Archived
This content is available here strictly for research, reference, and/or recordkeeping and as such it may not be fully accessible. If you work or study at University of Kentucky and would like to request an accessible version, please use the SensusAccess Document Converter.
Date Available
4-23-2019
Year of Publication
2019
Document Type
DNP Project
Degree Name
Doctor of Nursing Practice
Faculty
Dr. Carol Thompson
Faculty
Dr. Nicholas Welker
Abstract
PURPOSE: The purpose of this Quasi-experimental study was to examine the effect of a simulation-based educational NIHSS workshop on nursing accuracy and inter-rater reliability upon use of the National Institutes of Health Stroke Scale (NIHSS).
METHODS: This study was conducted in the Neurological/Neurosurgical Intensive Care Unit (ICU) at Baptist Health, a comprehensive stroke center located in Lexington, KY. The sample included 26 eligible nurses employed in the aforesaid unit. Nurses completed the NIHSS on a patient actor in a simulated scenario (this session was videotaped), a one-on-one debriefing with review of the videotape was conducted afterward, and then the nurse completed the NIHSS on a patient actor in a second scenario.
RESULTS: Four participants scored the patient correctly in scenario one, and nineteen participants scored the patient correctly in scenario two. However, the results were not deemed statistically significant (P=.287, Fisher’s Exact Test). Variability of scoring did improve from scenario 1 to scenario 2 (SD=1.74 and 0.53, respectively). Inter-rater reliability among participants was also shown to increase in scenario 2, with noted differences in five items on the NIHSS.
CONCLUSION: NIHSS simulation-based education was shown to improve accuracy of scoring (SD=1.74 pre-intervention and SD=0.53 post-intervention) and inter-rater reliability (significant results seen in five distinct scale items) of participants. More research is needed to determine if simulation-based NIHSS education has an effect on patient outcomes.
Recommended Citation
Novak, Amanda, "The Effect of a Simulation-Based Education Program on NIHSS Accuracy and Inter-Rater Reliability Among Nursing Staff in the Neurological/Neurosurgical Intensive Care Unit" (2019). DNP Projects. 271.
https://uknowledge.uky.edu/dnp_etds/271
