International Journal of Health Sciences & Research (www.ijhsr.org) 90 Vol.9; Issue: 12; December 2019 International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Effectiveness of Supplementary Training on Knowledge and Attitude Regarding Comprehensive Care of Acute Ischemic Patient among Nursing Staff Gurjar Nema Ram Professor, NIMS Nursing College, Jaipur ABSTRACT Background: Stroke is a major health problem worldwide, causing death and disability. Presently, the burden of stroke in India is higher in comparison to other developing countries. In India, approximately 1.8 million people suffer from stroke yearly. Nurses are having vital role in caring stroke patients. Therefore nursing staff must have updated knowledge as well as competence of skills in delivering care to the stroke patients. In view of this, regular in-service education and training is essential for nursing staff. Objective: The aim of the study is to evaluate effectiveness of supplementary training on knowledge and attitude regarding comprehensive care of acute ischemic patient among nursing staff. Methods: The one group pre-test and post-test, pre-experimental design was used. 40 nursing staffs were taken for the study by convenient sampling method. The study was done in Nims hospital from 01/11/2016 to 31 st December, 2016. Results: There were significant differences in pre test and post test knowledge and attitude scores, there were significantly higher score of both knowledge and attitude in post test. Conclusion: Study provides support for the effectiveness of a supplementary training on knowledge and attitude regarding comprehensive care of Acute Ischemic Stroke patient among nursing staff. Key words- Effectiveness, supplementary training, knowledge, attitude, comprehensive care, Acute Ischemic Stroke. INTRODUCTION Stroke is the second-leading cause of death behind ischemic heart disease. Globally, in 2013 there were 6.5 million stroke deaths, the highest prevalence of ischemic stroke (1015 to 1184 cases per 100000 people) was in high-income countries (particularly in the United States), with the lowest (up to 339 per 100000) in low- and middle-income countries. [1] Suwanwela NC, (2016) in his survey study on stroke burden and stroke care system in Asia in 2012 reported higher proportion of ischemic stroke in comparison to hemorrhagic stroke in all countries. The overall incidence of stroke in Asia found between 116 and 483/100,000 per year. [2] Stroke is one of the leading causes of death and disability in India. Tapas Kumar et all, (2017) in his studies showed that the age- adjusted annual incidence rate was 105/100,000 in the urban community of Kolkata and 262/100,000 in a rural community of Bengal. The ratio of cerebral infarct to hemorrhage was 2.21. Hypertension was the most important risk factor. Stroke represented 1.2% of total deaths in India. [3] Proper management of stroke risk factors, awareness of stroke warning signs, and appropriate emergency action are critical for preventing stroke incidence, mortality, or morbidity. [4] Nurses require diverse education and training in order to deal with patients with complex