title: Opinion survey on proposals for improving code stroke in Murcia Health District V, 2014.
abstract: BACKGROUND
  Stroke is a time-dependent neurological disease. Health District V in the Murcia Health System has certain demographic and geographical characteristics that make it necessary to create specific improvement strategies to ensure proper functioning of code stroke (CS). The study objectives were to assess local professionals' opinions about code stroke activation and procedure, and to share these suggestions with the regional multidisciplinary group for code stroke.
  
  
  METHODS
  This cross-sectional and descriptive study used the Delphi technique to develop a questionnaire for doctors and nurses working at all care levels in Area V. An anonymous electronic survey was sent to 154 professionals. The analysis was performed using the SWOT method (Strengths, Weaknesses, Opportunities, and Threats).
  
  
  RESULTS
  Researchers collected 51 questionnaires. The main proposals were providing training, promoting communication with the neurologist, overcoming physical distances, using diagnostic imaging tests, motivating professionals, and raising awareness in the general population.
  
  
  CONCLUSIONS
  Most of the interventions proposed by the participants have been listed in published literature. These improvement proposals were forwarded to the Regional Code Stroke Improvement Group.
authors.affiliation: FEA MFyC, Adjunto del Servicio de Urgencias Hospitalarias, Hospital Virgen del Castillo de Yecla, Área V, Yecla-Jumilla, Región de Murcia, Yecla, Murcia, España. Electronic address: mariad.gonzalez8@carm.es.
authors.forename: M
authors.initials: M
authors.lastname: González-Navarro
authors.affiliation: FEA MFyC, Adjunto del Servicio de Urgencias Hospitalarias, Hospital Virgen del Castillo de Yecla, Área V, Yecla-Jumilla, Región de Murcia, Yecla, Murcia, España.
authors.forename: M A
authors.initials: MA
authors.lastname: Martínez-Sánchez
authors.affiliation: Enfermera/o, Servicio de Urgencias Hospitalarias, Hospital Virgen del Castillo de Yecla, Área V, Yecla-Jumilla, Región de Murcia, Yecla, Murcia, España.
authors.forename: V
authors.initials: V
authors.lastname: Morales-Camacho
authors.affiliation: Enfermera/o, Servicio de Urgencias Hospitalarias, Hospital Virgen del Castillo de Yecla, Área V, Yecla-Jumilla, Región de Murcia, Yecla, Murcia, España.
authors.forename: M
authors.initials: M
authors.lastname: Valera-Albert
authors.affiliation: FEA de Neurología, Adjunta del Servicio de Medicina Interna, Hospital Virgen del Castillo de Yecla, Área V, Yecla-Jumilla, Región de Murcia, Yecla, Murcia, España.
authors.forename: S V
authors.initials: SV
authors.lastname: Atienza-Ayala
authors.affiliation: Enfermera/o, Servicio de Urgencias Hospitalarias, Hospital Virgen del Castillo de Yecla, Área V, Yecla-Jumilla, Región de Murcia, Yecla, Murcia, España.
authors.forename: G
authors.initials: G
authors.lastname: Limiñana-Alcaraz
mesh_terms: D003430:Cross-Sectional Studies; D003697:Delphi Technique; D019983:Guideline Adherence / Q000592:standards*; D006282:Health Personnel / Q000193:education*; D006801:Humans; D009726:Nurses; D010820:Physicians; D020521:Stroke / Q000175:diagnosis*; D011795:Surveys and Questionnaires; D013997:Time Factors
keywords: Manejo prehospitalario; Servicios prehospitalarios; Stroke prehospital management; Stroke prehospital services; Tiempos; Time-to-Treatment