Background and Aim: Delay in the treatment of cerebrovascular accidents will result in irreversible neurology negative effects, which may impose heavy medical costs on the patients and health systems, decrease quality of life and occupational-individual functions. Therefore, timely identification and treatment of cerebrovascular accidents can be effective in reducing its complications.
Materials and Methods: This was a cross-sectional study, carried out in ۷۲۴ hospitals of Alborz, Iran in ۲۰۱۹. In this study, the required requirements and competencies of managers and clinical nurses and physicians in two specified hospitals of
Plan ۷۲۴ were evaluated in two stages before and after the establishment of this plan. before and after the implementation of the Plan ۷۲۴, the requirements and clinical competency of the subjects in
Plan ۷۲۴ were evaluated The dimensions examined include: awareness about disease symptom based on NIHSS & MRS Scale (D.۱), awareness about content of questionnaire for evaluation of venous thrombolytic injection of Alteplase and its correct completion (D.۲), awareness about Algorithm on how to serve stroke patients Acute stroke and medicines (D.۳), awareness about medical supplies to provide plan ۷۲۴ service (D.۴). Data were collected using a checklist designed by the Nursing Offices of the These hospitals and Alborz University of Medical Sciences. Examination times was one week before the implementation of the plan and one month after its implemented. The requirements of the staff were also collected through individual interviews with the samples.
Results: ۱۷۱ clinical nurses from emergency and neurology units, intensive care units, ۱۰ nursing managers and ۱۳ physicians were studied. The requirements and competencies required in ۸۵% of cases before the implementation of the plan in both hospitals is very poor and ۱۵% were good and one month after its implementation of ۹۰% good and ۱۰% very good. Also the most important staffing requirements include periodic training, familiarity with the latest changes in the algorithms of plan, lack of novice staff in the plan, and coordination of various hospital departments in clinical and administrative departments.
Conclusion:
Competence of nurses and physicians are one of the most important prerequisites for successful implementation of this national plan. Given the significant benefits of this plan at the individual and national level, the competencies of all staff involved in this plan should be periodically reviewed. In-service training courses are needed to address deficiencies and continuous upgrading personnel capabilities in this project plan.
