Raising stroke prevention champions
Loading...
Date
2026
Journal Title
Journal ISSN
Volume Title
Publisher
MDPI
Abstract
Globally, stroke is a significant health problem and is considered one of the
leading causes of mortality and permanent disability worldwide. Nurses are key stake-
holders and integral members of the stroke care team, contributing to every stage of care.
Objective: This study aimed to assess the effects of a nurse-led stroke training program
on the knowledge, attitudes, and practices of registered nurses working in Berea primary
health care facilities, Lesotho, before and after an educational intervention. Methods: To
evaluate the effectiveness of the nurse-led intervention, this study used a pre-experimental
one-group pretest–posttest design. Participants completed a structured questionnaire be-
fore the intervention to assess their baseline knowledge, attitudes, and practices related to
stroke. Following the intervention, which consisted of educational sessions led by trained
nurses, the same questionnaire was administered again to measure changes in participants’
knowledge, attitudes, and practices. Paired t-tests compared results. Results: A total
of 34 registered nurses from 18 primary healthcare facilities participated in this pre- and
post-intervention questionnaire study. When comparing knowledge, attitudes, and prac-
tices related to stroke before and after the educational intervention, the increase in correct
response rates was statistically significant (p < 0.001). The training evaluation received
positive feedback from the participants. Conclusions: Structured nurse-led educational
interventions enhance nurses’ knowledge, attitudes, and practices in stroke care, leading
to improved patient outcomes and stronger community-based prevention. These find-
ings highlight the need to integrate continuous stroke education into nursing policies and
primary health care practice.