Award Date


Degree Type


Degree Name

Doctor of Nursing (ND)



First Committee Member

Tish Smyer

Second Committee Member

Susan Vanbeuge

Third Committee Member

Richard Tandy

Number of Pages



The overall goal of this Doctor of Nursing Practice (DNP) scholarly project is to complete a program evaluation using the Centers of Disease Control (CDC) Framework for Program Evaluation to measure the effectiveness of a stroke protocol in a rural Nevada hospital. This (DNP) scholarly project evaluates program strategies over third and fourth quarters of 2010 as well as the first, second, and third quarters of 2011, that have been initiated to reduce the burden of neurological disease with the application of a stroke protocol that complies with defined evidence-based strategies for assessment and management of stroke victims. As part of a continuous quality-improvement effort, the implementation of eight quality-of-care stroke measures have been monitored on a quarterly basis both pre and post initiation of the stroke protocol.

The program evaluation of stroke protocol in a rural Nevada hospital evaluates systematic ways to improve procedures that are useful, feasible, ethical, and accurate. Application of the Centers of Disease Control (CDC) Framework for Program Evaluation answers questions by selecting specific evaluation standards. The logic, reasoning, and values of evaluation that are reflected in this framework can lead to lasting impacts, such as basing decisions on experimentation instead of unfounded assumptions. The specific aim of this program evaluation was to analyze the start of a new program within a rural Nevada hospital, to produce information for evaluating the stroke program's effectiveness, and to use this information to make decisions about program refinement, revision, and /or continuation. The key to stroke recovery is through early intervention and treatment.


Cerebrovascular disease – Treatment; Nevada; Rural conditions; Rural hospitals


Critical Care Nursing | Neurology | Nursing

File Format


Degree Grantor

University of Nevada, Las Vegas




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