Assessment of the Health Team Performance in the First 24 Hours Regarding Patients with Stroke

Abstract

Background: Stroke is a leading cause of death and disability worldwide. It is a complex disease and medical emergency that requires immediate medical attention, efforts and skills of all members of the multidisciplinary team to minimize brain damage and potential complications especially in the first 24hrs. Aim of the study was to assess the health team's performance in the first 24hrs regarding patients with stroke. Design: An exploratory descriptive study Setting: The study was carried out and conducted in the stroke ICU, neuro-surgical ICU, the emergency and neurosurgery department at Nasr Institute Hospital for research and treatment. Study subjects: A purposive sample consists of 60 nurses and 40 neurologists and ICU physicians their mean age was 34.5±8.28 and36.10±7.94 respectively. Data collection tools: a) health team self-administered questionnaire. b) Health team practice observational checklist, and c) Health team self-administered form (attitude scale). Results & conclusion: Firstly, (sixty, fifty-one & fifty-five) of the nurses under the study had unsatisfactory level of knowledge, practice and had a negative attitude in the first 24 hours regarding patients with stroke respectively. Secondly, (sixty-five, sixty& fifty-five) of the neurologists and ICU physicians under the study had satisfactory level of knowledge, practice and had a positive attitude in the first 24 hours regarding patients with stroke respectively. Furthermore, there was a highly statistically significant relation between nurses' knowledge, practice, attitude and their demographic data. Also, there was a highly statistically significant relation between neurologists and ICU physicians' knowledge, practice, attitude and their demographic data. Recommendation: This study recommends the importance of in-service training courses and designing health team educational program to enhance their knowledge and improve their practices in the first 24hrs regarding patients with stroke and minimize complications after stroke.