Nursing Assessment for Patients with Cerebral Stroke during First Golden Hours

Abstract

Background: Stroke associated with high mortality, morbidity and creates the significant and enduring impact upon patients, their families, and the wider society. Aim: assess the nurses' performance for patients with cerebral stroke during first golden hours through assessing nurses' level of knowledge regarding cerebral stroke and their nursing management during first golden hours, assessing level of nurses' practices for patients with cerebral stroke during first golden hours and assess factors that affect nurses' performance in management of patients with cerebral stroke during first golden hours. Design: A descriptive exploratory study design was used. Sample: A convenient sample of 80 nurses both male and female. Setting: Data were collected from Intensive Care Units at Ain Shams University and specialized hospital which affiliated to Ain Shams University in Egypt. Tools: Two tools were used for data collection: Nurses self-administered questionnaire: Nurses performance observational checklist. Results: This study revealed that 63.75% had an unsatisfactory level of knowledge, 68.8% had unsatisfactory performance, and there were human and non-human resource factors, both of them affect negatively on nurses' performance in the management of patients with cerebral stroke. Conclusion: The study concluded that there was an unsatisfactory score of nurses' knowledge and practice and there were a human and non-human resource factors that affect negatively on nurses performance. Recommendation: This study recommended that periodic education programs must be developed for nurses in the management of patients with cerebral stroke during first golden hours, and prospectively follow up studies are needed to develop and refine interventions.