Emergency department nurses' perceived barriers and facilitators to caring for stroke patients

Melissa Johnson, Jennifer Cohn, Tamilyn Bakas

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Stroke is currently the 3rd leading cause of death in the United States and is the leading cause of severe, long-term disability. With the advent of recombinant tissue plasminogen activator/alteplase, there is a treatment option for ischemic stroke. Unfortunately, only a small number of eligible patients receive this treatment. Whereas much research has been performed on barriers to treatment related to prehospital delays, less research has been performed on in-hospital delays related to hospital staff's perceptions of stroke patients. In this qualitative exploratory study, focus group interviews were conducted to examine emergency nurses' experiences in caring for stroke patients. A convenience sample was recruited using flyers distributed in the emergency department. Three groups of emergency nurses were interviewed in a private location within the facility. The 30-minute, semistructured interviews included 2 to 4 emergency nurses and were moderated by the investigator. Individual transcripts were analyzed for trends, patterns, and recurring themes. Three major themes regarding barriers to and facilitators of stroke care emerged: (a) nurses' comfort with assessment of stroke patients, (b) feedback regarding nurse performance and patient outcomes; and (c) environmental issues such as staffing, competing priorities, and patient and family needs. Despite the various challenges facing emergency nurses, all groups verbalized a desire to provide excellent care to these patients. Further research is recommended to address these challenges and to explore potential solutions identified in this study to improve the care of stroke patients.

Original languageEnglish
Pages (from-to)238-243
Number of pages6
JournalThe Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
Volume43
Issue number5
DOIs
StatePublished - Oct 2011

Fingerprint

Hospital Emergency Service
Stroke
Nurses
Emergencies
Tissue Plasminogen Activator
Patient Care
Research
Interviews
Focus Groups
Cause of Death
Therapeutics
Research Personnel

ASJC Scopus subject areas

  • Clinical Neurology
  • Endocrine and Autonomic Systems
  • Medical–Surgical
  • Surgery

Cite this

Emergency department nurses' perceived barriers and facilitators to caring for stroke patients. / Johnson, Melissa; Cohn, Jennifer; Bakas, Tamilyn.

In: The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses, Vol. 43, No. 5, 10.2011, p. 238-243.

Research output: Contribution to journalArticle

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