TY - JOUR T1 - Implementation results of a Best Practice Guideline in stroke patients hospitalized JO - Revista Científica de la Sociedad Española de Enfermería Neurológica (English ed.) T2 - AU - Piñero-Sáez,Sonia AU - Córcoles-Jiménez,M. Pilar AU - Ruiz-García,M. Victoria SN - 2530299X M3 - 10.1016/j.sedeng.2018.04.001 DO - 10.1016/j.sedeng.2018.04.001 UR - https://www.elsevier.es/en-revista-revista-cientifica-sociedad-espanola-enfermeria-447-articulo-implementation-results-best-practice-guideline-S2530299X18300049 AB - Stroke is a significant cause of morbidity and mortality in adults and implies high social and health costs. Best Practice Guidelines (BPG) are useful tools for improving patient health outcomes and quality of care. AimTo evaluate the results of BPG implementation in the care of hospitalised stroke patients. MethodPre-post quasi-experimental study. Sample: 18 years old or older with a stroke diagnosis admitted to Albacete General Hospital. Duration or Timeline: Baseline measurement (T0; December 2014); Implementation start (T1; October–December 2015); Consolidation (T2; January–December 2016). Variables: Independent; implementation of the guideline “Stroke assessment across the continuum of care”. Results(i) Implementation process: neurological assessment, dysphagia, fall risk, pain detection, pressure ulcer development risk (PUD), health education. (ii) Patient results: Aspiration pneumonia, falls, independence for basic activities of daily life (ADL), PUD, pain. Results457 patients (30 T0, 66 T1, 361 T2). 64.1% men, mean age 68.8years; ischaemic stroke 76.1%, 16.8% transient ischaemic attack (TIA), and 7% haemorrhagic. There were no statistically significant differences in age, sex and independence for ADL between periods, but there were regarding types of stroke diagnoses. There were significant improvements in all process variables per period. The patient results were: 6 pneumonias, 3 PUD and 7 falls; 54.5% patients had ADL independence at discharge. ConclusionsThere were good implementation results of all recommendations, detecting possibilities of improvement in dysphagia assessment and independence assessment at discharge, providing healthcare education and filling of records. ER -