The knowledge of acute stroke management and its associated factors among healthcare providers in Emergency Department, Hospital USM

Introduction Current evidence showed a huge gap between evidences and practice on acute stroke treatment, which subsequently translated into the low rate of intravenous (IV) thrombolysis usage. As a gatekeeper in initial management for acute ischemic stroke (AIS) patients, healthcare provider at...

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Main Author:	Omar, Rosniza
Format:	Thesis
Language:	English
Published:	2019
Subjects:	RC31-1245 Internal medicine
Online Access:	http://eprints.usm.my/59655/1/ROSNIZA%20BINTI%20OMAR-Eprints.pdf
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spelling	my-usm-ep.596552023-12-28T02:45:36Z The knowledge of acute stroke management and its associated factors among healthcare providers in Emergency Department, Hospital USM 2019 Omar, Rosniza RC31-1245 Internal medicine Introduction Current evidence showed a huge gap between evidences and practice on acute stroke treatment, which subsequently translated into the low rate of intravenous (IV) thrombolysis usage. As a gatekeeper in initial management for acute ischemic stroke (AIS) patients, healthcare provider at emergency department (ED) need to have sufficient knowledge in order to improve the rate of IV thrombolysis. The aims of the study were to explore the level of knowledge on AIS management, as well as its associated factors for better usage of IV thrombolysis in the future. Materials and Methods This study was a cross-sectional study from February 2018 until April 2018 at ED Hospital Universiti Sains Malaysia (HUSM). A validated questionnaire was distributed among the healthcare providers during the study period. The questionnaire included respondent’s sociodemographic data, experience and knowledge management. Results A total of 120 participants included in the study. There were more females than males, either staff nurses, (46 (38.3%)) or postgraduate medical doctors, (45 (37.5%)). The mean (67 (55.8%)), with a mean age of 31.2 (3.82) years old. Most of the participants were either staff nurses, (46 (38.3%)) or postgraduate medical doctors, (45 (37.5%)). The mean score for the knowledge was highest among the service medical officers with mean score of 25.5 (5.19), followed by postgraduate medical doctors’ group with mean score of 25.4 (4.22). Only 26.7% of participants have no experience in usage of rTPA in stroke (mean=20.22 (6.71)) have higher score in knowledge compared to those who had clinical experience less than 5 years (mean=16.17 (8.2)) with -4.05 mean difference (95%CI: - 6.96, -1.14). There were significant mean difference compared by occupations where doctors are more knowledgeable. Conclusion Most healthcare provider have better level of knowledge in pre-hospital and ED stroke management compare to the knowledge of eligibility criteria for IV thrombolysis. Many of them have interest in stroke management and had experienced in the use of rTPA in stroke thrombolysis. Occupation of doctors and clinical working experience are associated with higher level of knowledge and may improve the management of AIS patients. 2019 Thesis http://eprints.usm.my/59655/ http://eprints.usm.my/59655/1/ROSNIZA%20BINTI%20OMAR-Eprints.pdf application/pdf en public masters Universiti Sains Malaysia. Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RC31-1245 Internal medicine
spellingShingle	RC31-1245 Internal medicine Omar, Rosniza The knowledge of acute stroke management and its associated factors among healthcare providers in Emergency Department, Hospital USM
description	Introduction Current evidence showed a huge gap between evidences and practice on acute stroke treatment, which subsequently translated into the low rate of intravenous (IV) thrombolysis usage. As a gatekeeper in initial management for acute ischemic stroke (AIS) patients, healthcare provider at emergency department (ED) need to have sufficient knowledge in order to improve the rate of IV thrombolysis. The aims of the study were to explore the level of knowledge on AIS management, as well as its associated factors for better usage of IV thrombolysis in the future. Materials and Methods This study was a cross-sectional study from February 2018 until April 2018 at ED Hospital Universiti Sains Malaysia (HUSM). A validated questionnaire was distributed among the healthcare providers during the study period. The questionnaire included respondent’s sociodemographic data, experience and knowledge management. Results A total of 120 participants included in the study. There were more females than males, either staff nurses, (46 (38.3%)) or postgraduate medical doctors, (45 (37.5%)). The mean (67 (55.8%)), with a mean age of 31.2 (3.82) years old. Most of the participants were either staff nurses, (46 (38.3%)) or postgraduate medical doctors, (45 (37.5%)). The mean score for the knowledge was highest among the service medical officers with mean score of 25.5 (5.19), followed by postgraduate medical doctors’ group with mean score of 25.4 (4.22). Only 26.7% of participants have no experience in usage of rTPA in stroke (mean=20.22 (6.71)) have higher score in knowledge compared to those who had clinical experience less than 5 years (mean=16.17 (8.2)) with -4.05 mean difference (95%CI: - 6.96, -1.14). There were significant mean difference compared by occupations where doctors are more knowledgeable. Conclusion Most healthcare provider have better level of knowledge in pre-hospital and ED stroke management compare to the knowledge of eligibility criteria for IV thrombolysis. Many of them have interest in stroke management and had experienced in the use of rTPA in stroke thrombolysis. Occupation of doctors and clinical working experience are associated with higher level of knowledge and may improve the management of AIS patients.
format	Thesis
qualification_level	Master's degree
author	Omar, Rosniza
author_facet	Omar, Rosniza
author_sort	Omar, Rosniza
title	The knowledge of acute stroke management and its associated factors among healthcare providers in Emergency Department, Hospital USM
title_short	The knowledge of acute stroke management and its associated factors among healthcare providers in Emergency Department, Hospital USM
title_full	The knowledge of acute stroke management and its associated factors among healthcare providers in Emergency Department, Hospital USM
title_fullStr	The knowledge of acute stroke management and its associated factors among healthcare providers in Emergency Department, Hospital USM
title_full_unstemmed	The knowledge of acute stroke management and its associated factors among healthcare providers in Emergency Department, Hospital USM
title_sort	knowledge of acute stroke management and its associated factors among healthcare providers in emergency department, hospital usm
granting_institution	Universiti Sains Malaysia.
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2019
url	http://eprints.usm.my/59655/1/ROSNIZA%20BINTI%20OMAR-Eprints.pdf
_version_	1794024028046884864

The knowledge of acute stroke management and its associated factors among healthcare providers in Emergency Department, Hospital USM

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