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Clinical Rehabilitation, Vol. 13, No. 6, 518-526 (1999)
DOI: 10.1191/026921599673722884
© 1999 SAGE Publications

Development of a scale to assess nurses' knowledge of stroke: a pilot study

Lois Thomas

Kate Harrington

Centre for Health Services Research, University of Newcastle upon Tyne, UK

Helen Rogers

Department of Medicine (Geriatrics) and Department of Epidemiology and Public Health, University of Newcastle upon Tyne, Newcastle upon Tyne, UK

Peter Langhorne

Academic Section of Geriatric Medicine, Royal Infirmary, Glasgow, Newcastle upon Tyne, UK

Monica Smith

Senga Bond

Centre for Health Services Research, University of Newcastle upon Tyne, Newcastle upon Tyne, UK

Objective: To develop and test an evidence-based scale to assess nurses' knowledge of stroke.

Design: Question development by a multidisciplinary group of experts in stroke. Two self-completion questionnaire surveys.

Setting: Two stroke units, one general medical and two elderly care wards in three hospitals in the North-East of England.

Subjects: Fifty-eight qualified nurses.

Interventions: Scale to assess nurses' knowledge of stroke.

Results: The overall response rate was 60%. Nurses on stroke units knew more about stroke than those in medical/elderly care wards. The scale was capable of discriminating between stroke units and medical /elderly care wards: mean difference was 4.18 (95% confidence intervals 1.68–6.69; p <0.001). Cronbach's {alpha} was 0.7 indicating adequate internal consistency. Item non-response did not exceed 10% for any question.

Conclusions: We have developed a knowledge of stroke scale capable of discriminating between nurses based in stroke units and medical/elderly care wards, with low item non-response and adequate internal consistency. The scale is suitable for use as a component of studies evaluating the nursing of stroke patients.


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