Evidence map›Paper›PMID 41164866›Full record

ReviewStroke2026

Targeted Nursing Interventions for Improving Stroke Care and Outcomes in the Rural Setting: A Scientific Statement From the American Heart Association.

Renee Colsch, Wendy Dusenbury, Michelle Camicia, Ann Leonhardt-Caprio, Andrea King, Mulubrhan Mogos, Robert Moser, Jennifer Patterson, Stephanie Vaughn, Kori S Zachrison and 1 more

Abstract readReview
In one paragraph

Review in Stroke, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Renee Colsch
Wendy Dusenbury
Michelle Camicia
Ann Leonhardt-Caprio
Andrea King
Mulubrhan Mogos
Robert Moser
Jennifer Patterson
Stephanie Vaughn
Kori S Zachrison
American Heart Association Stroke Nursing Committee of the Council on Cardiovascular and Stroke Nursing; and the Stroke Council

Funding

Addressing Racial/Ethnic Disparities in Stroke Care Access Using Hospital Transfer NetworksR01AG079887 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Korilyn Sauser Zachrison · 2023 to 2026
$2.9M
NIA NIH HHS R01 AG079887
6 · The paper itself

Abstract

Stroke remains a leading cause of morbidity and mortality in the United States, with rural-dwelling populations facing significant disparities in stroke prevalence, access to care, and outcomes. Rural-dwelling communities are particularly burdened by limited infrastructure and a higher prevalence of uncontrolled risk factors such as hypertension, diabetes, and obesity. Geographic isolation and long distances to medical facilities hinder timely access to acute stroke care. Nurses in rural settings are vital across the stroke care continuum, including prevention, acute management, and poststroke rehabilitation. They provide community-based education, conduct assessments, stabilize patients, and facilitate rehabilitation. However, rural-dwelling nurses face challenges, including limited access to specialized education, staffing shortages, and geographic barriers, that hinder the delivery of expert stroke care. Telemedicine and artificial intelligence-driven clinical support tools transform rural stroke care by enabling real-time specialist consultations and predictive analytics and enhancing decision-making capabilities. Despite its potential, telemedicine adoption in rural areas remains limited because of infrastructure constraints, resulting primarily from the high cost that low-volume facilities often cannot afford. This scientific statement explores the essential role of rural-dwelling nurses in stroke care and the barriers they face. Key initiatives are identified to enhance stroke care in rural areas, including telemedicine, artificial intelligence, innovative education models, and data-driven quality improvement efforts. Last, implications and resources for targeted nursing interventions to improve rural stroke outcomes, including promoting access to care through telehealth, ensuring ongoing education for rural-dwelling nurses, and advocating for the creation of stroke coordinator and champion roles in rural hospitals, are highlighted.

Indexed as

Rural Health ServicesRural PopulationStrokeAmerican Heart AssociationHumansTelemedicineUnited StatesAHA Scientific Statementsartificial intelligenceprevalencerisk factorsstroketelemedicine

Identifiers

PMID41164866
PMCPMC12997492

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.