Design and validation of a comprehensive educational program for stroke nursing care: a mixed methods study

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Publicat a:BMC Medical Education vol. 25 (2025), p. 1-18
Autor principal: Amir Mohamad Nazari
Altres autors: Abbaszadeh, Abbas, Kazemi, Rouzbeh, Nasiri, Malihe, Zandi, Mitra
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Springer Nature B.V.
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022 |a 1472-6920 
024 7 |a 10.1186/s12909-025-07623-8  |2 doi 
035 |a 3236996352 
045 2 |b d20250101  |b d20251231 
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100 1 |a Amir Mohamad Nazari 
245 1 |a Design and validation of a comprehensive educational program for stroke nursing care: a mixed methods study 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundNurse education can assist in developing comprehensive stroke care. This study aimed to design and validate a comprehensive educational program for stroke nursing care.MethodsThis study employed a mixed-methods approach, emphasizing four of the six steps in Kern’s model of educational program development (needs assessment, initial design, goals and specific objectives, and educational strategy). It was conducted at Shohadaye Tajrish, Loghman-e Hakim, and Imam Hossein Hospitals in Tehran during 2023–2024. The initial phase consisted of a comprehensive needs assessment, a literature review, in-depth interviews with twenty nurses and patients, a careful review of patient documents and medical records, as well as direct observations of patient care. The interviews were analyzed with MAXQDA 20 software using the conventional content analysis method. Validation was conducted through two Delphi rounds, with an agreement level of more than 70% based on the frequency of responses in each round.ResultsThrough the Delphi method, twenty experts participated in the evaluation and validation process. In the first round of Delphi, 30 learning topics achieved appropriate consensus (mean scores ranging from 2.33 to 3.55), while 2 topics (applying basic nursing concepts in patient care and providing nursing care based on the nursing process) were eliminated due to inappropriate consensus (mean scores ranging from 1 to 2.32). In the second Delphi round, the validation of the remaining 30 items was reexamined, which obtained an appropriate consensus. In the first round of the Delphi study, a significant Kendall’s coefficient of concordance was observed (Kendall’s W = 0.735, χ²=30.524, p < 0.01); however, after removing two items in the second round, this coefficient improved, indicating stronger agreement among the participants (Kendall’s W = 0.755, χ²=31.624, p < 0.01).ConclusionThis study developed and validated an educational program focused on professional nursing care for stroke patients, recognizing the critical need for continuous education in the neurology department to update nurses’ knowledge and skills with the most current care methods and information.Clinical trial numberNot applicable. 
651 4 |a Iran 
653 |a Continuing education 
653 |a Nurses 
653 |a Clinical outcomes 
653 |a Patients 
653 |a Fatalities 
653 |a Stroke 
653 |a Needs analysis 
653 |a Knowledge 
653 |a Nursing care 
653 |a Medical research 
653 |a Hospitals 
653 |a Data collection 
653 |a Literature reviews 
653 |a Ischemia 
653 |a Delphi method 
653 |a Needs Assessment 
653 |a Guidelines 
653 |a Inservice Education 
653 |a Educational Resources 
653 |a Addition 
653 |a Educational Methods 
653 |a Mixed Methods Research 
653 |a Meta Analysis 
653 |a Instructional Materials 
653 |a Death 
653 |a Information Seeking 
653 |a Delphi Technique 
653 |a Data Analysis 
653 |a Evidence Based Practice 
653 |a Educational Assessment 
653 |a Health Needs 
653 |a College Science 
653 |a Individual Needs 
653 |a Educational Needs 
653 |a Educational Strategies 
653 |a Medical Care Evaluation 
700 1 |a Abbaszadeh, Abbas 
700 1 |a Kazemi, Rouzbeh 
700 1 |a Nasiri, Malihe 
700 1 |a Zandi, Mitra 
773 0 |t BMC Medical Education  |g vol. 25 (2025), p. 1-18 
786 0 |d ProQuest  |t Healthcare Administration Database 
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