I.

Clinical Question: How effective is the stroke education in the emergency department waiting room?

II. Citation: Effectiveness of stroke education in the emergency

department waiting room.

III.Study Characteristics:

1. Patients Included: There were a total of 329 participants: 151

in the control group and 178 in the intervention group. Gender, age, and educational level of participants did not differ between groups.
2. Interventions

compared:

It

is

stated

that

interventions

implemented that are subject to comparison are the use of educational videos, one-on-one counseling and such that will help the patients more likely to seek medical attention.
3. Outcomes monitored: Monitoring of outcomes revolved on

what

group

(control

group,

intervention

group)

improved

knowledge retention upon follow up check up.

4. Does the study focus on a significant problem in clinical

practice: Yes, it focused on how a health care practitioner should effectively do health teaching to a stroke patient in the emergency department.

IV.

Methodology / Design:

1. Methodology used:

The researchers utilized randomized

controlled trial.

2. Design:

Research team enrolled patients and visitors in the

fast-track waiting area of the ED. After obtaining informed written consent, participants were randomly assigned to the control group or to the intervention group.

3. Setting:

Department of Emergency Medicine, Mount Sinai

School of Medicine, New York, USA.

4. Data Sources: Journal of Stroke & Cerebrovascular Diseases (J

STROKE CEREBROVASC DIS), 2010 May; 19(3): 209-15

5. Subject Selection:
a. Inclusion Criteria: There are no inclusion criteria needed

in order to be a participant as long as they are patients and are able to sign the consent, they are considered as participants in the study.
b. Exclusion Criteria: The control and intervention group

has the same gender, age and educational level in order to know who has more retained knowledge during follow-up.

6. Has the original study been replicated: No, there are no

reports of this study having replications.

7. What were the benefits of the nursing intervention tested

in the study: Benefits include that these people will be given information regarding the 4 main aspects of stroke: signs and symptoms, risk factors, behavior modification, and the urgency to seek medical attention which will help them reduce the probability of having Cerebro-Vascular Accident.

V. Results of the Study: There were a total of 329 participants: 151 in the control group and 178 in the intervention group. Gender, age, and educational level of participants did not differ between groups. At all time points of the study, participants receiving stroke education demonstrated better test scores than those in the control group. However, knowledge retention in the intervention group gradually declined during the follow-up. Individuals enrolled in the intervention group appeared to be more motivated to reduce their smoking habits, compared with control subjects; however, the number of cigarettes they smoked per day did not dramatically decrease in comparison with their own baseline. Receiving the education session did not result in positive diet or physical activity changes.

VI.

Authors Conclusion:

Emergency Department stroke education, which includes video program, one-on-one counseling, and written educational materials, is able to significantly increase stroke knowledge. Modification and reinforcement of education is needed to achieve better knowledge retention and favorable lifestyle modifications.

VII.

Applicability:
1. Does the study provide a direct enough answer to your

clinical

question

in

terms

of

type

of

patients,

interventions and outcomes: Yes, since the only thing that this research want to prove is the effectiveness of stroke education in emergency department and see if it will be able to modify the clients lifestyle after during follow-up.
2. Is it feasible to carry out the nursing action I the real

world: Yes, through this we can make a difference in the clients life and prolong their life through simple changes. And as a Health Care Provider, it is one of our duty to provide teachings to our clients.

VIII. Reviewers Conclusion: Health teaching is one of the things that we need to provide for our clients. Through these teachings, we are making something for them in order to prolong their existence. I can say that proper teaching can really achieve good knowledge retention and lifestyle modifications in order to lessen the probability of having lifestyle disease such as Stroke.