Management of Stroke Disorder

A revision is needed for a paper that need more content and content clarification. Please do the followings: 1. Follow the instructor comments to make correction 2) Please highlight your work 3.Please be sure to follow the sample and include heading the paper All references must be peer reviewed and within the last three years. A doi number or retrieval source is required for all references. 4. Use the professor comments and attached sample paper to each section using the heading. Here is the professor comments You are encouraged to connect with your Course Instructor to strengthen your understanding of the content before working further on this assessment. The submission presents an interesting discussion on the need to address nursing response to patients presenting with signs and symptoms of a stroke (stroke alert/stroke code). The discussion notes that current practice requires the nurse to activate a stroke alert and quickly notify a physician, who will assess the patient to check for major signs of stroke. An appropriate evidence critique table is provided with five current scholarly articles including a systematic review by Craig et al. (2016). The Prosci ADKAR Model is aptly identified as the preferred change model. An appropriate discussion of potential barriers to change is noted including staff resistance to change and potential costs. The submission clearly proposes the need for public education on strokes including signs and symptoms and the importance of calling 911. It is unclear how this recommendation relates to the identified nursing practice issue regarding nursing response to stroke alerts. It is unclear how the articles by Horgan et al. and Chauhan et al. relate to the identified nursing practice concern. The summary of applicable evidence and how this evidence supports the proposed best practice is unclear. Justification for the choice of the ADKAR model and a description of how to apply the identified model to the specific implementation of the proposed practice change is not evident. A discussion of possible ethical implications that may arise when implementing the proposed change is unclear. The Sources aspect will be re-evaluated once the submission is revised. C1B- The evidence critique table includes five sources. Three of these sources are related to identified nursing practice issue concerning recognition and response to acute stroke symptoms. It is unclear how the articles by Horgan et al. and Chauhan et al. relate to this issue. D- A competent summary of findings for three of five articles is provided. It is unclear how the articles by Horgan et al. and Chauhan et al. relate to the identified nursing practice problem. E. The submission clearly proposes the need for public education on strokes including signs and symptoms and the importance of calling 911. It is unclear how the summary of identified articles relate to this proposal. A specific best practice to address the identified practice concern of nursing response to a stroke alert is unclear. F1- The Prosci ADKAR Model is aptly identified as a change model that would work well for the proposed implementation plan. A logical explanation of why this practice change model was chosen is not evident. F2- The Prosci ADKAR Model is clearly identified with accurate description of the five phases of the model. It is unclear how this model would guide the specific steps of the proposed change. H. The submission keenly notes that adopting change explicitly disrupts a facilitys operations and affects both staff and clients. A discussion of possible ethical implications that may arise when implementing the proposed change is unclear as the practice change is unclear. I-The submission includes in-text citations and a reference list with 10 references to support information presented. Several aspects of the submission require major revision. Therefore, this aspect will be re-evaluated once all aspects of the assignment are clearly addressed.