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Table 3 Comparison of documentation of Quality Indicator Tool items of the Stroke Nursing Guideline

From: Implementation and feasibility of the stroke nursing guideline in the care of patients with stroke: a mixed methods study

  Pre-test Group (N = 44) Post-test Group (N = 34) p-valuea
  No (%)b Yes (%) No (%) Yes (%)  
Mobility and Activities of daily living (n, %)    
Assess. with FIM < 72 h of admission 33 (75) 11 (25) 14 (41) 20 (59) 0.002
Nursing diagnosis of mobility 4 (9) 39 (91) 1 (3) 33 (97) 0.261
Evaluation of care 33 (75) 11 (25) 28 (85) 5 (15) 0.292
Limitation in self-care 17 (39) 27 (61) 9 (26) 25 (74) 0.258
Mobilization facilitation <24 h 19 (47) 21 (53) 7 (22) 25 (78) 0.024
Frequency of training exercises 12 (35) 22 (65) 10 (39) 16 (61) 0.180
Walking exercises 4 (14) 25 (86) 4 (17) 20(83) 0.778
Training of ADL activities 12 (30) 28 (70) 2 (7) 26 (93) 0.022
Falls (n, %)      
MORSE screening 34 (77) 10 (23) 21 (62) 13 (38) 0.306
Pain and pain treatment (n, %)      
Patients asked about pain 10 (23) 34 (77) 17 (50) 17 (50) 0.012
Pain diagnosis 10 (23) 34 (77) 6 (18) 28 (82) 0.582
Pain assessment with a scale 23 (74) 8 (26) 16 (73) 6 (27) 0.905
Fixed pain treatment 7 (21) 26 (79) 9 (39) 14 (61) 0.144
PN pain treatment 10 (30) 23 (70) 8 (32) 17 (68) 0.890
Non-pharmacological pain treatment 22 (73) 8 (27) 12 (55) 10 (45) 0.159
Comforting 42 (96) 2 (4) 32 (94) 2 (6) 0.589
Massage 43 (98) 1 (2) 31 (91) 3 (9) 0.217
Electrotherapy 44 (100) 0 (0) 34 (100) 0 (0)
Ankle splint 43 (98) 1 (2) 34 (100) 0 (0) 0.564
Relaxation 44 (100) 0 (0) 34 (100) 0 (0)
Distraction 44 (100) 0 (0) 34 (100) 0 (0)
Pain treatment never given 28 (78) 8 (22) 21 (78) 6 (22) 1.000
Evaluation of pain treatment 4 (14) 25 (86) 7 (33) 14 (67) 0.097
Depressive symptoms (n, %)      
Psychological distress diagnosis 18 (41) 26 (59) 15 (45) 18 (55) 0.690
Assessment with PHQ9 29 (88) 4 (12)
Identification of depressive symptoms 3 (7) 3 (9)
Consultation other professionals for the diagnosis and treatment 25 (58) 18 (42) 13 (38) 21 (62) 0.083
Patient teaching (n, %)      
Patient education 37 (84) 7 (16) 15 (47) 17 (53) 0.001
Educational brochure 40 (95) 2 (5) 15 (48) 16 (52) 0.000
Education repeated 30 (91) 3 (9) 30 (91) 14 (19) 0.049
Participation in teaching sessions 39 (89) 5 (11) 27 (82) 6 (18) 0.397
Discharge planning (n, %)      
Electronic Patient Record 11 (32) 23 (68) 18 (42) 25 (58) 0.393
Quality Discharge Planning* 7 (30) 16 (70) 22 (85) 4 (15) 0.001
Discharge Interview 22 (69) 10 (31) 43 (100) 0 (0) 0.000
Social support 7 (22) 25 (78) 14 (38) 23 (62) 0.151
Advice follow-up 20 (63) 12 (37) 36 (92) 3 (8) 0.002
Written infomation & recommendation 25 (81) 6 (19) 42 (100) 0 (0) 0.004
  1. a) p-value calculated with Chi square test; p-value cursive indicates significant difference between groups;
  2. b) No = very limited information documented; Yes = somewhat good and very good, with relevant information