Multidisciplinary compliance with guidelines for stroke assessment: Results of a nurse-led evaluation study

Sharon Hamilton, Susan McLaren, Anne Mulhall

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives: To evaluate the use of a combined strategy (a nurse opinion-leader; evidence-based guidelines; a staff education programme and a new recording system) for the implementation of multidisciplinary stroke assessment in an acute hospital setting as measured by the compliance of different professional groups. Design: A quasi-experimental study design utilising a pre-test/post-test group. Setting: Nine medical wards in a 600 bedded outer London Acute NHS Trust (without a stroke unit). Participants: 190 stroke patients (n = 98 pre-test vs n = 92 post-test). Main outcome measures: Professional compliance with assessment guidelines documented in the new recording system. Results: Pre-test compliance with guidelines (n40) ranged from 0% to 100% and post-test ranged from 23-100%. Significant improvements (p < .05) in compliance were found in relation to 25 guidelines and a significant decline was documented in four others. Comparison of pre vs post-test values demonstrated variable changes in compliance with guidelines across professional groups: medical (range -64-+23%); nursing (range +2-+74%); physiotherapy (range -15-+69%); occupational therapy (range 0-+34%). Conclusion: The combined use of an opinion leader, guidelines, education and a recording system had a variable affect on compliance with guidelines; opinion-leadership appeared to have the most influence over compliance. The study design, and guideline specific features may have constrained changes in practice.

Original languageEnglish
JournalClinical Effectiveness in Nursing
Volume9
Issue numberSUPPL. 1
DOIs
Publication statusPublished - 1 Dec 2006

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