Implementation of new practice in the treatment of acute ischemic stroke
Eileen Gallagher
Doctor of Nursing Practice (D.N.P.), Drexel University
2017
DOI:
https://doi.org/10.17918/etd-7225
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Abstract
Transient ischemic attack Blood-vessels--Endoscopic surgery Thrombolytic therapy Nursing
Background: New guidelines in the treatment of acute ischemic stroke include timely recognition of stroke symptoms and evaluation for rapid treatment of stroke with IV t-PA administration and endovascular intervention. Methods: The DNP student/project coordinator led a collaborative effort to integrate the updated AHA/ASA ischemic stroke guideline through revision of the current in-house stroke algorithm; facilitation of the implementation plan; and evaluation of the implementation plan. Evaluation: The DNP student/project coordinator suggested an evaluation of the practice change through monthly discussion of algorithm fall-outs at the Stroke Committee meetings at the hospital. Significance and Implications: Implementation of this project introduced a practice change in the clinical setting for patients who experience an in-hospital stroke. Early consideration for treatment with endovascular intervention may allow for an increase in the number of patients who are eligible to receive ischemic stroke intervention, and may lead to an improvement in stroke treatment response time.
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Details
Title
Implementation of new practice in the treatment of acute ischemic stroke
Creators
Eileen Gallagher - DU
Contributors
Patti Rager Zuzelo (Advisor) - Drexel University (1970-)
Awarding Institution
Drexel University
Degree Awarded
Doctor of Nursing Practice (D.N.P.)
Publisher
Drexel University; Philadelphia, Pennsylvania
Number of pages
47 pages
Resource Type
Dissertation
Language
English
Academic Unit
Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University