Australasian Emergency Nursing Journal
Volume 12, Issue 3 , Pages 110-119 , August 2009

Implementation of evidence into practice: Development of a tool to improve emergency nursing care of acute stroke

  • Bree McGillivray, RN, BN, GCertEmergNurs

      Affiliations

    • The Northern Hospital, 185 Cooper St, Epping, 3076, Victoria, Australia
    • ,
  • Julie Considine, RN, RM, BN, GDipNurs(AcuteCare), MNurs, PhD, FRCNA

      Affiliations

    • Deakin University-Northern Health Clinical Partnership, c/- School of Nursing, Deakin University, 221 Burwood Hwy, Burwood, 3125, Victoria, Australia
    • Corresponding Author InformationCorresponding author. Tel.: +61 3 8405 8600.

Received 24 October 2008 ,Revised 12 March 2009 ,Accepted 20 March 2009.

References 

  1. Mackay J, Mensah G, editors. The Atlas of heart disease and stroke. Geneva: World Health Organisation. Retrieved 9 April 2008 from http://www.who.int/cardiovascular_diseases/resources/atlas/en/; 2004.
  2. Victorian Department of Human Services. Stroke care strategy for Victoria. Melbourne: Metropolitan Health and Aged Care Services Division, Department of Human Services. Retrieved 31 January 2008 from http://www.health.vic.gov.au/strokecare/stroke_care_strategy.pdf; 2007.
  3. National Stroke Foundation. 10 things you should know about stroke. Retrieved on 13 January 2009 from http://www.strokefoundation.com.au/facts-figures-and-stats; 2006.
  4. National Stroke Foundation. National stroke audit clinical report. Acute Services Melbourne: National Stroke Foundation; 2007.
  5. National Stroke Foundation. National guidelines for acute stroke management. Melbourne: National Stroke Foundation; 2007.
  6. Hacke W, Kaste M, Bluhmki E, Brozman M, Davalos A, Guidetti D, et al. Thrombolysis with Alteplase 3 to 4.5hours after acute ischemic stroke. N Engl J Med. 2008;359(13):1317–1329
  7. Wahlgren N, Ahmed N, Davalos A, Hacke W, Millan M, Muir K, et al. Thrombolysis with alteplase 3–4.5h after acute ischaemic stroke (SITS-ISTR): an observational study. Lancet. 2008;372(9646):1303–1309
  8. National Stroke Foundation. National guidelines for acute stroke management. Melbourne: National Stroke Foundation; 2003.
  9. Clarke WM, Wissman S, Albers GW, Jhamandas J, Madden KP, Hamilton S. Recombinant tissue-type plasminogen activator (Alteplase) for ischemic stroke 3 to 5hours after symptom onset. The ATLANTIS Study: a randomized controlled trial. Alteplase thrombolysis for acute noninterventional therapy in ischemic stroke. JAMA. 1999;282:2019–2026
  10. Clarke WM, Albers GW, Madden KP, Hamilton S. The rtPA 0 to 6hour acute stroke trial. Part A. Results of a double-blind placebo-controlled multicenter study. Stroke. 2000;31:811–816
  11. Hacke W, Kaste M, Fieshchi C, Toni D, Lesaffre E, von Kummer R, et al. Intravenous thrombolysis with recombinant tissue plasminogen activator for acute hemispheric stroke. JAMA. 1995;274:1017–1025
  12. Kothari RU, Hanke W, Brott T, Dykstra EH, Furlan A, Koroshetz W, et al. Stroke. Ann Emerg Med. 2001;37:S137–S144
  13. Stroke Unit Trialists’ Collaboration. Organised inpatient (stroke unit) care for stroke. Cochrane database of systematic reviews. Issue 4. Art. No.: CD000197. Retrieved on 3 March 2009 from http://mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD000197/pdf_fs.html; 2007. doi:10.1002/14651858.CD000197.pub2.2007.
  14. National Stroke Foundation. Site specific report: northern hospital. National stroke audit – clinical report acute services. Melbourne: National Stroke Foundation; 2007.
  15. Australasian College for Emergency Medicine. Access block and overcrowding in emergency departments. Melbourne: Australasian College for Emergency Medicine. Retrieved 31 March 2007 from http://www.acem.org.au/media/Access_Block1.pdf; 2004.
  16. Liew D, Kennedy MP. Emergency department length of stay independently predicts inpatient length of stay. Med J Aust. 2003;179(10):516–517
  17. Bhalla A, Wolfe CDA, Rudd AG. Management of acute physiological parameters after stroke. QJM: Int J Med. 2001;94(3):167–172
  18. Anderson D, Neacy K, Stead L, Koshnick R, Lee J, McRaith J, et al. Health care guideline: diagnosis and initial treatment of ischemic stroke. 5th ed.. Minnesota Institute for Clinical Systems Improvement; 2006;
  19. Pendlebury S, Rothwell P. Stroke management and prevention. Medicine. 2004;32(10):62–68
  20. Lees KW. M. Acute stroke and diabetes. Cerebrovasc Dis. 2005;20(Suppl. 1):9–14
  21. National Stroke Foundation. National stroke audit clinical report: acute services. Site specific report – the northern hospital. Melbourne: National Stroke Foundation; 2007.
  22. Adams HP, del Zoppo G, Alberts MJ, Bhatt DL, Brass L, Furlan A, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the atherosclerotic peripheral vascular disease and quality of care outcomes in research interdisciplinary working groups. Stroke. 2007;38(5):1655–1711
  23. Anderson D, Larson D, Lee J, McRaith J, Haake B, Lakshminarayan K, et al. Health care guideline: diagnosis and initial treatment of ischemic stroke. 5th ed. Minnesota Institute for Clinical Systems Improvement. Retrieved 13 January 2009 from http://www.icsi.org/guidelines_and_more/gl_os_prot/cardiovascular/stroke/stroke__ischemic__diagnosis_and_initial_treatment_of_.html; 2008.
  24. The European Stroke Organisation (ESO) Executive Committee and the ESO Writing Committee. Guidelines for management of ischaemic stroke and transient ischaemic attack 2008. 2008; 25(5):457–507.
  25. Royal College of Physicians. National clinical guidelines for stroke. 2nd ed. Prepared by the Intercollegiate Stroke Working Party. London: Royal College of Physicians; 2004.
  26. Katzan IL, Sila CA, Furlan AJ. Community use of intravenous Tissue Plasminogen Activator for acute stroke: results of the Brain Matters Stroke Management Survey. Stroke. 2001;32(4):861–864
  27. Setting new directions for stroke care. In:  Marler JR,  Jones PW,  Emr M editor. Proceedings of a National Symposium on Rapid Identification and Treatment of Acute Stroke. Bethesda, MD: National Institute of Neurological Disorders and Stroke, National Institutes of Health; 1997;
  28. Gerdtz M, Considine J, Sands N, Stewart C, Crellin D, Pollock W, et al. Emergency triage education kit. Canberra: Department of Health and Ageing; 2007;
  29. Rothwell PM, Giles MF, Flossmann E, Lovelock CE, Redgrave JN, Warlow CP, et al. A simple score (ABCD) to identify individuals at high early risk of stroke after transient ischaemia attack. Lancet. 2005;366:28–36
  30. Johnston SC, Rothwell PM, Nguyen-Huynh MN, Giles MF, Elkins JS, Bernstein AL, et al. Validation and refinement of scores to predict very early stroke risk after transient ischaemic attack. Lancet. 2007;369(9558):283–292
  31. Aplin P. Stroke and transient ischaemic attacks. In:  Cameron P,  Jelinek G,  Kelly A,  Murray L,  Heyworth J editor. Adult textbook of emergency medicine. 2nd ed.. Sydney: Churchill Livingstone; 2004;p. 352–364
  32. Lewandowski C, Barsan WG. Treatment of acute ischemic stroke. Ann Emerg Med. 2001;37(2):202–216
  33. Elizabeth J, Singarayar J, Ellul J, Barer D, Lye M. Arterial oxygen saturation and posture in acute stroke. Age Ageing. 1993;22(4):269–272
  34. The Northern Hospital. Stroke Patient. Clinical services manual December 2006.
  35. Considine J, Botti M, Thomas S. Effect of a self-directed learning package on emergency nurses’ knowledge of assessment of oxygenation and use of supplemental oxygen. Nurs Health Sci. 2005;7(3):199–208
  36. Considine J, Botti M, Thomas S. The effects of specific educational preparation on emergency nurses’ clinical decisions regarding supplemental oxygen administration. Nurs Health Sci. 2006;8(2):73–80
  37. Shah KH, Edlow JA. Transient ischemic attack: review for the emergency physician. Ann Emerg Med. 2004;43(5):592–604
  38. Considine J. Neurologic emergencies. In:  Curtis K,  Ramsden C,  Friendship J editor. Emergency and trauma nursing. Sydney: Elsevier; 2007;p. 327–351
  39. The Northern Hospital. Emergency Department, Clinical Instability Criteria.
  40. Hankey G. Management of the first-time transient ischaemic attack. Emerg Med. 2001;13:70–81
  41. Christensen H, Christensen AF, Boysen G. Abnormalities on ECG and telemetry predict stroke outcome at 3 months. J Neurol Sci. 2005;234(1–2):99–103
  42. Hajat C, Hajat S, Sharma P. Effects of poststroke pyrexia on stroke outcome: a meta-analysis of studies in patients. Stroke. 2000;31:410–414
  43. Colagiuri S, Walker AE. Using an economic model of diabetes to evaluate prevention and care strategies in Australia. Health Aff. 2008;27(1):256–268
  44. Weir CJ, Murray GD, Dyker AG, Lees KR. Is hyperglycaemia an independent predictor of poor outcome after acute stroke? Results of a long term follow up study. BMJ. 1997;314:1303–1306
  45. Cadilhac DA, Moodie ML, Lalor E, Bilney lE E, Donnan GA on behalf of the National Stroke Foundation. Improving access to evidence-based acute stroke services: development and evaluation of a health systems model to address equity of access issues. Aust Health Rev. 2006;30(1):109–118
  46. Bernhardt JD, Dewey H, Collier J, Thrift A, Lindley R, Moodie M, et al. A very early rehabilitation trial (AVERT). Int J Stroke. 2006;1(3):169–171
  47. Cumming TB, Collier J, Thrift AG, Bernhardt J. The effect of very early mobilisation after stroke on psychological wellbeing. J Rehabil Med. 2008;40(8):609–614
  48. National Stroke Research Institute. A phase 3, multicentre, randomised controlled trial of very early rehabilitation after stroke (AVERT). Heidelberg, Australia: National Stroke Research Institute. Retrieved 13 January 2009 from http://www.nsri.org.au/pics/clinical-trials/pdf/Protocol2006.pdf; 2006.
  49. Gokula RRM, Hickner JA, Smith MA. Inappropriate use of urinary catheters in elderly patients at a midwestern community teaching hospital. Am J Infect Control. 2004;32(4):196–199
  50. Gokula RM, Smith MA, Hickner J. Emergency room staff education and use of a urinary catheter indication sheet improves appropriate use of foley catheters. Am J Infect Control. 2007;35(9):589–593
  51. Evans D, Hodgkinson B, Lambert L, Wood J, Kowanko I. Falls in acute hospitals: a systematic review. Adelaide: The Joanna Briggs Institute for Evidence Based Nursing and Midwifery; 1998;1–59
  52. Myers H, Nikoletti S. Fall risk assessment: a prospective investigation of nurses’ clinical judgement and risk assessment tools in predicting patient falls. Int J Nurs Pract. 2003;9(3):158
  53. Jackson D, Turner-Stokes L, Khatoon A, Stern H, Knight L, O’Connell A. Development of an integrated care pathway for the management of hemiplegic shoulder pain. Rehabil Pract. 2002;24(7):298–390
  54. Considine J, McGillivray B. An evidence-based practice approach to improving nursing care of acute stroke in an Australian emergency department. J Clin Nurs; in press. Accepted 12 March 2009.

PII: S1574-6267(09)00075-5

doi: 10.1016/j.aenj.2009.03.005

Australasian Emergency Nursing Journal
Volume 12, Issue 3 , Pages 110-119 , August 2009

Article Tools

* Image Usage & Resolution