Early mobilization of acute stroke patients

Arias, Monica; Smith, Lawrence D.

doi:10.1111/j.1365-2702.2005.01488.x

Cited by 29 publications

(16 citation statements)

References 14 publications

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“…Early mobilization in acute stroke care is recommended in a range of European, US, and United Kingdom policy guidelines as a strategy to minimize or prevent complications. 173,174 Despite the advent of tPA and other therapies for the hyperacute treatment of stroke, rehabilitation remains the primary treatment modality for patients recovering from stroke. Fifty percent to 70% of stroke survivors regain functional independence, but 15% to 30% are permanently disabled, and 20% require institutional care at 3 months after onset.…”

Section: Justificationmentioning

confidence: 99%

Metrics for Measuring Quality of Care in Comprehensive Stroke Centers: Detailed Follow-Up to Brain Attack Coalition Comprehensive Stroke Center Recommendations

Leifer¹,

Bravata²,

Connors³

et al. 2011

Stroke

160

133

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Background-Stroke is a major cause of disability and death. The Brain Attack Coalition has proposed establishment of primary and comprehensive stroke centers to provide appropriate care to stroke patients who require basic and more advanced interventions, respectively. Primary stroke centers have been designated by The Joint Commission since 2003, as well as by various states. The designation of comprehensive stroke centers (CSCs) is now being considered. To assist in this process, we propose a set of metrics and related data that CSCs should track to monitor the quality of care that they provide and to facilitate quality improvement. Methods and Results-We analyzed available guideline statements, reviews, and other literature to identify the major features that distinguish CSCs from primary stroke centers, drafted a set of metrics and related data elements to measure the key components of these aspects of stroke care, and then revised these through an iterative process to reach a consensus. We propose a set of metrics and related data elements that cover the major aspects of specialized care for patients with ischemic cerebrovascular disease and nontraumatic subarachnoid and intracerebral hemorrhages at CSCs. Conclusions-The metrics that we propose are intended to provide a framework for standardized data collection at CSCs to facilitate local quality improvement efforts and to allow for analysis of pooled data from different CSCs that may lead to development of national performance standards for CSCs in the future. (Stroke. 2011;42:849-877.)

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Section: Justificationmentioning

confidence: 99%

Metrics for Measuring Quality of Care in Comprehensive Stroke Centers: Detailed Follow-Up to Brain Attack Coalition Comprehensive Stroke Center Recommendations

Leifer¹,

Bravata²,

Connors³

et al. 2011

Stroke

160

133

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“…Such aspirations have the potential to increase the responsiveness stroke service delivery and to overcome misconceptions regarding professional responsibility in some areas of stroke rehabilitation (Arias & Smith 2007;Gompertz et al 2002).…”

Section: Multidisciplinary Workingmentioning

confidence: 99%

Stroke education for healthcare professionals: Making it fit for purpose

Smith

Craig

Weir

et al. 2008

Nurse Education Today

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TitleStroke Education for Healthcare Professionals: Making it Fit for Purpose Research Questions1. What are healthcare professionals' (HCPs) educational priorities regarding stroke care? 2. Do stroke care priorities vary across the primary and secondary sectors? 3. How do HCPs conceive stroke care will be delivered in 2010? Study DesignThis was a two-year study using focus groups and interviews for instrument development, questionnaires for data collection and workshops to provide study feedback. Data were collected in 2005-06. Study SiteOne Scottish health board. Inclusion CriteriaAll National Health Service healthcare professionals working wherever stroke care occurred. Population and SampleParticipants were drawn from four university teaching hospitals, 2 community hospitals, 1 geriatric medicine Day Hospital, 48 General Practices (GPs), 12 care homes and 15 community teams. The sample comprised 155 doctors, 313 nurses, 133 therapists [physiotherapists, occupational therapists, speech and language therapists], and 29 'other HCPs' [14 dieticians, 7 pharmacists, 2 podiatrists and 6 psychologists]. ResultsHCPs prefer fact-to-face, accredited education but blended approaches are required that accommodate uni and multidisciplinary demands. Doctors and nurses are more inclined towards discipline-specific training compared to therapists and other healthcare professionals (HCPs) HCPs in primary care and stroke units want more information on the social impact of stroke while those working in stroke units in particular are concerned with leadership in the multidisciplinary team. Nurses are the most interested in teaching patients and carers.1 ConclusionsStroke requires more specialist stroke staff, the upskilling of current staff and a national education pathway given that stroke care is most effectively managed by specialists with specific clinical skills. The current government push towards a flexible workforce is welcome but should be educationally-sound and recognise the career aspirations of healthcare professionals.

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“…Motor and functional rehabilitation (14)(15)17,(20)(21)(22) 2. Medication administration (14,16,(20)(21)23) 3.…”

Section: Resultsmentioning

confidence: 99%

“…Thus, the selected studies were classifi ed as follows in terms of evidence level: four were classifi ed as level VI (14)(15)(16)(17) , three as level III (18)(19)(20) , three as level VII (21)(22)(23) , one as level IV (24) and one as level II (25) .…”

Section: Resultsmentioning

confidence: 99%

Intervenções de enfermagem aos pacientes com acidente vascular encefálico: uma revisão integrativa de literatura

Cavalcante

Moreira

Guedes

et al. 2011

Rev. esc. enferm. USP

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O objetivo do estudo foi analisar o conhecimento sobre as intervenções de enfermagem aos pacientes hospitalizados por acidente vascular encefálico. Realizou-se uma revisão integrativa da literatura a partir de acesso on-line a cinco bases de dados, no mês de setembro de 2009. Utilizou-se os descritores Cuidados de Enfermagem e Acidente Cerebral Vascular nas línguas portuguesa, inglesa e espanhola. Foram encontrados 223 artigos e selecionados 12. Identificou-se nos artigos um maior número de intervenções de enfermagem assistenciais, seguidas das educacionais, gerenciais e de pesquisa. As do domínio assistencial estão mais relacionadas aos aspectos biológicos dos pacientes. Em relação às educativas, os artigos apontam o papel fundamental do enfermeiro, bem como dos familiares e dos cuidadores. A principal intervenção gerencial foi a coordenação dos cuidados. Quanto às intervenções de pesquisa foi identificada apenas uma descrita como o desenvolvimento e aprimoramento da prática de cuidados por meio de evidências clínicas.

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Early mobilization of acute stroke patients

Cited by 29 publications

References 14 publications

Metrics for Measuring Quality of Care in Comprehensive Stroke Centers: Detailed Follow-Up to Brain Attack Coalition Comprehensive Stroke Center Recommendations

Metrics for Measuring Quality of Care in Comprehensive Stroke Centers: Detailed Follow-Up to Brain Attack Coalition Comprehensive Stroke Center Recommendations

Stroke education for healthcare professionals: Making it fit for purpose

Intervenções de enfermagem aos pacientes com acidente vascular encefálico: uma revisão integrativa de literatura

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