Date of Graduation

Spring 5-17-2024

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Theresa M. Mostasisa, EdD, MS, BSN, RN

Abstract

Problem A stroke diagnosis is associated with high mortality and increased morbidity that affect the quality of life of both patients and caregivers. Higher satisfaction with stroke care could alleviate both patient and caregiver stress, thereby positively affecting their quality of life. Regulatory guidelines underscore the need for a stroke-specific patient satisfaction survey (SPSS). Context Hospital X houses one of the few comprehensive stroke centers (CSC) in the San Francisco Bay Area, serving patients with various stroke etiologies and complexities. Its Neuro Observation Unit (NOU) currently does not administer a SPSS. Intervention An educational presentation using literature evidence in support of SPSS was presented to nursing staff during the monthly unit meeting. Measures The aim was to ensure 100% of nurses in the NOU acknowledged SPSS importance by April 18, 2024, to maintain safe, quality care for stroke patients and meet regulatory standards. Successful change in practice was evaluated through a questionnaire administered before and after the educational presentation. On a 5-point Likert scale, it gauged nurses’ perspectives on SPSS and their likelihood of encouraging patients or caregivers to complete a SPSS. Results The average pre-intervention ratings for the significance of patient satisfaction and likelihood to encourage were 4.4 and 3.6, respectively, and post-intervention ratings were 4.1 and 3.6, respectively. Optional comments from nurses implied confusion about their role in SPSS implementation. Conclusions These results suggest that nurses in the NOU at Hospital X are receptive to implementing a SPSS, but require clarification on their role.

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