The challenging of nurse's roles in Thrombolytic drug on Mobile Stroke Unit among Acute Ischemic Stroke
Keywords:
thrombolytic therapy, mobile stroke unit, nurses’s roles, ischemic strokeAbstract
Stroke is a medical emergency that requires urgent treatment. Patients with acute ischemic stroke who receive treatment within 4.5 hours and have no contraindications can undergo thrombolytic therapy (rt-PA) to restore blood flow and reduce disability. The mobile stroke unit is an innovative solution that increases the likelihood of timely treatment. While this model has been successfully implemented in other countries, there are still several limitations in Thailand.This integrative literature review aims to explore the challenges and the role of nurses in administering thrombolytic therapy in ambulances. Additionally, it proposes strategies to enhance the effectiveness of care for patients with acute ischemic stroke. The review included studies published between 2017 and 2024, sourced from databases such as PubMed, ScienceDirect, ProQuest, Google Scholar, and ThaiJO. Seven articles meeting the Joanna Briggs Institute criteria appraisal were selected for analy sis. The result of this integrative literature review showed (1) the development of mobile stroke Units (MSU) in Thailand requires consideration of budgetary constraints, staffing, medical equipment, and system management, and (2) nurses must possess specialized expertise in taking patient history, performing physical examinations, conducting laboratory tests, and administering thrombolytic therapy on the ambulance. To ensure optimal care delivery in ambulances, it is crucial to enhance nurses’ specialized skills, provide necessary resources, and establish robust support systems. These efforts will improve the efficiency and effectiveness of acute stroke management in mobile settings.
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