2.50
Hdl Handle:
http://hdl.handle.net/10755/150643
Type:
Presentation
Title:
Early Mobilisation of Acute Stroke Patients
Abstract:
Early Mobilisation of Acute Stroke Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Smith, Lorraine N., BScN, MEd, PhD
P.I. Institution Name:University of Glasgow
Title:Professor
Co-Authors:Monica Arias, BScN, MScHC
 Research Questions: 1. What are healthcare professionals? views and knowledge about early mobilisation of acute stroke patients? 2. What is the level of consensus among healthcare professionals regarding the implementation of early mobilisation [EM] of acute stroke patients? and 3. What areas require further research in relation to early mobilisation of acute stroke patients?  Population/Sample : All stroke units (n=34) in the 14 Scottish health boards identified in the ?Coronary Heart Disease and Stroke Strategy for Scotland? constituted the sampling frame.  The lead, acute stroke physician in each unit (n=61), the lead stroke nurse (n=65) and the physiotherapist (n=32) most involved in acute stroke care were identified and contacted personally.  A 62.3% response rate was obtained. Study Design: Postal survey using a self-administered questionnaire and SAE with a ?return by? date; one reminder letter sent to all non-responders. Ethics: Approval Multi-centre Research Ethics approval granted prior to piloting. Data Analysis: Data analysed using Minitab 13 and SSPS version 12.0 with a 95% confidence level, p= 0.05.   Multiple Comparisons: a Level established by Bonferroni?s correction minimizing the risk of Type I error inflation (p<0.016).  Free-text responses analysed using content analysis. Results: There was no consensus across professional groups regarding ?early mobilisation?.  Healthcare professionals differed in terms of: what constitutes EM; when patients should be mobilised; who should assess when a patient is ready to be mobilised; how patients should be assessed; and what are appropriate EM strategies.  Conclusion: American, UK and European clinical guidelines urge EM in acute stroke.  However there is no evidence base for clinical decision-making or the way in which clinical decision-making should be conducted in order to arrive at the judgement that an acute stroke patient should be mobilised.  RCTs are required to establish the duration, frequency, intensity, risk/benefits and activities associated with EM.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEarly Mobilisation of Acute Stroke Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150643-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Early Mobilisation of Acute Stroke Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Smith, Lorraine N., BScN, MEd, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Glasgow</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">l.n.smith@clinmed.gla.ac.uk</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Monica Arias, BScN, MScHC</td></tr><tr><td colspan="2" class="item-abstract">&nbsp;Research Questions: 1. What are healthcare professionals? views and knowledge about early mobilisation of acute stroke patients? 2. What is the level of consensus among healthcare professionals regarding the implementation of early mobilisation [EM] of acute stroke patients? and 3.&nbsp;What areas require further research in relation to early mobilisation of acute stroke patients?&nbsp; Population/Sample : All stroke units (n=34) in the 14 Scottish health boards identified in the ?Coronary Heart Disease and Stroke Strategy for Scotland? constituted the sampling frame.&nbsp; The lead, acute stroke physician in each unit (n=61), the lead stroke nurse (n=65) and the physiotherapist (n=32) most involved in acute stroke care were identified and contacted personally.&nbsp; A 62.3% response rate was obtained.&nbsp;Study Design: Postal survey using a self-administered questionnaire and SAE with a ?return by? date; one reminder letter sent to all non-responders.&nbsp;Ethics: Approval Multi-centre Research Ethics approval granted prior to piloting.&nbsp;Data Analysis: Data analysed using Minitab 13 and SSPS version 12.0 with a 95% confidence level, p= 0.05.&nbsp;&nbsp; Multiple Comparisons: a Level established by Bonferroni?s correction minimizing the risk of Type I error inflation (p&lt;0.016).&nbsp; Free-text responses analysed using content analysis.&nbsp;Results: There was no consensus across professional groups regarding ?early mobilisation?.&nbsp; Healthcare professionals differed in terms of: what constitutes EM; when patients should be mobilised; who should assess when a patient is ready to be mobilised; how patients should be assessed; and what are appropriate EM strategies.&nbsp; Conclusion: American, UK and European clinical guidelines urge EM in acute stroke.&nbsp; However there is no evidence base for clinical decision-making or the way in which clinical decision-making should be conducted in order to arrive at the judgement that an acute stroke patient should be mobilised.&nbsp; RCTs are required to establish the duration, frequency, intensity, risk/benefits and activities associated with EM.</td></tr></table>en_GB
dc.date.available2011-10-26T10:38:50Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:38:50Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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