Evaluating the Effect of Nurse-Led Stroke Transitional Care in Tanzania

Inclusion Criteria

• •Clinical nurses and physicians with six months of working experience in stroke care
• •Clinical nurses and physicians with a minimum of diploma in their professions.
• •Stroke survivors with 18 years old and above
• •Stroke survivors admitted in the stroke units
• •Stroke survivors with primary diagnosis of stroke confirmed by brain CT/MRI
• •Stroke survivors who undergo usual discharge process
• •Stroke survivors who live with their family caregivers
• •Stroke survivors who have mobile phones
• •Stroke survivors who can read and write
• •Stroke survivors who are able to communicate
• •Stroke survivors with National Institutes of Health Stroke Scale (NIHSS) \< 6
• •Stroke survivors with Modified Barthel Index (MBI) \> 9
• •Stroke survivors with Modified Rankin Scale (mRS) \< 5
• •Stroke survivors with Montreal Cognitive Assessment Test (MoCA) \> 14
• •Stroke survivors who are expected to stay in the ward for 3-5 days,
• •Stroke survivors who are expected to survive for 3 months
• •Family caregivers with mobile phones
• •Family caregivers who can read and write
• •Family caregivers who are able to communicate
• •Family caregivers who live with the patient after stroke