Stroke Knowledge and Informational Needs Among International Islamic University Malaysia Nursing Students: A Preliminary Study
Keywords:Stroke knowledge, information needs, students
Introduction: Stroke is one of the most recognisable diseases affecting the Malaysian population. The growing incidence of a stroke every year requires nursing students to get their knowledge updated.
Objective: To provide a baseline on our nursing student’s level of knowledge and information needs on stroke to prepare them as future healthcare providers in the community.
Methods: A cross-sectional study was conducted using adapted questionnaires to assess the level of knowledge and information needs of stroke among 30 nursing students from Kulliyyah of Nursing, International Islamic University Malaysia through a convenience sampling method. Descriptive statistics were used in data analysis via SPSS version 27.0.
Results: The mean age of the students was 23.23 (±0.68), 96.7% were female and residents of Mahallah Ummu Kalthum, all of them were year four students, and 93.3% were single. Almost 43.3% had a family history of stroke while 50% have experience in taking care of stroke patients. The results highlighted that nursing students have good stroke knowledge with a mean score of 13.17 (±2.20) but a moderate score for information needs on stroke [125.83 (±15.62)].
Conclusion: Overall, nursing students showed that they have better knowledge regarding stroke disease but require further information on stroke-related nursing skills. This is in lieu of the diversity of stroke and its subtype which affect different nursing care needed.
Ministry of Health, Malaysian Society of Neurosciences, Academy of Medicine Malaysia. Clinical Practical Guidelines Management of Ischaemic Stroke. 3rd ed. Kuala Lumpur: Malaysian Society of Neurosciences; 2020.
Venketasubramanian N, Yoon, BW, Pandian J, Navarro JC. Stroke epidemiology in south, east, and south-east asia: A review. Journal of Stroke. 2017; 19(3):286-294. https://doi.org/10.5853/jos.2017.00234
Islam S, Geum Oh E, Lee TW, Kim S. Stroke Management Awareness and Behavior among Nursing Students in Bangladesh. Open Journal of Nursing. 2017;07(01):1–14. https://doi.org/10.4236/ojn.2017.71001
Baatiema L, Otim ME, Mnatzaganian G, de-Graft Aikins A, Coombes J, Somerset S. Health professionals’ views on the barriers and enablers to evidence-based practice for acute stroke care: A systematic review. Implementation Science. 2017; 12 (01). https://doi.org/10.1186/s13012-017-0599-3
Barker A, Doeltgen S, Lynch E, Murray J. Perceived barriers and enablers for implementing water protocols in acute stroke care: A qualitative study using the Theoretical Domains Framework. International Journal of Speech-Language Pathology. 2019; 21(3):286–294. https://doi.org/10.1080/17549507.2019.1595145
Freeland TR, Pathak S, Garrett RR, Anderson JA, Daniels SK. Using Medical Mannequins to Train Nurses in Stroke Swallowing Screening. Dysphagia. 2016;31(1):104–110. https://doi.org/10.1007/s00455-015-9666-6
Palli C, Fandler S, Doppelhofer K, Niederkorn K, Enzinger C, Vetta C, et al. Early Dysphagia Screening by Trained Nurses Reduces Pneumonia Rate in Stroke Patients: A Clinical Intervention Study. Stroke. 2017;48(9):2583–2585. https://doi.org/10.1161/STROKEAHA.117.018157
Sowtali SN, Yusoff DM, Harith S, Mohamed M. Translation and validation of the Malay version of the Stroke Knowledge Test. Journal of Arrhythmia. 2016;32(2):112–118. https://doi.org/10.1016/j.joa.2015.10.003
Mohd Radzi SS. Stroke related information needs among nurses and family of stroke patients as perceived by themselves in Hospital Universiti Sains Malaysia. Malaysia: Universiti Sains Malaysia; 2011.
Kumar Kundu D. Models of Information Seeking Behaviour: A Comparative Study. International Journal of Library and Information Studies. 2017; 7(4):393-405. ISSN: 2231-4911
Brechtel L, Wormack L, Frazier A, Ubah C, Dick B, Cook J, et al. Middle School Students: Active Learning Activities for Stroke Education and Healthy Lifestyles. Journal of Child and Family Studies. 2019;28(7):1955–1964. https://doi.org/10.1007/s10826-019-01422-8
Pradhan RR, Jha A, Bhandari S, Ojha S, Karn R. Knowledge, attitude, and practice of stroke and thrombolysis among students preparing for undergraduate medical entrance examination in Kathmandu, Nepal. Health Science Reports. 2021;4(2). https://doi.org/10.1002/hsr2.268
Jacob J, Johnson B, Koshy BS, Saji DA, Feeba P, George Gipsa P, et al. Effect of structured teaching programme on knowledge and practice regarding chair exercises for Hemiplegic patients among B.Sc. Nursing students in a selected Nursing College at Thiruvalla. Asian Journal of Nursing Education and Research. 2020; 10(2):201-206. https://doi.org/10.5958/2349-2996.2020.00043.9
Umar AB, Koehler TJ, Zhang R, Gilbert V, Farooq MU, Davis AT, et al. Stroke knowledge among middle and high school students. Journal of International Medical Research. 2019;47(9):4230–4241. https://doi.org/10.1177/0300060519858887
Thapa L, Sharma N, Poudel R, Bhandari T, Bhagat R, Shrestha A, et al. Knowledge, attitude, and practice of stroke among high school students in Nepal. Journal of Neurosciences in Rural Practice. 2016;7(4):504–509. https://doi.org/10.4103/0976-3147.188635
Khubaib MU, Rathore FA, Waqas A, Jan MM, Sohail S. Knowledge Regarding Basic Facts of Stroke Among Final Year MBBS Students and House Officers: A Cross-Sectional Survey of 708 Respondents from Pakistan. Cureus. 2016;8(3). https://doi.org/10.7759/cureus.539
Rachmawati D, Ningsih DK, Andarini S. Factors affecting the knowledge about stroke risks and early symptoms in emergency department East Java - Indonesia. MNJ (Malang Neurology Journal). 2020; 6(1):11–19. https://doi.org/10.21776/ub.mnj.2020.006.01.3
Wormack L, Brechtel L, Ubah C, Frazier A, Jackson CG, Nathaniel TI. A student-centered intervention program to educate and retain knowledge in stroke education and healthy habits. Preventive Medicine Reports. 2019;14. https://doi.org/10.1016/j.pmedr.2019.100878
Khettar S, Viprey M, Haesebaert J, Jacquin-Courtois S, Luauté J, Mechtouff L, et al. Stroke patients’ support: evaluation of knowledge, practices and training needs of French community pharmacists. International Journal of Clinical Pharmacy. 2021; 43(4):980–989. https://doi.org/10.1007/s11096-020-01204-z
Balaguru T. Effectiveness of Comprehensive Nursing Rehabilitation Programme on Quality of Life among Patient with Post - Acute Stroke – Pilot Study. Int. J. Nur. Edu. and Research. 2016; 4(4): 431-436. DOI: 10.5958/2454-2660.2016.00079.X
Mores G, Whiteman RMN, Ploeg J, Knobl P, Cahn M, Klaponski L, et al. An Evaluation of the Family Informal Caregiver Stroke Self-Management Program. Canadian Journal of Neurological Sciences. 2018; 45(6):660–668. https://doi.org/10.1017/cjn.2018.335
Lee HS, Ung Kim J. The Effect of Self-directed Exercise Using a Task Board on Pain and Function in the Upper Extremities of Stroke Patients. J. Phys. Ther. Sci. 2013; 25(8):963-967.
Newcomer V, Metzinger M, Vick S, Robertson C, Lawrence T, Glass A, et al. A Stroke Rehabilitation Educational Program for Occupational Therapy Students and Practitioners: Usability Study. JMIR Medical Education. 2022; 8(3). https://doi.org/10.2196/35637
Nielsen AH, Kaldan G, Nielsen BH, Kristensen GJ, Shiv L, Egerod I. Intensive care professionals’ perspectives on dysphagia management: A focus group study. Australian Critical Care. https://doi.org/10.1016/j.aucc.2022.04.004
Bae KS, Roh YS. Effects of a multifaceted neurological assessment educational program in nursing students: A randomized crossover study. Nurse Education in Practice. 2022;63. https://doi.org/10.1016/j.nepr.2022.103378
Jang S, Suh EE. Development and application of a mobile-based multimedia nursing competency evaluation system for nursing students: A mixed-method randomized controlled study. Nurse Education in Practice. 2022;64. https://doi.org/10.1016/j.nepr.2022.103458
Tani S, Narazaki H, Inada H, Todo T, Iwata M, Nakao T, et al. An online support system for stroke education - Focusing on use of the system by schoolteachers in junior high schools. International Symposium on Medical Information and Communication Technology, ISMICT. 2013:242–246. https://doi.org/10.1109/ISMICT.2013.6521737
Szmuda T, Alkhater A, Albrahim M, Alquraya E, Ali S, Dunquwah R al, et al. YouTube as a source of patient information for stroke: A content-quality and an audience engagement analysis. Journal of Stroke and Cerebrovascular Diseases. 2020;29(9). https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105065