Nurses’ Awareness and Actual Nursing Practice Situation of Stroke Care in Acute Stroke Units: A Japanese Cross-Sectional Web-Based Questionnaire Survey

Yukari Hisaka, Hirokazu Ito, Yuko Yasuhara, Kensaku Takase, Tetsuya Tanioka and Rozzano Locsin
Additional contact information
Yukari Hisaka: Department of Adult Nursing, Gifu University Graduate School of Medicine, Gifu 501-1194, Japan
Hirokazu Ito: Institute of Biomedical Sciences, Tokushima University, Tokushima 770-8509, Japan
Yuko Yasuhara: Institute of Biomedical Sciences, Tokushima University, Tokushima 770-8509, Japan
Kensaku Takase: Department of Rehabilitation, Anan Medical Center, Tokushima 774-0045, Japan
Tetsuya Tanioka: Institute of Biomedical Sciences, Tokushima University, Tokushima 770-8509, Japan
Rozzano Locsin: Institute of Biomedical Sciences, Tokushima University, Tokushima 770-8509, Japan

IJERPH, 2021, vol. 18, issue 23, 1-21

Abstract: The awareness of care provided by stroke care unit (SCU) nurses in Japan to patients with an acute cerebrovascular accident (CVA) and the characteristic differences in their actual nursing practice were evaluated. A cross-sectional web-based questionnaire survey was administered to 1040 SCU nurses. Data collection and reporting procedures followed the STROBE Statement Checklist for cross-sectional studies. Exploratory factor analysis, using 52 observation items, identified eight factors with a factor loading > 0.4. For all factors, the actual practice was significantly lower than the awareness of the importance of nursing care for patients with acute CVA. Awareness and actual practice of recognition of patients’ physical changes (RPPCs) were high. The actual practice of RPPCs and preventing the worsening of acute stroke and related symptoms varied, depending on years of experience in acute phase stroke care. RPPCs in actual practice had a significantly higher score among certified nurses or certified nurse specialists. Their awareness of the importance of collaborating with therapists was low. On-the-job training can improve nurses’ competence and prevent worsening conditions in patients with CVA. An emphasis on enhancing practice experience toward patients with acute CVA and facilitating the deployment of certified nurses in SCUs can improve nursing care practice.

Keywords: stroke care; nursing practice; nurse specialist; awareness; Japan; questionnaire survey (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/23/12800/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/23/12800/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:23:p:12800-:d:695013

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().