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Total 2733 results found since Jan 2013.

Circumstances surrounding the onset of stroke: a qualitative study
ConclusionsThere is a need to address individuals’ beliefs as a part of secondary prevention interventions to be truly client‐centred, which the phenomenological perspective allows. Relationships as a potential source of stress should be added as a theme to discuss with patients for a holistic approach to stroke prevention including psychosocial factors.
Source: Journal of Advanced Nursing - November 20, 2015 Category: Nursing Authors: Annie Rochette, Philippe Gaulin, Laury Chamelian, Lucie Hebert, Marlene Lapierre, Yan  Deschaintre Tags: Original Research: Empirical Research – Qualitative Source Type: research

Retrospective Study on National Institutes of Health Stroke Scale as a Predictor of Patient Recovery After Stroke
Conclusions: In our community hospital setting, the NIHSS score was found to be a strong predictor of patient recovery after stroke. The NIHSS score at baseline may be important for clinicians to consider before patient management decisions and counseling.
Source: Journal of Cardiovascular Nursing - December 3, 2015 Category: Nursing Tags: Articles Source Type: research

Exploring recruitment issues in stroke research: a qualitative study of nurse researchers' experiences.
Conclusion The disabling nature of a stroke, which often includes functional and cognitive impairments, and the acute stage of illness at which patients are appropriate for many trials, make recruiting patients particularly complex and challenging. Implications for practice An awareness of the issues surrounding the recruitment of stroke patients may help researchers in designing and conducting trials. Future work is needed to address the complexities of obtaining informed consent when patient capacity is compromised. PMID: 27188567 [PubMed - in process]
Source: Nurse Researcher - April 30, 2016 Category: Nursing Authors: Boxall L, Hemsley A, White N Tags: Nurse Res Source Type: research

Family caregivers' experience of activities of daily living handling in older adult with stroke: a qualitative research in the Iranian context
ConclusionFamily has an important role in handling of elderly stroke patients’ ADL dependency. Health practitioners can take benefit from the findings to help the stroke families play more active role in the handling ADL dependency of their patients after stroke.
Source: Scandinavian Journal of Caring Sciences - August 15, 2016 Category: Nursing Authors: Ali Hesamzadeh, Asghar Dalvandi, Sadat Bagher Maddah, Masoud Fallahi Khoshknab, Fazlollah Ahmadi, Nazila Mosavi Arfa Tags: Empirical Studies Source Type: research

Reasoning about truth-telling in end-of-life care of patients with acute stroke.
CONCLUSION: The carers may need support in the form of supervision to be given space to reflect on their experience and thereby promote ethically justified care. Here, the multi-professional team can be of great value and contribute through inter-professional sharing of knowledge. PMID: 27660184 [PubMed - as supplied by publisher]
Source: Nursing Ethics - September 21, 2016 Category: Nursing Authors: Rejnö Å, Silfverberg G, Ternestedt BM Tags: Nurs Ethics Source Type: research

Improving Access to Stroke Care in the Rural Setting: The Journey to Acute Stroke Ready Designation
Stroke is the fifth highest cause of death and the leading cause of long-term disability in the United States. North Carolina has one of the highest death rates from stroke in the nation. Access to acute stroke care in rural western North Carolina is limited, with only one primary stroke center within an 18-county region. Angel Medical Center, located in rural western North Carolina, sought to pursue The Joint Commission ’s disease-specific certification as an Acute Stroke Ready Hospital in an effort to improve stroke care and outcomes across the region.
Source: Journal of Emergency Nursing: JEN - December 31, 2016 Category: Nursing Authors: Andrea Slivinski, Robin Jones, Hollis Whitehead, Vallire Hooper Tags: Practice Improvement Source Type: research

Promoting Evidence-Based Practice at a Primary Stroke Center: A Nurse Education Strategy.
DISCUSSION: This nurse education strategy increased RNs' confidence in ability to explain the path from evidence to bedside nursing care by demonstrating how evidence-based clinical practice guidelines provide current evidence used to create standardized order sets. Although further evaluation of the intervention's effectiveness is needed, this educational intervention has the potential for generalization to different types of standardized order sets to increase nurse confidence in utilization of evidence-based practice. PMID: 28570379 [PubMed - in process]
Source: Dimensions in Critical Care Nursing - June 2, 2017 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Evaluation of discharge documentation after hospitalization for stroke patients discharged home in Australia: A cross ‐sectional, pilot study
Abstract In this cross‐sectional study, we evaluated the quality of discharge documentation for stroke patients discharged home. Participants were stroke patients discharged from a regional tertiary acute and rehabilitation hospital in Australia from 2014 to 2015. Compliance with expected discharge documentation and its relationship with readmission was measured using an audit instrument for stroke patients (n = 54), and a post‐discharge survey of carers was conducted. There were deficits in the documentation of the mechanism of stroke (70%), functional assessments (58%), pending test results (39%), types of support ...
Source: Nursing and Health Sciences - August 29, 2017 Category: Nursing Authors: Ashley Kable, Dimity Pond, Amanda Baker, Alyna Turner, Christopher Levi Tags: RESEARCH ARTICLE Source Type: research

Using Blogs to explore the lived experience of life after Stroke: ‘A journey of discovery I never wanted to take
ConclusionStroke survivors must transition from their previous life to a new and initially unwelcome way of being. Rehabilitation should respect this process and support stroke survivors as they undertake this individual journey.This article is protected by copyright. All rights reserved.
Source: Journal of Advanced Nursing - September 14, 2017 Category: Nursing Authors: Caroline M. Thomas, Rhoda Allison, Jos M. Latour Tags: Original Research: Empirical research – qualitative Source Type: research

Using blogs to explore the lived ‐experience of life after stroke: “A journey of discovery I never wanted to take”
ConclusionStroke survivors must transition from their previous life to a new and initially unwelcome way of being. Rehabilitation should respect this process and support stroke survivors as they undertake this individual journey.
Source: Journal of Advanced Nursing - October 19, 2017 Category: Nursing Authors: Caroline M. Thomas, Rhoda Allison, Jos M. Latour Tags: ORIGINAL RESEARCH: EMPIRICAL RESEARCH —QUALITATIVE Source Type: research

Ischemic Stroke Patients' Decision-Making Process in Their Use of Western Medicine and Alternative and Complementary Medicine
This study aimed to explore ischemic stroke patients' decision-making process using Western medicine (WM) and complementary and alternative medicine (CAM). This study is a qualitative study based on grounded theory. A total of 12 participants were recruited. Findings revealed that the participants accepted WM and CAM treatments following the onset of ischemic stroke. Three categories and several subcategories emerged from stroke patients' decision-making process. These are “uncertainty of stroke,” “delicate balance between WM and CAM,” and “reestablishing confidence and faith.” Eventually, they exhibited the co...
Source: Holistic Nursing Practice - December 12, 2017 Category: Nursing Tags: Features Source Type: research

Evaluation of the implementation of a 24 ‐hour stroke thrombolysis emergency treatment for patients with acute ischemic stroke
ConclusionsThe 24‐h stroke thrombolysis emergency treatment reduced in‐hospital delay before thrombolytic therapy but had no effect on the functional outcomes of the patients with AIS. Relevance to clinical practiceThis study provides opportunities to improve the experiences in using 24‐h stroke thrombolysis emergency treatment in patients with AIS in clinical practice.This article is protected by copyright. All rights reserved.
Source: Journal of Clinical Nursing - January 18, 2018 Category: Nursing Authors: Jun Zhao, Xingqiang Li, Yingchun Liang, Liang Zhao, Xinping Zhang, Yunlin Liu Tags: Original Article Source Type: research

The Influence of β-Adrenergic Receptor Kinase-1 on Stroke-induced Immunodeficiency Syndrome
The objective was to quantify the influence of lymphocyte BARK-1 on stroke-induced immunodeficiency in AIS patients. Methods: A prospective clinical cohort study was conducted (N = 44). Measures included age, gender, race, risk factors for stroke, stroke severity, comorbidities, presence of infection, white blood cell counts and differential proportions, and lymphocyte BARK-1. Student t tests, effect sizes, and linear and logistic regressions were conducted to test the study objective. The study was approved by the Oregon Health & Science University Institutional Review Board. Results: There were significant changes ...
Source: Journal of Cardiovascular Nursing - June 12, 2018 Category: Nursing Tags: Feature Article/Online Only Source Type: research

Association Between Medication Adherence and Admission Blood Pressure Among Patients With Ischemic Stroke
Conclusions: Stroke education in China should focus on patients' poor understanding of the importance for sustained antihypertensive medication adherence to improve blood pressure control and prevent stroke.
Source: Journal of Cardiovascular Nursing - February 16, 2019 Category: Nursing Tags: Feature Article/Online Only Source Type: research