Conclusion
This study, the first of its kind, aimed to explore the views of nursing
and medical staff in relation to the enablers and barriers to
implementation of the SSCB. The findings potentially offer a focus for
the optimisation of not only the implementation of the SSCB but also
other national improvement projects in the future. The findings are also
potentially relevant to those with an improvement role in Scottish
hospitals looking to increase local compliance with the SSCB and should
be carefully considered for contextual relevance within their own area.
As this is the first comprehensive qualitative assessment of the
enablers and barriers to the implementation of the SSCB further research
will be required, potentially at a national scale, to confirm or
challenge this study’s findings and promote further understanding.
Further evidence could ensure a more consistent application of the SSCB.
Consideration should be given to the development of a simple education
programme about the SSCB and the evidence base which supports it. The
development of permanent stroke nurse coordinator roles or alternatively
direct admission to stroke units should also be considered. Stroke care
should be prioritised both locally and nationally and this should be
evidenced through stroke having a significant presence in local and
national governance agendas.
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