Nursing Standards for Adult Stroke Patients

Jane GreeneNurse Consultant for Older PeopleSouthern Health and Social Care TrustN. Ireland

Background

NIMAST 1998 NIMAST Lead Nurses 2002 RCP Evidences Based Guidelines Scottish Stroke Competencies Skills for Health Stroke Units-evolved without planning Skilled AHPs/Medics

Standard 5 tasks Trusts to develop stroke services in line with best evidence. With the aim :

“To reduce the incidence of stroke in the population and ensure that those who have had a stroke have prompt access to integrated stroke care services”.

NSF Older People 2001

Process

18 Lead Nurses 3 facilitated consensus workshops held during

spring/summer 2006 to agree the following:

The format and layout of the standards The different types and levels of evidence to be

usedThe responsibilities of individual group membersConsultation processNext steps

Standards

3 Key Areas Skills and knowledge required to provide skilled

nursing care for patients following stroke Nursing care specific to stroke: meeting physical

care needs Nursing care specific to stroke: meeting

psychological, emotional and communication needs.

Section 1Skills and Knowledge

Common Effects of Stroke Specialist Care for Patients Following Stroke

Immediate Effects of Stroke

Nursing Management of the Adult Patient Following Stroke

Reducing The Risk of Stroke Rehabilitation

Section 2Meeting Physical Care Needs

Moving and Handling the Patient Following Stroke Care of the Stroke Affected Side Loss of Consciousness Care of the Dying Promoting Urinary Continence Promoting Urinary Continence: the use of urinary catheters Promoting Faecal Continence Care of the Patient Wearing Anti Embolism Stockings Prevention of Pressure Ulcers Dysphagia Nutrition Oral Hygiene

Section 3Psychological, emotional and communication needs.

Visual Changes Communication Safety Thinking Processes Emotions Behavioural Changes

Consultation

6 weeks Nursing in 5 countries Stroke nursing Education Commissioning at Board and Dept level Lobbying at Dept level

Responses

”highly relevant to nurse clinicians” “this is a great piece of work” “could be used as an educational

resource” “I think you all have to be congratulated”

Consultation Phase 2

Multidisciplinary colleagues in stroke RQIA User Rep NICHS Departmental Standards and Guidelines Unit

Next Steps

Amend following phase 2 consultation-July 2007 Publication Partnership with RCN re learning resource Implementation Plan-2007-2008 Performance Management

Nursing Standards for Adult Stroke Patients

Jane GreeneNurse Consultant for Older PeopleSouthern Health and Social Care TrustN.Ireland