International Uptake of a Proven Intervention to Reduce Death and Dependency in Acute Stroke: A Cross ‐Sectional Survey Following the QASC Trial

ABSTRACT
BackgroundUptake of proven interventions requires dedicated resources that may only result in local implementation, thus precluding international practice change. We explored international uptake through online dissemination of the fever, sugar, and swallow (FeSS) protocols from the Quality in Acute Stroke Care (QASC) trial, which showed decreased death and dependency by 15.7% 90‐day poststroke.
AimsTo identify: (a) the clinical discipline of healthcare professionals who downloaded the QASC resources; (b) the purpose for downloading; (c) successful implementation of any or all the FeSS protocols; (d) barriers to implementation; and (e) associations with self‐reported successful implementation.
MethodsA cross‐sectional, online survey of those who downloaded the QASC resources between October 2011 and August 2013. Associations between implementation and participant characteristics were determined.
ResultsOne‐hundred and fifty‐nine people from 21 countries participated. Nurses were the largest group to download the resources (n = 54, 38%), with the primary purpose to inform clinical practice (n = 97, 64%). Less than half (n = 77, 48%) downloaded, and less than a quarter (n = 38, 24%) attempted to implement all three protocols. Of those personally involved in implementation (n = 50) half reported doing so successfully for one or more protocols (n = 27, 54%) with 10 (20%) reporting successful implementation of all three protocols. Only about half (n = 13, 48%) u...

Source: Worldviews on Evidence-Based Nursing - August 1, 2017 Category: Nursing Authors: Sandy Middleton, Dominik Bruch, Cintia Martinez ‐Garduno, Simeon Dale, Maria McNamara Tags: Original Article Source Type: research