Stroke awareness among inpatient nursing staff at an academic medical center

Stroke. 2014 Jan;45(1):271-3. doi: 10.1161/STROKEAHA.113.002905. Epub 2013 Oct 17.


Background and purpose: Because 10% of strokes occur in hospitalized patients, we sought to evaluate stroke knowledge and predictors of stroke knowledge among inpatient and emergency department nursing staff.

Methods: Nursing staff completed an online stroke survey. The survey queried outcome expectations (the importance of rapid stroke identification), self-efficacy in recognizing stroke, and stroke knowledge (to name 3 stroke warning signs or symptoms). Adequate stroke knowledge was defined as the ability to name ≥2 stroke warning signs. Logistic regression was used to identify the association between stroke symptom knowledge and staff characteristics (education, clinical experience, and nursing unit), stroke self-efficacy, and outcome expectations.

Results: A total of 875 respondents (84% response rate) completed the survey and most of the respondents were nurses. More than 85% of respondents correctly reported ≥2 stroke warning signs or symptoms. Greater self-efficacy in identifying stroke symptoms (odds ratio, 1.13; 95% confidence interval, 1.01-1.27) and higher ratings for the importance of rapid identification of stroke symptoms (odds ratio, 1.23; 95% confidence interval, 1.002-1.51) were associated with stroke knowledge. Clinical experience, educational experience, nursing unit, and personal knowledge of a stroke patient were not associated with stroke knowledge.

Conclusions: Stroke outcome expectations and self-efficacy are associated with stroke knowledge and should be included in nursing education about stroke.

Keywords: education, nursing; inpatients; stroke.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Academic Medical Centers
  • Clinical Competence
  • Education, Nursing
  • Education, Nursing, Continuing
  • Emergency Medical Technicians
  • Emergency Service, Hospital
  • Health Knowledge, Attitudes, Practice*
  • Hospital Units
  • Humans
  • Intensive Care Units
  • Nurses*
  • Nursing Assistants
  • Nursing Staff / education*
  • Self Efficacy
  • Stroke / diagnosis*
  • Workforce