Knowledge, Attitudes and Practice of Stroke Prevention and Pre-Hospital Management Among Community Nurses and Other Health Professionals: A Cross-Sectional Study.
Chenxi Zhou, Mulugeta M Birhanu, Lulu Guo, Zhiguang Ping, Hongyu Meng, Shanshan Wang, Zhenxiang Zhang, Dominique A Cadilhac, Monique F Kilkenny, Beilei Lin
{"title":"Knowledge, Attitudes and Practice of Stroke Prevention and Pre-Hospital Management Among Community Nurses and Other Health Professionals: A Cross-Sectional Study.","authors":"Chenxi Zhou, Mulugeta M Birhanu, Lulu Guo, Zhiguang Ping, Hongyu Meng, Shanshan Wang, Zhenxiang Zhang, Dominique A Cadilhac, Monique F Kilkenny, Beilei Lin","doi":"10.1111/jocn.70424","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>To explore the knowledge, attitudes and practices of community nurses and other health professionals (e.g., physicians, pharmacists) regarding stroke prevention and pre-hospital management.</p><p><strong>Methods: </strong>From May to July 2023, a cross-sectional online survey was undertaken with community nurses and other health professionals in a city located in central China. The questionnaire included demographic information and knowledge, attitudes and practices assessments. Data analysis included descriptive statistics and multinomial logistic regression models for each item score of knowledge, attitudes and practices questionnaire with adjustment for potential confounders.</p><p><strong>Results: </strong>Overall 233/250 health professionals (93.2%) participated (58% community nurses; 87% female). Compared with other health professionals, community nurses were more likely to be female (99% vs. 69%) and younger (mean age: 33 years vs. 39 years). Compared with other health professionals, community nurses were less likely to have knowledge of mnemonics of the 'stroke risk score card' (OR = 0.48; 95% CI: 0.24-0.92), the pathophysiological relationships with common complications (OR = 0.43; 95% CI: 0.23-0.80), the ability to use stroke risk predictive tools (OR = 0.53; 95% CI: 0.31-0.93) and the practice of using stroke risk predictive tools (OR = 0.55; 95% CI: 0.31-0.96).</p><p><strong>Conclusion: </strong>Although overall knowledge was demonstrated in awareness of common stroke signs, symptoms and risk factors, community nurses exhibited significant knowledge gaps compared to other healthcare professionals in critical aspects of stroke prevention and pre-hospital management. Targeted evidence-based training is urgently required to improve their stroke prevention and pre-hospital management capabilities.</p><p><strong>Clinical relevance: </strong>Targeted training in stroke pathophysiology, risk management tools and symptom recognition protocols is critical for equipping community nurses to address knowledge-practice gaps in stroke prevention.</p><p><strong>Reporting method: </strong>This study was reported based on the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) for cross-sectional studies.</p><p><strong>Patient or public contribution: </strong>Health professionals were recruited to perform the knowledge, attitudes and practices of stroke prevention and pre-hospital management survey in the phase of data collection.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"4913-4923"},"PeriodicalIF":3.6000,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jocn.70424","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/7/7 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Aim: To explore the knowledge, attitudes and practices of community nurses and other health professionals (e.g., physicians, pharmacists) regarding stroke prevention and pre-hospital management.
Methods: From May to July 2023, a cross-sectional online survey was undertaken with community nurses and other health professionals in a city located in central China. The questionnaire included demographic information and knowledge, attitudes and practices assessments. Data analysis included descriptive statistics and multinomial logistic regression models for each item score of knowledge, attitudes and practices questionnaire with adjustment for potential confounders.
Results: Overall 233/250 health professionals (93.2%) participated (58% community nurses; 87% female). Compared with other health professionals, community nurses were more likely to be female (99% vs. 69%) and younger (mean age: 33 years vs. 39 years). Compared with other health professionals, community nurses were less likely to have knowledge of mnemonics of the 'stroke risk score card' (OR = 0.48; 95% CI: 0.24-0.92), the pathophysiological relationships with common complications (OR = 0.43; 95% CI: 0.23-0.80), the ability to use stroke risk predictive tools (OR = 0.53; 95% CI: 0.31-0.93) and the practice of using stroke risk predictive tools (OR = 0.55; 95% CI: 0.31-0.96).
Conclusion: Although overall knowledge was demonstrated in awareness of common stroke signs, symptoms and risk factors, community nurses exhibited significant knowledge gaps compared to other healthcare professionals in critical aspects of stroke prevention and pre-hospital management. Targeted evidence-based training is urgently required to improve their stroke prevention and pre-hospital management capabilities.
Clinical relevance: Targeted training in stroke pathophysiology, risk management tools and symptom recognition protocols is critical for equipping community nurses to address knowledge-practice gaps in stroke prevention.
Reporting method: This study was reported based on the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) for cross-sectional studies.
Patient or public contribution: Health professionals were recruited to perform the knowledge, attitudes and practices of stroke prevention and pre-hospital management survey in the phase of data collection.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
