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Establishing the compliance rate to stroke treatment guidelines at a tertiary hospital in Rwanda and identifying the related barriers to their use
Date Issued
2018-05-02
Author(s)
Stephenson Musiime
University of Global Health Equity
Abstract
Background: Compliance to stroke treatment guidelines is crucial in the care and outcome of
stroke patients. This study aimed at establishing the current compliance rate to the guidelines and
identifying the possible barriers to their use at Oshen-King Faisal Hospital in an effort to
increase the compliance rate to their use. Literature has shown that stroke has high prevalence
both in developed and developing countries including in Rwanda. It has been found that
following evidence-based guidelines improves the outcome of stroke patients. Studies have
identified barriers to use of stroke treatment guidelines and possible measures to overcome them.
Methodology: The study was conducted at Oshen-King Faisal Hospital (KFH). Medical files of
stroke patients admitted to the hospital between January and December 2017 were audited
against the stroke treatment guidelines to establish the current compliance rate. Self-administered
questionnaires were distributed to all clinicians who handle stroke cases to identify the possible
barriers to use of the stroke treatment guidelines.
Results: Fifty stroke files were audited and it was found that the current compliance rate to
stroke treatment guidelines is 76%, which is below the hospital target of 90%. Fifty-five
clinicians completed the questionnaire and the main barriers to use of stroke treatment guidelines
identified were the guidelines being time consuming and not user-friendly, a lack of training on
the guidelines, low familiarity with and unknown location of the guidelines.
Discussion: This study found that the compliance rate to stroke treatment guidelines is lower
than the hospital target and the main barriers to its use were mainly related to the guidelines
themselves. Therefore KFH management should put in place measures that remove the identified
barriers and facilitate compliance to the stroke treatment guidelines.
Conclusion: Compliance to stroke treatment guidelines at KFH is low but can be improved if the
identified barriers are addressed and put in place by hospital management
stroke patients. This study aimed at establishing the current compliance rate to the guidelines and
identifying the possible barriers to their use at Oshen-King Faisal Hospital in an effort to
increase the compliance rate to their use. Literature has shown that stroke has high prevalence
both in developed and developing countries including in Rwanda. It has been found that
following evidence-based guidelines improves the outcome of stroke patients. Studies have
identified barriers to use of stroke treatment guidelines and possible measures to overcome them.
Methodology: The study was conducted at Oshen-King Faisal Hospital (KFH). Medical files of
stroke patients admitted to the hospital between January and December 2017 were audited
against the stroke treatment guidelines to establish the current compliance rate. Self-administered
questionnaires were distributed to all clinicians who handle stroke cases to identify the possible
barriers to use of the stroke treatment guidelines.
Results: Fifty stroke files were audited and it was found that the current compliance rate to
stroke treatment guidelines is 76%, which is below the hospital target of 90%. Fifty-five
clinicians completed the questionnaire and the main barriers to use of stroke treatment guidelines
identified were the guidelines being time consuming and not user-friendly, a lack of training on
the guidelines, low familiarity with and unknown location of the guidelines.
Discussion: This study found that the compliance rate to stroke treatment guidelines is lower
than the hospital target and the main barriers to its use were mainly related to the guidelines
themselves. Therefore KFH management should put in place measures that remove the identified
barriers and facilitate compliance to the stroke treatment guidelines.
Conclusion: Compliance to stroke treatment guidelines at KFH is low but can be improved if the
identified barriers are addressed and put in place by hospital management
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