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

Dr. Theresa Mostasisa

Abstract

Problem As a leading cause of death and disability in the US, strokes often require complex, multifaceted care. Often ignored, patient satisfaction is a crucial aspect of this care and is positively linked to key health indicators. Regulatory guidelines underscore the need for stroke-specific patient satisfaction survey (SSPS) utilization in post-stroke care. Context Hospital X is a large Comprehensive Stroke Center in the Bay Area, serving patients with various stroke etiologies and complexities. At present, its Neuro Observational Unit (NOU) does not administer a SSPS. Intervention To address this gap in care, an educational presentation using literature evidence in support of SSPS was presented to nursing staff during the monthly department meeting. Measures The aim of this presentation was to ensure 100% of nurses in the NOU acknowledge SSPS 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 education module. It gauged nursing staff attitudes toward SSPS and their likelihood of encouraging patient participation on a Likert scale from 1 to 5. Results The QI team found average pre-intervention scores of 4.4 and 3.6 for significance and likeliness to encourage, respectively, and post-intervention Likert scores of 4.1 and 3.6, respectively. Optional comments from nurses implied confusion about their role in SSPS implementation. Conclusions These results suggest that Hospital X NOU nursing staff are open to implementing a SSPS, but require clarification on their role.

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