• Eslam Abd Alkreem Allsassmah Department of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan
Keywords: critical care, programs, effect, nursing, planning, enhance


Background. Stroke is a devastating disease. It is a major cause for the neurological admission to hospitals all over the world. Limited knowledge among the critical care nurses about stroke in general and specifically about the risk factors, signs, and symptoms of stroke usually is a main source of delayed prompt stroke management and non-compliance with follow-up rehabilitation. Therefore, there is a need for a study that examines the impact of these factors in order to promote stroke management and improve nursing care outcomes.
Aim. This study aimed at measuring the knowledge of Jordanian nurses working in critical care units toward stroke patients.
Methods. This cross-sectional study used the descriptive approach in order to measure the knowledge of the Jordanian nurses working in critical care units regarding stroke patients in the Jordanian hospitals. Data were collected from Jordanian critical care units' nurses from seven hospitals; five private and two public hospitals. Critical care units’ nurses were selected conveniently based on specific inclusion criteria. Eligible participants were required to complete self–reported questionnaires about knowledge in addition to completing demographic questionnaires. The descriptive and inferential statistics were conducted using the SPSS software.
Results. A total of (200) Critical care units’ nurses from public and private hospitals participated in the study. The nurses in this study exhibited poor knowledge on the study scales. There were statistically significant differences among nurses according to the type of hospital on the one scales (P< .05). There is a negative relationship between the knowledge and years of nursing practice in ER or ICU (P= .013).
Conclusions. The measures of knowledge among the nurses in critical care units in the Jordanian hospitals towards stroke patients seem to be highly poor. Nurses in critical care units seem to have acceptable information, but inadequate to correctly enhance stroke awareness. There is a gap that should be stuffed via planning and implementation of educational and instructional programs focused on hospital nurses as well as community sectors in order to improve the stoke focus and experience and avoid the delay in accessing the medical help which would, in return, improve stroke management and reduce its effect in Jordan.


Abu Kamel, A., & Mohammed, H. (2014). Evaluation of Home Care giving Program by Jordanian Stroke Patients' Caregivers. Journal of Natural Sciences Research ,4(22), 2224-3186

American association for critical-care nurses [AACN] (2012). About critical care nurse Retrieved July 3, 2012 Retrieved from

Andrew J. Zhang, Parth Dhruv, Philip Choi, Caitlin Bakker, Jonathan Koffel, David Anderson, Jae Kim, Bharathi Jagadeesan, Bijoy K. Menon, Christopher Streib. (2018). A systematic literature review of patients with carotid web and acute ischemic stroke. Journal Stroke, 49(12), 2872–2876. DOI: 10.1161/STROKEAHA.118.021907

Leonard Baatiema, Ama de-Graft Aikins, Adem Sav, George Mnatzaganian, Carina K Y Chan, Shawn Somerset. (2017). Barriers to evidence-based acute stroke care in Ghana: a qualitative study on the perspectives of stroke care professionals. BMJ Open 2017, DOI: 10.1136/bmjopen-2016-015385.

Baker, M. (2012). Education Requirements for Nurses Working with People with Complex Neurological Conditions: Nurses’ Perceptions. Nurse Education Today,41, 71-77. Retrieved from

Demel, S., Steven, K., Sylvia, L., McDermott, M., & Rexrode, K. (2018). Stroke risk factors unique to women. Stroke, 49(3), 518–523. Retrieved from

Jauch E.C., Huang D.Y., Gardner A.J., Blum J.L. (2018). Strategies for improving outcomes in the acute management of ischemic stroke in rural emergency departments: a quality improvement initiative in the Stroke Belt. Open Access Emerg Med. 2018; 10: 53-59. DOI: 10.2147/OAEM.S160269

Eshah, N. (2013). Knowledge of Stroke and Cerebrovascular Risk Factors Among Jordanian Adults. Journal of Neuroscience Nursing, 45(5), 13-19.

Farraga, M., Orabyb, M., Ghalic, A., Ragabc, O., Nasreldeind, A., Shehatad, G., Elfare, E., & Abd-Allaha, F. (2017). Public stroke knowledge, awareness, and response to acute stroke: Multicenter study from 4 Egyptian governorates. The Neurological Sciences, 384, 46–49. Retrieved from

Haghighi, A., Karimi, A., Amiri, A., & Ghaffarpasand, F. (2010). Knowledge and Attitude towards Stroke Risk Factors, Warning Symptoms and Treatment in an Iranian Population. Med Princ Pract, 19:468–472. DOI: 10.1159/000320306.

Islam, S., Geum Oh, E., Lee, T. and Kim, S. (2017). Stroke Management Awareness and Behavior among Nursing Students in Bangladesh. Open Journal of Nursing, 7, 1-14. Retrieved from

Jenkins, C., Ovbiagele, B., Arulogun, O., Singh, A., Calys-Tagoe, B., Akinyemi, R., ... & Owolabi, M. (2018). Knowledge, Attitudes and Practices Related to Stroke in Ghana and Nigeria: A SIREN call to action. PLos One, 13(11), 1124-1228. DOI: 10.1371/journal.pone.0206548.

Komolafe, M., Obembe, A., Olaogun, M., Adebiyi, A., Ugalahi, Th., Dada, O., Kanu, A., Adebiyi, O., Akilo, F., Ogunkoya, B., & Fawale, B. (2014). awareness of stroke risk factors and warning signs in Nigerian adolescents compared with adults. Journal of Stroke and Cerebrovascular Diseases, 24(3), 687-693. Retrieved from

Madae’en, S. S., Nailya, R. B., Tahanie, A. A., Lina, H.S., Hadeel, H. E., Maisa, K. A., Hiyam, S. A., & Abdallah, M. Y. (2013). Stroke Awareness in the General population: A Study from Jordan. Tropical Journal of Pharmaceutical Research, 12 (6), 1071-1076.

Mason-whitehead, E., Ridgway, V., & Barton, J. (2013). Passed without a stroke: A UK mixed method study exploring student nurses' knowledge of stroke. Nurse Education Today, 33(9), 998-1002.

Dr. Ziad Saraireh, Safwat Al Tal, Dr. Shadi Shawawreh, Dr. Mohammad Thaher, Prof. Safwan Al Salaimeh, Designing an Interactive System for the Implementation of Distance Learning Based on Progressive Information Technology, International Journal of Engineering Research and Technology, Vol.12, Issue 2, 2019.

McDermott, M., Miller, E., Rundek, T., Hurn, P., & Bushnell, C. (2018). Preeclampsia: Association with posterior reversible encephalopathy syndrome and stroke. stroke, 49(3),524-530. A. DOI:10.1161/STROKEAHA.117.018416.

Merriam-Webster Online Dictionary. (2009). knowledge. Retrieved March 14, 2012 Retrieved from

Mosca, L., Benjamin, E. J., Berra, K., Bezanson, J. L., Dolor, R. J., Lloyd-Jones, D. M., & Shaw, L. J. (2011). Effectiveness-based guidelines for the prevention of cardiovascular disease in women-2011 update: a guideline from the American Heart Association. Circulation, CIR. 0b013e31820faaf31828

Niemi, J., McErlane, K., & Tillett, N. (2013). Collaboration and implementation of An annual comprehensive stroke education program. Medsurg Nursing, 22(5), 331- 334. Retrieved from

Dr. Shadi Shawawreh, Dr. Saleh Al Omari, Dr. Mowafaq Salem Alzboon, Prof. Safwan Al Salaimeh, Evaluation of Knowledge Quality in the E-Learning System, International Journal of Engineering Research and Technology, Vol.12, Issue 4, 2019.

O'Donnell, M., Chin, S., Rangarajan, S., Xavier, D., Liu, L., Zhang, H., … & Yusuf, S. (2016). Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries (INTERSTROKE): a case-control study. The Lancet, 388, 761-775. Doi:10.1016/S0140-6736(16)30506-2.

Owolabi, M., Sarf, F., Akinyemi, R., Gebregziabher, M., Akpa, O., Akpalu, A., … & Ovbiagele, B. (2018). Dominant modifiable risk factors for stroke in Ghana and Nigeria (SIREN): a case-control study. Lancet Glob Health, 6(4), 436-446. Retrieved from

Polit, D.F., & Beck, C.T. (2010). Essentials of nursing research: Appraising evidence for nursing practice. Lippincott Williams & Wilkins.

Polit, D.F., & Hungler, B.P. (2010). Nursing Research. Principles and methods, 5th ed. J.B. Lippinott Company, Philadelphia.

Mkrttchian Vardan, Safwan Al Salaimeh, Approximate algorithm for solving the general problem of scheduling theory with high accuracy, International journal of software innovation, Vol. 7, Issue 4, 2019.

Pothiban, L., Khampolsiri, T., & Srirat, Ch. (2018). Knowledge and Awareness of Stroke Impacts Among Northern Thai Population. Pacific Rim Int J Nurs Res, 22(3) 212-222.

Shehata, H., Ahmed, S., Abdelalim, A., & El Sherbiny, N. (2016). Knowledge and attitude towards stroke among workers in Cairo University Hospitals. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 53(1), 54–59, DOI: 10.4103/1110-1083.176374.

Stroke Organization (2015). Stroke falls to the 5th leading cause of death. Retrieved from

Strume, J., Baernholdt, M., Noerholm, V., & Lind, J. (2013). How is nursing care for stroke patients organized? nurses views on best practices. Journal of nursing management ,21, 141-151.

Thomas, L., Harrington, K., Rogers, H., Langhorne, P., Smith, M., & Bond, S. (1999). Development of a scale to assess nurses' knowledge of stroke: a pilot study. Clinical Rehabilitation, 13(6), 518-526. DOI:10.1191/026921599673722884.

Vehovar, V., Toepoel, V., & Steinmetz, S. (2016). Non-probability Sampling. The SAGE Handbook of Survey Methodology, 329.

Wang, Y., Rudd, AG., & Wolfe, CD. (2013). Age and ethnic disparities in incidence of stroke over time: the south London stroke Register. Stroke, 44(12), 3298-3304.

William, J. P., Alejandro, A. R., Teri, A., Opeolu, M. A., Nicholas, C., Bambakidis, K., ...& David, L. T. (2018). Guidelines for the Early Management of Patients with Acute Ischemic Stroke. Stroke, 49(3).

World Health Organization. (2010). STEPS-stroke manual (version 1.2). The WHO STEPwise approach to stroke surveillance. Retrieved from

How to Cite