Optimization of in-hospital treatment mode among patients with acute ischemic stroke from medical staff's perspective: a qualitative study

Abstract

Objective To explore medical staff's attitude towards in-hospital treatment mode among patients with acute ischemic stroke (AIS) , and the optimizable factors of the mode, so as to provide reference for further optimization of the treatment mode. Methods From November of 2017 to January of 2018, 15 medical staff from the AIS team in Changhai Hospital Affiliated to the Second Military Medical University were selected by purposive sampling and interviewed by semi-structured interviewing method. Data was collected in the way of handwriting and recording. Colaizzi data analysis was used to analyze the materials. Results The experience of medical staff in optimizing the treatment mode of AIS hospital included five themes: (1) the treatment mode of AIS hospital was basically reasonable; (2) the need for early warning of neurointerventional treatment team; (3) the need for the construction of specialist nursing team for the emergency treatment of stroke; (4) the need for supervision of the treatment process of AIS by information technology; (5) the need for pre-hospital warning. Conclusions It is necessary to make preparations in advance for invasive treatment team, construct the specialist stroke first aid nursing team for the whole process guiding and quality control, promote the integration of pre-hospital and in-hospital treatment so as to activate the in-hospital treatment system as soon as possible, improve the construction of AIS treatment informatization in order to assist the supervision of treatment efficiency, and further shorten the time of in-hospital treatment of AIS. Key words: Stroke; Medical staff; Acute ischemic stroke; In-hospital treatment; Optimization of treatment mode; Qualitative study