Nurse-led dysphagia screening in acute stroke patients

Lees, Liz; Sharpe, Linda

doi:10.7748/ns.21.6.35.s53

Cited by 17 publications

(5 citation statements)

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“…Additionally, nurses specifically trained in the acting screening dysphagia have a significant role in dropping adverse outcomes connected to dysphagia [4, 6, 34]. However, dysphagia screening by nurses does not shift assessment by the Speech Language Pathologists; instead, it improves the care provided to patients at risk allowing for early detection and intervention [2, 6].…”

Section: Discussionmentioning

confidence: 99%

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: Discussionmentioning

confidence: 99%

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

Abu-Snieneh¹,

Saleh²

2018

Open Nurs. J.

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“…Some services that are currently provided by allied health on the weekend could potentially be provided by other professions. Dysphagia screening after acute stroke completed by trained nurses has been found to reduce wait times for screening from 35 h to less than 1 h [ 33 ]. Malnutrition can be recognised by medical and nursing staff using validated nutrition screening tools [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Challenges, uncertainties and perceived benefits of providing weekend allied health services—a managers’ perspective

Mitchell

O’Brien

Bardoel

et al. 2017

BMC Health Serv Res

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BackgroundHealth services that operate 7 days per week are under pressure to show the increased cost of providing weekend services can be measured in improved patient outcomes. The evidence for weekend allied health services in acute medical and surgical wards is weak and there is wide variation between the services offered at different hospitals.MethodsThis qualitative study was undertaken during a multi-site stepped wedge randomised controlled trial involving twelve acute medical and surgical wards from two Australian hospitals, in which weekend allied health services were removed before being reinstated with a stakeholder driven model. In-depth interviews were conducted with twenty-two staff responsible for managing weekend services at the involved hospitals. Participants were asked about their perceptions of the advantages and disadvantages of providing a weekend allied health service.ResultsManagers perceive the services improve patient flow and quality of care and reduce adverse incidents, such as falls and intensive care admissions. They also highlighted the challenges involved in planning, staffing and managing these services and the uncertainties about how to provide it most effectively.ConclusionsRising healthcare costs provide opportunity for public and professional debate about the most effective way of providing weekend allied health care services, particularly when health services provide limited other weekend services. Some managers perceived weekend allied health services to improve patient quality of care, but without studies which show these services on acute medical and surgical wards clearly change patient outcomes or provide health economic gains, these resources may need to be redirected. The resources may be better spent in areas with clear evidence to show the addition of weekend allied health services improves patient outcomes, such as on acute assess units and rehabilitation wards.

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“…The presence of a formal dysphagia screening protocol of any kind is significantly associated with a reduced incidence of aspiration pneumonia 3 in stroke patients and therefore improved outcomes. A screening test such as the Standardized Swallowing Assessment 4 has been found to be both sensitive and specific to dysphagia and suitable for use by nurses 5–7 . The Standardized Swallowing Assessment may be an effective tool for facilities seeking to implement a dysphagia screening protocol.…”

Section: Translation To Practicementioning

confidence: 99%

Identification and nursing management of dysphagia in individuals with acute neurological impairment (update)

Hines

Wallace

Crowe

et al. 2011

International Journal of Evidence-Based Healthcare

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Forty-two quantitative studies were retrieved and, of these, 17 met the inclusion and quality criteria, representing a wide range of quantitative research methodologies. The evidence from this updated review indicates that nurses are well placed to conduct dysphagia screening and that there are several tools available that may be suitable for them to use. It is important that formal dysphagia screening protocols are in place and that nurses are trained to use them. If nurses screen patients with an acute neurological impairment within 24 h of admission, it may reduce the time that patients spend without appropriate methods of nutrition and hydration and improve clinical outcomes. Dysphagia screening by nurses does not replace assessment by other health professionals; instead it enhances the provision of care to patients at risk by allowing for early recognition and intervention to occur. Dysphagia screening by nurses is an important initial step in the care of patients with acute neurological impairment, but in order to achieve the best outcomes, it needs to be followed up with careful, consistent management of food and fluid intake.

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Nurse-led dysphagia screening in acute stroke patients

Cited by 17 publications

References 0 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

Challenges, uncertainties and perceived benefits of providing weekend allied health services—a managers’ perspective

Identification and nursing management of dysphagia in individuals with acute neurological impairment (update)

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