospitals did not utilize the stroke coordinator role. Stroke coordinators were self-taught 59% of the time and all worked at certified Stroke Centers; 58% of centers were considered Comprehensive Stroke Centers, however 100% of Primary Stroke Centers identified goals for comprehensive status. The most common educational needs identified were neuroimaging interpretation (68%), research design (60%), how to conduct/interpret statistical analyses (58%), and developing a research program (56%). There was considerable diversity in the definition of sICH, with 11% of coordinators confusing the term sICH with primary ICH despite the term being defined on the survey. The most significant barrier to role conduct was competing job functions, followed closely by data collection/entry that removes coordinators from clinical; 49% of Master’s prepared nurses were expected to collect/enter data, spending on average 11.6 hours/week + 6.3 (median 10 hours/week) in this function; of these, 52% would prefer to this work give away. Most valued role functions included overseeing clinical practice and quality management (> Master’s), and data collection/entry and patient education (< BSN).
Conclusions: The stroke coordinator role has largely evolved without educational support and standardization to oversee the quality needs of Stroke Centers. Formal education, credentialing and role standardization based on education level may empower stroke coordinators to improve role effectiveness.
- © 2012 by American Heart Association, Inc.