A half-day stroke workshop based on the Kirkpatrick model to improve new clinical staff behavior

Introduction: The present study aimed to determine the validityand usefulness of scales and training programs for clinical staff toevaluate nerve signs as an initial response to stroke. We developeda stroke workshop, using the analysis, design, development,implementation, and evaluation (ADDIE) model method based oninstructional systems design theory.Methods: The workshop aimed to improve the basic first aidskills of clinical staff for stroke. The participants (n=46) wererandomly assigned to conventional Cincinnati Pre-hospital StrokeScale (CPSS) or modified CPSS groups (simple randomization).Short-term case simulation was conducted immediately after thetraining as well as 6 months later to evaluate the nurses’ skills.We conducted evaluations, using an instructional frameworkthroughout the ADDIE process. We used the Kirkpatrick modelto evaluate the educational effect of up to level 3 in this study.The Wilcoxon signed-rank test was used to analyze differencesbetween the pre-test and post-test groups.Results: The evaluation of the new clinical staff stroke emergencytraining program, either using the conventional CPSS or themodified CPSS, showed that the participants were highly satisfiedand exhibited improved knowledge and skills (conventional CPSS:3.05±0.73 vs 3.64±0.59, P=0.012 and modified CPSS: 2.95±0.97 vs3.61±0.49, P=0.111, before training vs after training, respectively).On the other hand, it was difficult for the participants to evaluateneurologic conditions using the modified CPSS compared withthe conventional CPSS.Conclusion: These results demonstrated that stroke care trainingis effective in reaction, learning, and behavior. The modifiedCPSS could be useful as with the conventional CPSS. In future,evaluation of neurological conditions should be improved.