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Nurses’ Awareness and Actual Nursing Practice Situation of Stroke Care in Acute Stroke Units: A Japanese Cross-Sectional Web-Based Questionnaire Survey

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  • Yukari Hisaka

    (Department of Adult Nursing, Gifu University Graduate School of Medicine, Gifu 501-1194, Japan
    Graduate School of Health Sciences, Tokushima University, Tokushima 770-8509, Japan)

  • Hirokazu Ito

    (Institute of Biomedical Sciences, Tokushima University, Tokushima 770-8509, Japan)

  • Yuko Yasuhara

    (Institute of Biomedical Sciences, Tokushima University, Tokushima 770-8509, Japan)

  • Kensaku Takase

    (Department of Rehabilitation, Anan Medical Center, Tokushima 774-0045, Japan)

  • Tetsuya Tanioka

    (Institute of Biomedical Sciences, Tokushima University, Tokushima 770-8509, Japan)

  • Rozzano Locsin

    (Institute of Biomedical Sciences, Tokushima University, Tokushima 770-8509, Japan)

Abstract

The awareness of care provided by stroke care unit (SCU) nurses in Japan to patients with an acute cerebrovascular accident (CVA) and the characteristic differences in their actual nursing practice were evaluated. A cross-sectional web-based questionnaire survey was administered to 1040 SCU nurses. Data collection and reporting procedures followed the STROBE Statement Checklist for cross-sectional studies. Exploratory factor analysis, using 52 observation items, identified eight factors with a factor loading > 0.4. For all factors, the actual practice was significantly lower than the awareness of the importance of nursing care for patients with acute CVA. Awareness and actual practice of recognition of patients’ physical changes (RPPCs) were high. The actual practice of RPPCs and preventing the worsening of acute stroke and related symptoms varied, depending on years of experience in acute phase stroke care. RPPCs in actual practice had a significantly higher score among certified nurses or certified nurse specialists. Their awareness of the importance of collaborating with therapists was low. On-the-job training can improve nurses’ competence and prevent worsening conditions in patients with CVA. An emphasis on enhancing practice experience toward patients with acute CVA and facilitating the deployment of certified nurses in SCUs can improve nursing care practice.

Suggested Citation

  • Yukari Hisaka & Hirokazu Ito & Yuko Yasuhara & Kensaku Takase & Tetsuya Tanioka & Rozzano Locsin, 2021. "Nurses’ Awareness and Actual Nursing Practice Situation of Stroke Care in Acute Stroke Units: A Japanese Cross-Sectional Web-Based Questionnaire Survey," IJERPH, MDPI, vol. 18(23), pages 1-21, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12800-:d:695013
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    References listed on IDEAS

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    1. Elizabeth Ann Laird & Claire McCauley & Assumpta Ryan & Alison Beattie, 2020. "‘The Lynchpin of the Acute Stroke Service’—An envisioning of the scope and role of the advanced nurse practitioner in stroke care in a qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(23-24), pages 4795-4805, December.
    2. Zeliha Tulek & Ingrid Poulsen & Katrin Gillis & Ann‐Cathrin Jönsson, 2018. "Nursing care for stroke patients: A survey of current practice in 11 European countries," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(3-4), pages 684-693, February.
    3. Henry Kaiser, 1974. "An index of factorial simplicity," Psychometrika, Springer;The Psychometric Society, vol. 39(1), pages 31-36, March.
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