Article

PURPOSE: To determine the feasibility of the Clinical Nursing Rehabilitation
Stroke-guideline (CNRS-guideline) in the care of stroke patients in terms of the
experiences, views and attitudes of nurses towards the guideline and their
adoption of the guideline and how often the recommendations were used. METHOD: A
four phase cross sectional design was used. Demographic data were collected from
nurses (n=30) and patients (n=105). After each test phase the nurses received
questionnaires about their experiences of the guideline including questions about
their attitude towards the guideline and adoption of the guideline. Also, how
often the recommendations were used was registered. RESULTS: The nurses' general
impression of the recommendations scored a median of 6.0. A majority of the
nurses indicated that the aims of the guideline were clear, that it provided new
insights into stroke care. Among the challenges experienced were lack of
knowledge and skills and organizational difficulties. Half of the nurses adopted
the guideline and the nurses' attitude towards the guideline scored a median of
6.0. CONCLUSION: The guideline provides nurses with an important means for
evidence based care for patients with stroke. The guideline was feasible for
nurses to use but various challenges need ongoing attention when planning
implementation. IMPLICATIONS FOR REHABILITATION: * The CNRGS-guideline was found
to be feasible for nurses to use in the daily care of patients with stroke, but
various challenges, need an ongoing attention. * The CNRGS-guideline is an
important step in the stimulation of quality improvement and efficiency and may
result in better outcome and satisfaction of patients with stroke. * The
CNRGS-guideline provides nurses with an important means to provide evidence based
care for patients with stroke.

Langue : ANGLAIS