Abstract WP438: Monthly Patient Stroke Education Prevalence Rounds Increase Nursing Engagement While Positively Affecting Quality Patient Outcomes

Abstract

Background and Purpose: Understanding stroke and factors in the prevention of stroke are fundamental in improving quality outcomes and patient healthcare compliance. Daily individualized patient education is an accreditation requirement, and as a certified stroke center the goal is to exceed national care standards for patients with stroke. Documentation of daily individualized patient education compliance was found to be below the required expectations with initial audits. Bedside nurses were surveyed on documentation requirements of every stroke patient, and a knowledge gap was identified. The purpose of this quality initiative was to improve compliance of daily individualized stroke education and increase bedside nursing accountability and engagement in the care of stroke patients. Methods: The quality initiative consisted of a monthly one day snapshot of daily stroke education documentation compliance (average n=34). Results are shared with executive nursing leadership, unit managers and bedside nurses. Stroke Champions facilitate one-on-one education with their nursing peers when opportunities for improvement of required stroke education have been identified. This nurse driven collaboration was augmented with daily education reminders during unit huddles, patient stroke education posters on the unit, and caregiver award recognition for those nurses with high compliance. Results: Significant improvements in documentation of daily individualized stroke education were found following the stroke prevalence education initiative. A pre-initiative audit was conducted 4th quarter of 2015, revealing compliance was at 65%. After implementation, 2016 compliance improved to an overall 86%; 2017 was 84%; 2018 was 90% and the first half of 2019 remains at 90%. Conclusions: In conducting monthly stroke prevalence rounds, nurse driven collaboration has shown significant improvements in consistently documenting daily individualized stroke education, therefore increasing required patient stroke education compliance and producing the potential for better outcomes for patients.