Expert Nursing Knowledge in the Care of Patients at Risk of Impaired Swallowing

McHale, Jeanne M.; Phipps, Marion; Horvath, Kathy J.; Schmelz, Joseph O.

doi:10.1111/j.1547-5069.1998.tb01268.x

Cited by 20 publications

(19 citation statements)

References 28 publications

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“…Several researchers have described registered nurses competency in term of knowledge and skills regarding screening dysphagia [30, 31, 35, 38, 39]. McHale, Phipps, Horvath, Schmelz, (1998) conducted a study to describe the practical knowledge of expert twelve nurses.…”

Section: Resultsmentioning

confidence: 99%

“…Data were collected by interviews in which nurses deliberated the written narratives; nonparticipant observations and interviews; and patient chart review. By using interpretive phenomenology, they found that greatest nurse in the study did not accomplish a complete assessment of swallowing earlier in feeding patients, which was unexpected from expert nurses as they did not implement this essential assessment [39]. …”

Section: Resultsmentioning

confidence: 99%

“…Nurses conducted the swallowing screening test inconsistently and without a standard procedure, caused chiefly by the lack of knowledge and skills on dysphagia screening, and the absence of training programs [32]. Several researchers emphasis on nurses for training the dysphagia screening [30, 31, 33, 35, 38, 39]. …”

Section: Discussionmentioning

confidence: 99%

“…Most of the studies described registered nurse competency in terms of knowledge and skills by descriptive exploratory design with purposive sampling to describe and assess knowledge about the care of the patients with dysphagia with small sample size [30, 31, 35]. But little of them investigated the practice of nurses [37-39]. Minor studies used quazi-experimental [7, 18, 37] and Randomized clinical trial study [12].…”

Section: Literature Gapmentioning

confidence: 99%

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Registered Nurse's Competency To Screen Dysphagia Among Stroke Patients: Literature Review

Abu-Snieneh¹,

Saleh²

2018

Open Nurs. J.

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Background: An increased number of elderly people in the world may lead to an increase in the incidence of stroke, which creates a burden on the country’s healthcare system. Dysphagia is the most common post stroke. Screening of dysphagia in stroke patients is serious to prevent complication linked to aspiration and inadequate hydration/nutrition. Objective: This literature review aimed to discuss registered nurses' competency to screen dysphagia among stroke patients.Methods:The keywords used were nurse's competency; dysphagia; dysphagia screening; and stroke. These keywords were entered into multiple electronic databases including CINAHL, Medline, Science Direct, Pro Quest, Pub Med, and Wiley Online Library. Aliterature search was conducted for the period2005 to 2016.Results:Seventeen studies were identified by a systematic search ofthe literature.Two parts created the body of this literature review. The first part covers the literature on the training nurses in screening dysphagia among stroke patients and benefits of screening. The second part covers nurse's competency in terms of knowledge and skills of screening dysphagia among stroke patients.Conclusion:Because the nurses have more contact with the patient, they are most likely to observe dysphagia. It is important that formal dysphagia screening protocols are routine nursing care that requires special training to practice. Trained nurses should assess their competency in terms of knowledge and skills via well-developed tool.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Literature Gapmentioning

confidence: 99%

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Registered Nurse's Competency To Screen Dysphagia Among Stroke Patients: Literature Review

Abu-Snieneh¹,

Saleh²

2018

Open Nurs. J.

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“…al (1998), discusses the use of dysphagia practice guidelines and expert nursing knowledge in the treatment of stroke patients, as well the lack of material present in nursing textbooks regarding the responsibility as nurses in the assessment and management of stroke. [22,23] This is where an interprofessional collaboration with different entities can improve patient care. The WHO (World Health Organization) proposes some methods by which health care professionals may interact as with one another to transform the way care is delivered.…”

Section: Teamwork Between Speech Physical Therapists and Nursesmentioning

confidence: 99%

Attracting the interprofessional collaboration between physical therapy, speech therapy and ABSN nursing students working with patients diagnosed with stroke during simulation

Wallace

Gill

2017

JNEP

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The purpose of this mixed methods interprofessional simulation was to assess health science university students in physical therapy, speech therapy, and nursing to the positive role of interprofessional collaboration by means of a live actor stroke simulation. The interprofessional simulation was divided into two segments which was comprised of: 1) the application of various teaching methods and orientation to the simulation lab, and 2) taking part in the organized simulated interprofessional care plan and subsequently participating in the debriefing and self-reflective exercises learning experiences. Logistic regression was used to measure quantitative outcomes including the Simulation Evaluation Survey questionnaire. The results were statistically significant. Qualitative data was obtained during simulation debriefing sessions, and was coded and analyzed. Incorporating the importance of inter-professional collaboration in professional program students helps promote team work, leadership, problem solving, critical thinking, and communication. The authors recommend incorporating interprofessional simulation in the curriculum for health care educational programs.

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Knowledge and practice concerning swallowing disorders in hemiplegic patients among nurses of Bobo–Dioulasso urban primary health care centers in Burkina Faso

et al. 2016

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IntroductionThe quality of management of swallowing disorders (SD) from admission onwards influences the patients' nutritional status and their prognosis. Neurological diseases are the main causes of SD, affecting one in three patients with hemiplegia (Hp). In Burkina Faso (BF), primary health care center (PHCC) nurses are the first to manage these patients, but there are no data related to their management of SD. The study aimed to assess knowledge and practices regarding SD in Hp among PHCC nurses in Bobo–Dioulasso, a main center for care of Hp in BF.MethodsThis cross-sectional study was performed August 1–September 15 2014. Subjects underwent a standardized survey to determine their knowledge and practices concerning SD in Hp.ResultsOf 125 nurses surveyed (83.3% of the targeted workers), 82.4% had experience of caring for Hp. The role of the central nervous system in cases of Hp and SD was recognized by 56.8% of nurses; 42.3% knew that SD can cause aspiration, and 36.0% were aware of rescue techniques to use when aspiration occurs; 39.2% correctly assessed the impact on nutritional status of SD. Knowledge in this area was better among respondents who recently completed training school. 65.6% and 1.6% respectively knew about the impact of posture and the texture of food on the ability to swallow. Among the 103 nurses with experience of treating Hp, 68.0% considered clinical interview the best way to detect SD, and 30.1% did not give the patient advice in this area. In multivariate analysis, detection of SD was associated with good knowledge of the value of voice disorders (OR = 3.5, 95% CI = 1.4–8.1; p = 0.005).ConclusionFew nurses had been warned of the connection between Hp and SD, which are classic issues and potential complications. Practices varied, but most were not in accord with what are recognized as good strategies for SD screening and management. In order to improve care of Hp, neurological and nutritional training should be accompanied by specific training in SD, emphasizing screening and simple management.

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Expert Nursing Knowledge in the Care of Patients at Risk of Impaired Swallowing

Abstract: The areas of assessment described by the nurses can serve as a template for the development of educational content and assessment tools for swallowing.

Cited by 20 publications

References 28 publications

Registered Nurse's Competency To Screen Dysphagia Among Stroke Patients: Literature Review

Registered Nurse's Competency To Screen Dysphagia Among Stroke Patients: Literature Review

Attracting the interprofessional collaboration between physical therapy, speech therapy and ABSN nursing students working with patients diagnosed with stroke during simulation

Knowledge and practice concerning swallowing disorders in hemiplegic patients among nurses of Bobo–Dioulasso urban primary health care centers in Burkina Faso

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