PURPOSE: Adherence to treatment protocols to manage @entity221 , @entity4854 , and @entity1282 is associated with reduced levels of mortality and morbidity in @entity64 @entity1 . However, the extent of research translation in this area is unclear. The aim of this study was to determine whether there is an evidence-practice gap in the management of @entity221 , @entity4854 , and @entity1282 in an @entity64 . DESIGN: Medical records were audited to determine whether clinical practice was consistent with best practice, as defined by treatment protocols used within the Quality in @entity64 Care study. METHODS: Data were collected regarding the assessment and management of @entity221 , @entity4854 , and @entity1282 . Reasons for variance from "best practice" care were noted. The case note audit took place in an @entity64 in a large teaching hospital in Australia. @entity1 were 53 @entity64 survivors discharged from the study site over a 6-month period in 2013. FINDINGS: Care processes did not consistently reflect best practice. Temperature was monitored 4-6 hourly in 62% of the @entity1 . Fifty-three percent of the @entity1 had a fingerprick blood @entity413 level on admission to the @entity64 unit and only 4% of the @entity1 were monitored 6th hourly. Data showed that 83% of the @entity1 received a swallow assessment within 24  hours by a speech pathologist. Thirty percent of the @entity1 were given food and fluids before speech assessment. Only eight @entity1 (26%) directly admitted to the @entity64 unit received best practice assessment of temperature, blood @entity413 , and @entity1282 . CONCLUSIONS: Current practice does not reflect best practice. Barriers to research translation are currently unclear but must be overcome to improve care quality for @entity64 survivors. Multifaceted interventions to ensure uptake of care protocols are required. CLINICAL RELEVANCE: Consistent provision of evidence-based practice needs to be available to ensure @entity1 are provided with the best nursing care following @entity64 .

Management of Fever, @entity4854 , and @entity1282 in an XXXX Unit.

@entity1 :: ('9606', 'Species') :: ['patients', 'Participants'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke', 'acute stroke', 'Acute Stroke', 'acute stroke unit'] @entity1282 :: ('MESH:D003680', 'Disease') :: ['dysphagia'] @entity413 :: ('MESH:D005947', 'Chemical') :: ['glucose'] @entity221 :: ('MESH:D005334', 'Disease') :: ['fever'] @entity4854 :: ('MESH:D006943', 'Disease') :: ['hyperglycemia']
@entity64 :: (MESH:D020521,Disease) :: ['Acute Stroke']
