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Diabetes knowledge of primary health care and specialist nurses in a major urban area
ConclusionThere have been improvements in nurse's knowledge but gaps remain for cardiovascular outcomes and associated modifiable risk factors and medication management.Relevance to clinical practiceEducation programmes should focus on improving cardiovascular risk management in patients with type 2 diabetes.
Source: Journal of Clinical Nursing - November 8, 2018 Category: Nursing Authors: Barbara M. Daly, Bruce Arroll, Robert Keith R. Scragg Tags: ORIGINAL ARTICLE Source Type: research

Stroke survivors ’ and carers’ experiences of a systematic voiding programme to treat urinary incontinence after stroke
ConclusionsThe effectiveness of a systematic voiding programme may partly lie in its educational component, challenging patients’ and carers’ assumptions that post‐stroke incontinence is inevitable. Individual adaptation of the programme, and the ability to incorporate it alongside other aspects of care, are likely to be key factors influencing implementation. Relevance to clinical practiceUrinary incontinence is common after stroke. In order to maximise benefits from a systematic voiding programme, nurses should support stroke survivors to overturn erroneous beliefs, to participate in tailoring of the programme, and...
Source: Journal of Clinical Nursing - February 1, 2018 Category: Nursing Authors: Josephine M.E. Gibson, Lois H Thomas, J J Harrison, Caroline Leigh Watkins, Tags: Original Article Source Type: research

Nursing care for stroke patients: A survey of current practice in 11 European countries
ConclusionsThe participating European countries comply well with the European Stroke Strategies guidelines, particularly in the acute stroke care, but not all stroke units have reached optimal development in all aspects of stroke care nursing. Relevance to clinical practiceOur study may provide clinical administrators and nurses in stroke care with information that may contribute to improved compliance with the European Stroke Strategies and evidence‐based guidelines.
Source: Journal of Clinical Nursing - October 23, 2017 Category: Nursing Authors: Zeliha Tulek, Ingrid Poulsen, Katrin Gillis, Ann ‐Cathrin Jönsson Tags: ORIGINAL ARTICLE Source Type: research

Nurses ’ and nurse assistants’ beliefs, attitudes and actions related to role and function in an inpatient stroke rehabilitation unit—A qualitative study
ConclusionThis study contributes to present understandings of nurses’ and nurse assistants’ roles and functions in inpatient stroke rehabilitation. We obtained insights into nursing staff's beliefs and attitudes about rehabilitation—as well as their own role and function—and furthermore how the latter affects their actions in daily practice. Relevance to clinical practiceThe nursing role and function are still not clearly defined. Further education is needed to strengthen the contribution of nursing staff to patients’ rehabilitation. Furthermore, focus on developing a professional language and a framework that su...
Source: Journal of Clinical Nursing - October 1, 2017 Category: Nursing Authors: Mia I Loft, Ingrid Poulsen, Bente A Esbensen, Helle K Iversen, Lone L Mathiesen, Bente Martinsen Tags: ORIGINAL ARTICLE Source Type: research

Nursing care for stroke patients: A survey of current practice in eleven European countries
ConclusionsThe participating European countries comply well with the ESS guidelines, particularly in the acute stroke care, but not all stroke units have reached optimal development in all aspects of stroke care nursing. Relevance to clinical practiceOur study may provide clinical administrators and nurses in stroke care with information that may contribute to improved compliance with the European Stroke Strategies and evidence‐based guidelines.This article is protected by copyright. All rights reserved.
Source: Journal of Clinical Nursing - August 17, 2017 Category: Nursing Authors: Zeliha Tulek, Ingrid Poulsen, Katrin Gillis, Ann ‐Cathrin Jönsson Tags: Original Article Source Type: research

Gender differences in feelings and knowledge about stroke
ConclusionStroke knowledge is poor among men and women. Higher level of education is a predictor of stroke knowledge among both genders. Gender‐specific differences in stroke risk factors and feelings about stroke in different sub‐populations should be taken into account to improve prevention of stroke through education programmes. Relevance to clinical practiceHealth education on stroke prevention should be tailored to population groups differing in level of education. Health promotion recommendations should be provided by nurses with regard to beliefs of both men and women regarding prevention of stroke.
Source: Journal of Clinical Nursing - July 6, 2016 Category: Nursing Authors: Michal Itzhaki, Semyon Melnikov, Silvia Koton Tags: Original Article Source Type: research

Exploring the experiences of nurses and doctors involved in stroke care: a qualitative study
ConclusionsGreek stroke nurses can achieve their professional potential within the appropriate working environment. The Stroke Bay working ethos and environment enhances professional autonomy and scope of practice. Relevance to clinical practiceBy exploring staff's knowledge and attitudes towards stroke care, nurses and healthcare professionals in general will gain a better understanding of their multiple clinical roles as stroke care providers by reflecting on their patients’ needs.
Source: Journal of Clinical Nursing - April 27, 2016 Category: Nursing Authors: Dimitrios Theofanidis, Bernard Gibbon Tags: Original Article Source Type: research

Addressing the burden of stroke caregivers: a literature review
ConclusionsThe literature review has shown that research regarding the risk of caregiver burden and the resulting health compromise is scarce. In addition, there is a lack of evidence‐based nursing interventions aimed at assuaging the risk of caregiver burden. Relevance to clinical practiceCaregiver stress culminating in burden is commonly a reason for the eventual institutionalisation of the stroke survivor. Critically assessing and providing for the physical, psychosocial and educational support needs of stroke caregivers will assist in mitigating the daily burden experienced by the caregiver. Caregiver burden often re...
Source: Journal of Clinical Nursing - June 10, 2015 Category: Nursing Authors: Deborah Jacks Camak Tags: Review Source Type: research

Organisation, practice and experiences of mouth hygiene in stroke unit care: a mixed‐methods study
ConclusionOral care post‐stroke could be improved by increasing healthcare professionals' awareness, understanding and knowledge of the potential health benefits of oral care post‐stroke. Further research is required to develop and evaluate the provision of oral care in stroke care to inform evidence‐based education and practice. Relevance to clinical practiceDevelopment of staff training and education, and evidence‐based oral care protocols may potentially benefit patient care and outcomes and be implemented widely across stroke care.
Source: Journal of Clinical Nursing - August 19, 2014 Category: Nursing Authors: Maria Horne, Giles McCracken, Angus Walls, Pippa J Tyrrell, Craig J Smith Tags: Original Article Source Type: research

Differences in the knowledge and compliance with secondary prevention of stroke between transient ischaemic attack patients with and without subsequent stroke
ConclusionsThe transient ischaemic attack patients with subsequent stroke exhibit a higher identification rate of most of the warning signs of stroke and a better compliance with antiplatelet agents and statins therapy of stroke compared with those without subsequent stroke. Thus, we suggest that transient ischaemic attack patients should receive additional health education to increase their awareness of the harms of stroke. Relevance to clinical practiceClinicians should be aware of conducting different health education to patients with transient ischaemic attack and stroke. Also, it is important to give health education ...
Source: Journal of Clinical Nursing - January 21, 2014 Category: Nursing Authors: Jingjing Zhao, Muke Zhou, Jian Guo, Jingjing Zhang, Yaqiong Yang, Fan Yu, Li He Tags: Original Article Source Type: research

Evaluating a novel approach to enhancing dysphagia management: workplace‐based, blended e‐learning
ConclusionsWorkplace‐based, blended e‐learning was an acceptable, cost effective way of delivering essential clinical knowledge and skills about dysphagia. Relevance to clinical practiceDysphagia should be viewed as a patient safety issue because of the risks of malnutrition, dehydration and aspiration pneumonia. As such, it is pertinent to many members of the interdisciplinary team. Consideration should be given to including dysphagia management in initial education and continuing professional development programmes.
Source: Journal of Clinical Nursing - December 16, 2013 Category: Nursing Authors: Irene Ilott, Bev Bennett, Kate Gerrish, Sue Pownall, Amanda Jones, Andrew Garth Tags: Original Article Source Type: research

Nursing practice in stroke rehabilitation: systematic review and meta‐ethnography
ConclusionThe review provides compelling evidence that there is an need to re‐examine the role of nurses in contributing to poststroke rehabilitation, including clarifying when this process can safely begin and specifying the techniques that can be integrated in nurses' practice. Relevance to clinical practiceIntegrating stroke‐specific rehabilitation skills in nurses' practice could contribute substantially to improving outcomes for stroke survivors. The explanatory framework developed from the review findings identifies issues which will need to be addressed in order to maximise nurses' contribution to the rehabilita...
Source: Journal of Clinical Nursing - September 16, 2013 Category: Nursing Authors: David J Clarke Tags: Review Source Type: research

Social support, coping strategies and health‐related quality of life among primary caregivers of stroke survivors in China
ConclusionActive coping strategies predicted better health‐related quality of life. Findings suggest that intervention programmes should be developed to enhance caregivers of stroke survivors’ coping skills and improve social support for these caregivers in China. Relevance to clinical practiceCommunity healthcare providers may need to help caregivers strengthen strategies that are effective (planning, active coping, seeking instrumental and emotional support) and change those that are not helpful (venting, denial and self‐blame).
Source: Journal of Clinical Nursing - July 5, 2013 Category: Nursing Authors: Yunhong Yu, Jie Hu, Jimmy T Efird, Thomas P McCoy Tags: Quality of life Source Type: research