Factors influencing performance of stroke management among nurses in Bangladesh

Abstract

ABSTRACT Factors Influencing Performance of Stroke Management among Nurses in Bangladesh Md. Shariful Islam Department of Nursing The Graduate School Yonsei University Stroke has become the leading cause of disability and death worldwide. Nurses’ role is pivotal in preventing secondary complications of stroke. Individual and organizational factors greatly influence towards nurses performance of stroke patient management. This study examined level of performance of stroke management and its influencing factors among nurses in Bangladesh. This is a cross-sectional descriptive study. After IRB approval, data were collected from May, 25 to August, 25, 2017 using paper and pencil questionnaire. A total of 226 nurses were recruited from three tertiary level hospitals in Bangladesh. Nurses’ performances were investigated using Demographic Questionnaire (DQ-11), Practice on Stroke Management Questionnaire (PSMQ-10), Stroke Knowledge Questionnaire (SKQ-12), Attitudes on Stroke Mangement Questionnaire (ASMQ-14), Leadership Practice Inventory (LPI-17), Organizational Learning Survey (OLS-25) and Organizational Readiness for Change (ORC-11) related questionnaire. Data were analyzed using descriptive statistics, independent t-test, one way ANOVA, Pearson’s Product-Moment Correlation-Coefficient and Multiple Regression Analysis. Results showed that nurses had moderate level of knowledge (Mean = 3.19, SD = 2.24), attitudes (M = 45. 19, SD = 4.46) and performance (M = 30.29, SD = 6.97). A significant positive correlation found between nurses knowledge and attitudes (r = 0.16, p = 0.05) and between knowledge and performance (r = 0.44, p = 0.000) respectively. However no significant relationship found between attitudes and performance towards stroke management (r = 0.030, p >0.05). Statistical analysis showed that nurses working with ICU ward (β = 7.598, p <0.01), leadership practice ability (β = 0.031, p <0.05), and stroke knowledge (β = 0.864, p <0.001) were major factors affecting nurses’ performance towards stroke management which explained 29.4% of the total variance. In-service stroke education program need to be provided for less experienced nurses who have no previous education on stroke patient maangement to enhance their clinical performance. In addition tertiary level hospital management need to provide more opportunities for their nurses to obtain continuing education on stroke or increase the number of courses available at the institutional level in order to enhance their nurses’ performance towards stroke patient management. ________________________________________________________________________