How is nursing care for stroke patients organised? Nurses' views on best practices: To describe staff nurses' and charge nurses' perceptions of how best practices

Jytte Holm Struwe; Marianne Baernholdt; Vibeke Nørholm; Jette Lind

doi:10.1111/jonm.12016

How is nursing care for stroke patients organised? Nurses' views on best practices: To describe staff nurses' and charge nurses' perceptions of how best practices

Bidragets oversatte titel: ingen: ingen

Jytte Holm Struwe
, Marianne Baernholdt
, Vibeke Nørholm
, Jette Lind

University College Sjælland
Dragør kommune
Professionshøjskolen Metropol
University of Virginia
Københavns Universitet

Publikation: Bidrag til tidsskrift › Tidsskriftsartikel › Forskning › peer review

Abstract

In the developed world, stroke is the third leading cause of death (DSFA 2009) In Denmark there are 12400 new patients every year and 30000 - 40000 people living with long-term after stroke. This group consists mainly of people aged 80 years and older. When these patients have a stroke their biological age and co-morbidities complicate their in-hospital stay and rehabilitation. Nevertheless with the right treatment and quality care these strok victims can experience good outcomes and regain their quality of life (Gosselin et al. 2008, Saposnik et al. 2009)

Bidragets oversatte titel	ingen: ingen
Originalsprog	Engelsk
Artikelnummer	21
Tidsskrift	Journal of Nursing Management
Vol/bind	21
Udgave nummer	1
Sider (fra-til)	141-151
Antal sider	11
ISSN	0966-0429
DOI	https://doi.org/10.1111/jonm.12016 https://doi.org/10.1111/jonm.12016
Status	Udgivet - 5 jan. 2013

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nursing
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title = "How is nursing care for stroke patients organised? Nurses' views on best practices: To describe staff nurses' and charge nurses' perceptions of how best practices",

abstract = "Aim: To describe staff nurses' and charge nurses' perceptions of how to organise stroke care. Background: Many elements are important for high quality care and stroke patients' ability to regain pre-stroke capacities. Among them is how nursing care is organised. Research on the organisation of nursing care in stroke units is sparse. Method: A qualitative descriptive study was conducted in four inpatient stroke units in Denmark using semi-structured interviews with charge nurses and focus groups with staff nurses. Data were analysed using conventional content analysis. Data from the two groups were analysed 8 months apart. Results: Five themes emerged: nursing staff competencies focused on high quality care (29\%); focus on organising continuity of care (26\%); strong culture of collaboration no matter the work environment (19\%); staff committed to their patients (13\%); continuity of care maintained during hospital discharge transitions (13\%). Conclusion: Organisation of care to maintain continuity is important for high quality care and includes assigning patients permanent designated nurses who are responsible for interdisciplinary care coordination. Other important elements include nurses' competencies, collaboration, commitment and resources. Implications for nursing management: To improve quality care, the nurse managers should implement processes that strengthen continuity across the care spectrum and among all disciplines.",

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How is nursing care for stroke patients organised? Nurses' views on best practices: To describe staff nurses' and charge nurses' perceptions of how best practices. / Struwe, Jytte Holm; Baernholdt, Marianne; Nørholm, Vibeke et al.
I: Journal of Nursing Management, Bind 21, Nr. 1, 21, 05.01.2013, s. 141-151.

Publikation: Bidrag til tidsskrift › Tidsskriftsartikel › Forskning › peer review

TY - JOUR

T1 - How is nursing care for stroke patients organised? Nurses' views on best practices

T2 - To describe staff nurses' and charge nurses' perceptions of how best practices

AU - Struwe, Jytte Holm

AU - Baernholdt, Marianne

AU - Nørholm, Vibeke

AU - Lind, Jette

N1 - M1 - 21

PY - 2013/1/5

Y1 - 2013/1/5

N2 - Aim: To describe staff nurses' and charge nurses' perceptions of how to organise stroke care. Background: Many elements are important for high quality care and stroke patients' ability to regain pre-stroke capacities. Among them is how nursing care is organised. Research on the organisation of nursing care in stroke units is sparse. Method: A qualitative descriptive study was conducted in four inpatient stroke units in Denmark using semi-structured interviews with charge nurses and focus groups with staff nurses. Data were analysed using conventional content analysis. Data from the two groups were analysed 8 months apart. Results: Five themes emerged: nursing staff competencies focused on high quality care (29%); focus on organising continuity of care (26%); strong culture of collaboration no matter the work environment (19%); staff committed to their patients (13%); continuity of care maintained during hospital discharge transitions (13%). Conclusion: Organisation of care to maintain continuity is important for high quality care and includes assigning patients permanent designated nurses who are responsible for interdisciplinary care coordination. Other important elements include nurses' competencies, collaboration, commitment and resources. Implications for nursing management: To improve quality care, the nurse managers should implement processes that strengthen continuity across the care spectrum and among all disciplines.

AB - Aim: To describe staff nurses' and charge nurses' perceptions of how to organise stroke care. Background: Many elements are important for high quality care and stroke patients' ability to regain pre-stroke capacities. Among them is how nursing care is organised. Research on the organisation of nursing care in stroke units is sparse. Method: A qualitative descriptive study was conducted in four inpatient stroke units in Denmark using semi-structured interviews with charge nurses and focus groups with staff nurses. Data were analysed using conventional content analysis. Data from the two groups were analysed 8 months apart. Results: Five themes emerged: nursing staff competencies focused on high quality care (29%); focus on organising continuity of care (26%); strong culture of collaboration no matter the work environment (19%); staff committed to their patients (13%); continuity of care maintained during hospital discharge transitions (13%). Conclusion: Organisation of care to maintain continuity is important for high quality care and includes assigning patients permanent designated nurses who are responsible for interdisciplinary care coordination. Other important elements include nurses' competencies, collaboration, commitment and resources. Implications for nursing management: To improve quality care, the nurse managers should implement processes that strengthen continuity across the care spectrum and among all disciplines.

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How is nursing care for stroke patients organised? Nurses' views on best practices: To describe staff nurses' and charge nurses' perceptions of how best practices

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