Table 4 Difference in nurses’ application of 30 quality indicators before and after implementation of the Stroke Nursing Guideline (N = 14)

Mobility and activities of daily living

Assess mobility and self-care capabilities on admission to the ward with

 a) FIM scale

1.727 (0.273)

 b) scale in patient electronic health records

3.091^a (1.446)

 c) both FIM scale and scale in electronic patient health records

2.000^a (1.195)

Assist patient with getting in and out of the bed on the first shift on the ward

4.231^a (0.726)

Assist and supervise patient to transfer between bed and chair

4.615^a (0.650)

Assist and supervise patient with exercises according to physical therapists’ recommendations

4.308^b (0.947)

Assist patient in ADL and coach transferral of exercises into ADL

4.385^a (0.768)

Assist patient with hemiplegia to exercise the paralysed arm

3.615^a (1.193)

Assist patient with hemiplegia to make personal goals in writing if needed

3.769 (1.166)

Falls

Assess risk of falls with MORSE scale

3.231^a (1.092)

Pain

Prevent shoulder pain by comforting the paralysed arm

4.923^a (0.277)

Teach patient how to prevent shoulder pain

4.308^a (1.109)

Teach family how to prevent shoulder pain

3.667^a (0.888)

Grade patient’s pain by pain scale

3.385 (0.961)

Use non-pharmacological pain interventions

3.833^a (0.835)

Depression

Assess symptoms of depression with a depression scale

1.846^b (0.801)

Refer patient to a psychologist due to depression

3.071^b (1.207)

Refer patient to other HCPs e.g., chaplain or social worker

2.500 (0.798)

Provide emotional support e.g., with active listening

4.214 (0.699)

Encourage patient to believe in own ability by identifying his/her strength and progress in the rehabilitation

4.286 (0.611)

Coach patient to relax e.g., by listening to music

3.500^a (1.382)

Take time to talk with patient

4.429^b (0.514)

Take time to talk with family

4.357^b (0.633)

Patient teaching

Give patient individualized teaching material upon admission

2.833^a (1.193)

Secure patient teaching about stroke, its consequences and planned diagnostic tests and treatment

3.429^a (1.089)

Secure family teaching about stroke, its consequences and planned diagnostic tests and treatment

3.615^a (0.650)

Teach patient about the importance that the family participates with patient in rehabilitation

3.846^a (1.068)

Teach family about the importance of their participation with patient in rehabilitation

3.917* (1.165)

Discharge planning

Document discharge planning in patient electronic health records

3.917^b (1.084)

Assess patient’s need for social support after discharge

4.143 (0.864)

Assess mobility and self-care capabilities in discharge planning with

 a) FIM scale

2.000^a (1.095)

 b) scale in patient electronic health records

2.700^a (1.494)

 c) both FIM scale and scale in electronic patient health records

1.750 (1.165)

Conduct discharge planning interview, provide personalized information

2.923 (1.256)