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Abstract
Background: Stroke is a major public health problem worldwide and in Egypt. It is a life-threatening disease that requires early recognition, management and collaboration of all members of the health care team. Critical care nurses play an important role in all phases of care for stroke patients. Aim: to study the impact of a designed acute stroke nursing management protocol on critical care nurses’ knowledge and practices. Hypotheses: H.1. The mean post-test total knowledge scores of critical care nurses who are exposed to the designed nursing management protocol of care will be higher than their mean pre-test scores. H.2. The mean post-test total practice scores of critical care nurses who are exposed to the designed nursing management protocol of care will be higher than their mean pre-test scores. Sample: A convenience sample consisting of (30) nurses was included in this study. Design: A quasi-experimental, single group interrupted time series design was utilized. Tools: two tools were constructed and utilized for data collection: (1): Nurses Knowledge Assessment Questionnaire and (2) Pre/post observational checklists for critical care nurses{u2019} management of patients with acute stroke. Critical care nurses were assessed three times: before implementing the protocol of care, immediately after implementing the protocol of care, and two months after implementation. Results: the current study revealed that most (80%) of the studied sample was females in the middle age group (X= 30.16, SD=7.71). The total mean knowledge scores improved in the second and third assessment times (X= 70.47, SD=6.27, and X= 66.67, SD=8.1 respectively) as compared to the first assessment time (X=24.23, SD= 11.24) with a significant statistical difference between the three assessment times (F= 246.34, P{u2264}0.05).The total mean practice scores were higher in the second and third assessment times (X= 45.9, SD= 5.02, and X= 39.87, SD= 4.54 respectively), as compared to the first assessment mean scores (X= 22.10, SD= 7.42) with a significant statistical differences between the three assessments (F= 131.913, P {u2264} 0.05). A significant statistical differences was found between the three assessments regarding utilization of NIHSS and GCS (F= 420.31, and 123.189, P{u2264}0.05)