Abstract NS7: Measurement of Acute Stroke Nursing Knowledge: Opportunities for Improvement in Stroke Nursing Education
Background: Nurses caring for acute stroke patients require significant knowledge and skills to deliver expert evidence-based care. However, stroke nurse knowledge has not been captured with standardized methods until recently. We sought to measure knowledge in nurses participating in the NET SMART Junior program.
Methods: NET SMART Junior is a novel on-line acute stroke learning system with more than 2500 users worldwide. The program provides both didactic and optional clinical skills exercises, with topics covering all aspects of prehospital and acute hospital management. We analyzed an international sample of test scores from NET SMART Junior, among users that completed the clinical competency portion of the program. Data were auto-assembled in Moodle and analyzed in SPSS.
Results: 216 scores were analyzed; the sample consisted of 8 MSN nurses and 208 (96%) basic nurses. Overall program entry knowledge scores were 37%+/-14%, median 39% correct; significantly lower scores of 36%+/-14%, median 38% correct were found among staff nurses, as compared to 50%+/-15%, median 49% correct (mean diff 13.8; 95% CI 3.8-23.8; p=0.007) among MSN nurses. The lowest knowledge scores were found for reperfusion therapy, neurocritical care and complication avoidance (Table). No differences were found in users indicating completion of unit-based stroke educational programs or other for-profit on-line educational programs. Post-test scores were similar between groups with MSN nurses scoring 94%+/-5% (median 90%) and staff nurses scoring 95%+/-5% (median 100%; p=ns) on completed modules. Among 29 (13%) users indicating completion of a stroke certification examination (SCRN or NVRN), 100% pass rates were reported.
Conclusions: Staff nurses have a variety of learning needs tied to acute stroke management. Comprehensive acute stroke education programs should include more expert level content and be supported by clinical application methods to ensure content mastery.
Author Disclosures: A.W. Alexandrov: Research Grant; Modest; HRSA NEPR Grant. S.E. DiBiase: None. A.P. Walker: None. A.J. Wojner: Ownership Interest; Modest; Health Outcomes Institute, LLC. B.B. Brewer: None. V. Swatzell: None.
- © 2014 by American Heart Association, Inc.