ArticleInternational journal of nursing studies advances2025
'Do Fever-Sugar-Swallow Protocols improve nurses' and physicians' satisfaction with the management of fever, hyperglycemia and dysphagia in stroke patients: A pre-and post-implementation survey of the "Quality in Acute Stroke Care" (QASC) Program'.
Article in International journal of nursing studies advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Nurses play a key role for delivery of high-quality patient care in the interprofessional stroke team. Nurses' autonomy and advanced competencies are essential to a positive work environment, yet, are not well developed in Germany. Objective: To assess whether using the Fever-Sugar-Swallow (FeSS) Protocols in stroke care improves: a) nurses' satisfaction regarding their ability to autonomously manage fever, hyperglycemia, and dysphagia; and b) physicians' satisfaction regarding the management of these parameters in German stroke units. Design: A pre-test/post-test survey administered to nursing and medical staff in eight stroke units was conducted prior to and following implementation of the FeSS Protocols. Methods: An online survey, comprising items regarding global job satisfaction, the target parameters and control parameters, was distributed to participating stroke units. T-tests were calculated for significance between pre-post implementation, Cohen's d was used to measure the effect size. Results: A total of 308 respondents (nurses Conclusions: Despite a tightly-regulated mandatory quality assurance system with well-established therapy guidelines, the implementation of the FeSS Protocols in German stroke units revealed potential for improvement by improving autonomy for nurses as a regular part of nurses' work clinical practice, as it is common in other countries of the world. This would not only improve the quality of care, but could also contribute to increase attractiveness of work at the stroke unit. Registration: Not registered.
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