Date of Completion

2024

Document Type

Thesis

Degree Name

Bachelor of Science in Nursing

Keywords

Stroke Patients

Abstract

Purpose Statement The study was done to streamline the practices done by nurses when caring for stroke patients in the hospital. The study specifically aimed to: 1. Enumerate the nursing practices done in the hospital for stroke patients. 2. Synthesize the patient outcomes of the nursing practices identified. 3. Identify the nursing practices aligned with the WSO Global Stroke Services Guideline and Action Plan.

Methodology A scoping review framework was conducted by searching, extracting, and analyzing related studies from five open-access databases, following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) review process. Researchers employed a three-step approach: title and abstract screening, full-text review, and data extraction, to identify relevant studies and articles based on predefined inclusion and exclusion criteria.

Major Findings Out of the initial 1,312 papers screened, nine (9) publications met the set inclusion and exclusion criteria. The primary themes identified in the study encompass Musculoskeletal, Fluids and Electrolytes, Neurologic, Endocrine, and General or overall related nursing practices employed by nurses, grouped into sub-themes of independent, dependent, and collaborative nursing interventions. Mapping data extracts from the selected studies revealed a total of 57 nursing practices implemented for the care of stroke patients which are associated with 38 patient outcomes, wherein 51 of these nursing practices were aligned with the World Stroke Organization (WSO) Roadmap for Quality Stroke Care, while six of these nursing practices did not fit the standard.

Conclusion There were 57 nursing practices identified for the care of stroke patients in hospitals worldwide subsequently resulting in 38 essential outcomes, all organized and mapped under systemic themes of musculoskeletal, fluids and electrolytes, neurologic, endocrine, and for general/overall patient well-being. These unique nursing interventions were further classified under independent, dependent, and collaborative nursing practices, which were reported to have positive patient outcomes that resolve patient concerns and complications brought by the disease, while also adhering to an established stroke standard and recommendations of care.

First Advisor

Julieta M. Damian, RN, MSN

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