Evaluation of the Intravenous Tissue Plasminogen Activator Treatment Algorithm of Nursing Intern Students

Study Overview
=================
Brief Summary
-----------------
Intravenous (IV) tissue plasminogen activator (tPA) is one of the key elements of acute ischemic stroke. In this study, acute stroke patients maximum benefit from the treatment, intravenous tissue plasminogen activator (IV tPA) minimizing the errors related to the treatment of acute ischemic stroke patients of nursing students from clinical practice guides published on the treatment of It is aimed to be informed and to standardize nursing interventions.

Detailed Description
-----------------
Time management in acute stroke patients is possible with a multidisciplinary approach and team members who have received specific training for acute stroke patients. Studies have shown that the maximum result of treatment for acute stroke patients depends on nurses' ability to identify disease symptoms, plan and apply symptom-specific nursing care. There is evidence that the multidisciplinary presence of stroke teams in stroke units and the delivery of coordinated care during the acute phase improve patient outcomes . Coordinated care by the stroke team improves patient outcomes, reduces hospital costs, reduces patient readmission, and improves patient care quality.

Official Title
-----------------
Evaluation of the Intravenous Tissue Plasminogen Activator Treatment Algorithm of Nursing Intern Students and Evaluation of the Efficiency of Simulation Method in the Development of Self-Efficacy Proficiency Levels

Conditions
-----------------
Acute Stroke

Intervention / Treatment
-----------------
* Behavioral: theory training
* Behavioral: theory and simulation training


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Intern nursing student at Dokuz Eylül University Exclusion Criteria: Those who did not agree to participate in the study Those who were not be intern

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 30 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Interventional Model Description: Intern nurses will be numbered from 1 to 75 and will be randomly divided into study and control groups from the random numbers table. After the groups are determined by the randomization method, each intern nurse in the study and control groups will be interviewed face to face and their written informed consent will be obtained. Then, all nursing intern students participating in the research will be asked to fill in the IV tPA Treatment Knowledge Level Evaluation Form, Self-Efficacy Competence Scale. Intern nurses in both groups will be given 1-hour theoretical training on IV tPA treatment before, during and after the procedure. In addition, simulation-based training will be applied to the intern nurses in the study group regarding IV tPA treatment before, during and after the procedure.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: intervention<br>Nursing intern students (n:39) will be given theory training about tPA treatment | Behavioral: theory training<br>* theory training<br>* Other names: tPA treatment knowledge of nursing students will increase;|
| Experimental: Control<br>Nursing intern students (n:39) will be given theory training and simulation training about tPA treatment | Behavioral: theory training<br>* theory training<br>* Other names: tPA treatment knowledge of nursing students will increase;Behavioral: theory and simulation training<br>* theory and simulation training<br>* Other names: tPA treatment knowledge of nursing students will increase;|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| self-efficacy scale | Effectiveness change of Intravenous tissue plasminogen activator treatment knowledge after theoric teaching | Change from baseline in Intravenous Tissue Plasminogen Activator Treatment knowledge and 2 weeks after intervention | 
| simulation scale | evaluation the simulation design | 2 weeks after simulation training | 
| tPA treatment information form | Effectiveness change of Intravenous tissue plasminogen activator treatment knowledge after simulation and theoric teaching | Change from baseline in Intravenous Tissue Plasminogen Activator Treatment knowledge and 2 weeks after intervention | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
tissue plasminogen activator, acute stroke, intravenous tissue plasminogen activator, nursing care, neurology nursing, acute stroke treatment