Lin Beilei, Jin Yujia, Qiu Yunjing, Wang Shanshan, Mei Yongxia, Wang Panpan, Chen Ruofei Trophy, Chen Jing
Nursing and Health School, Zhengzhou University, Zhengzhou, P.R. China.
School of Nursing and Midwifery, University of Technology Sydney, Sydney, New South Wales, Australia.
J Adv Nurs. 2025 Jul;81(7):4258-4270. doi: 10.1111/jan.16713. Epub 2024 Dec 31.
To gain a comprehensive understanding of the practices, attitudes, and thoughts of neurological nurses regarding communication about the risk of stroke recurrence.
This is a mixed-method study with a sequential explanatory design.
An electronic survey was conducted amongst 280 neurological nurses from 30 hospitals to explore their clinical practice and attitudes towards stroke recurrence risk communication (RC). Furthermore, 10 nurses' from three tertiary hospitals were interviewed using a convenience sampling approach, and data were analysed with Colaizzi's methods.
Most neurological nurses view recurrence RC essential and beneficial. Quantitative results indicated that nurses frequently discuss warning symptoms, risk factors, the likelihood, and severity of stroke recurrence with patients. However, qualitative analysis indicated that these communications are often non-standardised, with cautious language, use of informal language, non-fixed timing, and limited focus on structured communication strategies. Factors influencing communication practices span three levels: the nurse, the patient, and the organisation. Influencing factors fall into three categories: nurse-related (age, education, experience, confidence, and knowledge), patient-related (trust and preferences), and organisational (lack of standardised models for communication).
Although neurological nurses recognise the significance of recurrence RC, their skills in this area could benefit from further development. Developing training and supporting nurses in delivering effective stroke recurrence risk education independently or in collaboration with physicians is crucial.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: The findings highlight the necessity of standardising stroke recurrence RC, including the development of assessment tools, training programs, and communication strategies. These are essential for optimising risk education in stroke secondary prevention and promoting effective cardiovascular RC in clinical practice.
This study adhered to the GRAMMS checklist.
Not applicable.
CTR2000034244.
全面了解神经科护士在沟通中风复发风险方面的做法、态度和想法。
这是一项采用序贯解释性设计的混合方法研究。
对来自30家医院的280名神经科护士进行了电子调查，以探讨她们在中风复发风险沟通（RC）方面的临床实践和态度。此外，采用便利抽样法对来自三家三级医院的10名护士进行了访谈，并使用Colaizzi方法对数据进行了分析。
大多数神经科护士认为复发风险沟通至关重要且有益。定量结果表明，护士经常与患者讨论中风复发的警示症状、风险因素、可能性和严重程度。然而，定性分析表明，这些沟通往往不规范，语言谨慎，使用非正式语言，时间不固定，且对结构化沟通策略的关注有限。影响沟通实践的因素分为三个层面：护士、患者和组织。影响因素分为三类：与护士相关的（年龄、教育程度、经验、信心和知识）、与患者相关的（信任和偏好）以及组织方面的（缺乏标准化的沟通模式）。
尽管神经科护士认识到复发风险沟通的重要性，但她们在这方面的技能仍有进一步提升的空间。开展培训并支持护士独立或与医生合作进行有效的中风复发风险教育至关重要。
对专业和/或患者护理的启示：研究结果凸显了标准化中风复发风险沟通的必要性，包括开发评估工具、培训项目和沟通策略。这些对于优化中风二级预防中的风险教育以及在临床实践中促进有效的心血管风险沟通至关重要。
本研究遵循GRAMMS清单。
不适用。
CTR2000034244。
