Date of Conferral

2017

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Mattie Burton

Abstract

Evidence-based practice (EBP) is a relatively new concept for nurses in Indonesia; it has not

been integrated into nursing care. This project sought to introduce EBP to nurses at an acute stroke center (ASC). The knowledge transfer team approach guided the project. The goal was to identify and analyze current data and to develop an EBP guideline for clinical nursing practice in the ASC. Sources of evidence that was used to address the practice-focused question included project team members, organizational documents, and a database search to identify EBP guidelines for the nursing care of acute stroke patients. A database search was conducted using the key terms: stroke, nursing care, nurse, guideline, implementation, and evidence-based practice. The search databases included the National Guideline Clearinghouse, CINAHL Plus, ProQuest, and MEDLINE. From 185 articles, 6 guidelines were identified with applicability and relevance to Indonesian nursing practice. The excluded data consisted of guidelines specific to rehabilitation, medication management, and stroke prevention. Guidelines chosen for further analysis were published by international professional organizations. The AGREE II-GRS instrument guided the analysis of the published international guidelines. Four of the 6 analyzed guidelines scored 7 on all AGREE II-GRS criteria, indicating the highest quality. The conclusion of this doctoral project was the positive reception of EBP via a guideline developed for poststroke patients. The process of EBP introduction to nurses not previously exposed will provide data to further nursing's global body of knowledge. Successful strategies to introduce and incorporate EBP in developing countries will provide positive social change for international nursing practice.

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