One of the major current challenges in the ﬁeld of health care, including nursing practice and nursing science, is to develop and promote evidence-based practice (Adamsen, 2003). Patient education is a supported method of not only increasing patient functionality and quality of life, but also reducing re-admission rates and acute care center resource utilization (Rothrock et al., 2006). The purpose of this paper is to revise the PICOT statement, critique article and provide evidence based change in nursing practice on educating patient and family status post stroke.
Population or the problem
As increase in cases of recurrent of stroke due to poor education on specific of disease process by nurses and health care providers. According to Ho & Yan “The three areas which should be addressed in education for patients with chronic illness are disease prevention, disease-specific education, and self-management”. Therefore, lack of information of the disease process by this patient increase recurrent of stroke.
The intervention proposed in the study is to reduce the number of recurrent stroke re-admission to the hospital. Studies have shown that educating patient and family member reduces stroke reoccurrence. Also, it helps family members to knowledge of the disease, and understand the patient risk factors involved with stroke (Visser-Meily et al., 2006). Nurses educating patient and family member will help them to manage their disease at home and reduce readmission.
The intervention will be compared to adult patient with education on stroke and with no recurrent and or readmission to the hospital. Nurses should educate patient on the first time of diagnosis of stroke during admission.
Outcome and time
By educating patient status post stroke and their family members on the importance of the disease, management, and coping skills will reduce the number of recurrent of the disease and will also reduce readmission to the hospital. Also, patient will know the risk factors involved about the recurrent stroke, and have quality life. The outcome will measure over a period of six months- one year. The PICOT question: Population of patient 18 and older diagnosed with stroke(P), what is the effect of poor education by nurse to patient diagnosed with stroke, (I), on recurrent of stroke/readmission (C) compared with adult patient diagnosed with education on stroke with no recurrent/readmission, (O)within a period six month-one year. (Cameron, 2013)
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Cameron, V. (2013). Best Practices for Stroke Patient and Family Education in the Acute Care Setting. MEDSURG Nursing , 51-55. Visser-Meily, A., Post, M., Gorter, J., Berlekom, S.T, Van Den Bos, T, & Lindeman, E. (2006). Rehabilitation of stroke patients needs a family-centered approach. Disability & Rehabilitation, 28(24), 1557-1561.