Background: Despite advances in stroke treatment, barriers to quality care persist—particularly delays in recognition and limited knowledge of evidence-based practices among providers, largely on general medical-surgical units. Purpose: A continuing education (CE) program was developed with interactive, self-paced eLearning modules using current evidence-based stroke guidelines with vivid visuals, dynamic graphics, and frequent knowledge checks to promote engagement and retention. The program targeted identified gaps in acute ischemic and hemorrhagic stroke care, emphasizing early recognition, rapid response, guideline-based management, and effective team communication. This study evaluated the program’s effectiveness in improving knowledge, skills, individual and team performance, and outcomes. Methods: Impact was assessed using pre/post-test scores, post-activity evaluations (Likert scale), and organizational feedback. Unpaired test data were analyzed using percentage change and chi-square testing with Yates’ correction to assess association between pre- and post-test results. A two-tailed p-value determined statistical significance. Evaluation data analysis used weighted averages and frequency distributions, and thematic analysis identified team and system-level outcomes from qualitative feedback. Results: Testing (Graph 1) : statistically significant improvements in knowledge and application of evidenced-based interventions were observed post-activity with percentage increases ranging from 12.8–52.6% (n=15,477-16,458 post-test ). Chi-square values (568-3,691) and p-value < 0.0001 confirmed strong statistical significance. Practice changes (Graph 2) : intent to change practice was reported by 84.6% of participants post-activity (n=218,701). At 90-day follow-up, 94.5% of responses described implemented changes, with 64.4% applying guideline - based interventions to improve patient outcomes (n=307). Organizational initiatives (Table 1): among participating organizations, 27.8% (n=36), reported implementing new initiatives aimed at reducing delays in time-sensitive stroke interventions and helping to achieve quality of care outcomes. Conclusion: The CE initiative led to measurable improvements in knowledge, guideline-based practice application, and system-level strategies. These findings support the value of accessible, guideline-driven education in closing practice gaps, advancing individual and team performance, and improving stroke outcomes across systems of care.
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Marianne Bourgeois
Apex Innovations (United States)
Melanie A Abboud
Apex Innovations (United States)
Christine Leger
Stroke
Apex Innovations (United States)
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Bourgeois et al. (Thu,) studied this question.
synapsesocial.com/papers/6980fdc7c1c9540dea80f79d — DOI: https://doi.org/10.1161/str.57.suppl_1.wp010