Nurse-led dysphagia screening in the intensive care unit – An implementation study DOI Creative Commons
Anne Højager Nielsen,

Robert Winding,

Bettina Hvas Busk

et al.

Australian Critical Care, Journal Year: 2024, Volume and Issue: 38(1), P. 101100 - 101100

Published: Aug. 29, 2024

BackgroundPostextubation is common in the intensive care unit, and bedside screening by nurses important to detect condition avoid aspiration airways.ObjectiveThe objective of this study was assess implementation nurse-led, systematic dysphagia unit identify barriers facilitators for screening.MethodsDesign: pragmatic study. Based on a programme theory, key behaviours were identified using Behaviour Change Wheel framework. Implementation activities included education, e-learning, peer support, feedback, cues environment. Data sources chart reviews, participant logs, log focus-group interviews.ResultsParticipant logs showed 94% participated educational sessions, less e-learning (67%). Chart reviews very little use nurse-led screening. Only 19% extubated patients followed protocol. Focus groups that accepted Yale Swallow Protocol as valid new skills understandings led empowerment aided decision making. Important keeping nil-per-mouth intubation, lack social support from other professionals, difficulties with documentation. Facilitators colleagues.ConclusionImplementation possible but challenged external factors. Attention should be given alterations protocol alteration instrument easy may facilitate safe oral intake need specialised assessment. aim provide competences swallowing function allow contextualisation without altering properties instrument.

Language: Английский

Knowledge, attitudes and practices of ICU nurses regarding postextubation dysphagia in tracheal intubation patients in 25 hospitals in China: A multicentre cross‐sectional survey DOI Creative Commons
Yanmin Zheng, Nianqi Cui,

Ruiqin Sha

et al.

Nursing in Critical Care, Journal Year: 2025, Volume and Issue: 30(2)

Published: March 1, 2025

Postextubation dysphagia is common in the ICU, with varying incidence rates. However, few studies have focused on ICU nurses' knowledge, attitudes and practices regarding postextubation dysphagia, as well various influencing factors. To investigate provide suggestions for improvement. This was a multicentre cross-sectional survey. Data were collected using validated questionnaire to assess dysphagia. A total of 510 valid questionnaires analysed. The median scores interquartile ranges 8 (7, 9), 9) 4.9 (3.8, 6.2), respectively. Multivariate analysis revealed that knowledge significantly influenced by education level, experience managerial role (p < .05). Nurses bachelor's degree (OR = 3.636; 95% CI: 1.587-8.33) or master's above 7.742; 1.968-30.465) demonstrated higher than those postsecondary diploma. roles had 1.924; 1.053-3.515). Attitude 1.616; 1.092-2.39) practice 4.079; 2.692-6.182) impacted targeted PED training correlation weak but significant only between (τb 0.196, p .001). Education experience, may enhance individually do not lead cohesive improvement across all three areas. Relying alone far from sufficient drive behavioural change, indicating need comprehensive interventions bridge these gaps. this gap, beyond standard are essential. These include applying an implementation science strategy ensure enhanced positive consistently translated into clinical practice.

Language: Английский

Citations

1
Post-extubation dysphagia in intensive care - a prospective observational study DOI Creative Commons
Simona Saibertová,

Vendula Bolechová,

Andrea Pokorná

et al.

Kontakt, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 5, 2025

Language: Английский

Citations

0
Perspective on dysphagia screening, assessment methods, and protocols in intensive care units: an opinion article DOI Creative Commons
Μαρία Δημητρίου, Anastasios M. Georgiou

Frontiers in Human Neuroscience, Journal Year: 2024, Volume and Issue: 18

Published: April 9, 2024

OPINION article Front. Hum. Neurosci., 09 April 2024Sec. Speech and Language Volume 18 - 2024 | https://doi.org/10.3389/fnhum.2024.1375408

Language: Английский

Citations

3
Postextubation dysphagia management in Danish intensive care units: A national survey DOI Creative Commons
Anne Højager Nielsen, Gudrun Kaldan, Lotte Madsen Gade

et al.

Acta Anaesthesiologica Scandinavica, Journal Year: 2024, Volume and Issue: 68(7), P. 949 - 955

Published: May 8, 2024

Abstract Background Postextubation dysphagia (PED) is a common complication to endotracheal intubation in critically ill patients and may lead pneumonia, prolonged ventilation, longer hospital stays, increased mortality. Recognizing paramount preventing adverse events. The aim of this study was describe PED management by investigating practice Danish intensive care units (ICUs) focusing on current 2023 (screening, prevention, treatment), perceived best (barriers facilitators), when possible, compare 2017 2023. Methods Self‐reported, cross‐sectional survey ICUs administered from April May In addition, data were compared with the Dysphagia Intensive Care Evaluation study, possible. Results Only half reported have protocol, less than routinely screen for after extubation. Most screening methods oral mechanism examination, water test, Facio‐oral tract therapy. Nurses physicians often relied an overall physical assessment patient. Best treatment uniformly agreed be patient positioning, modification food fluids, use ergonomic utensils, compensatory maneuvers. Key barriers lack specialized staff, under‐recognition as health issue, standardized protocols. Conclusion Awareness increasing identification, slowly improving, but systematic implementation protocols could enhance ICUs.

Language: Английский

Citations

1
Nurse-led dysphagia screening in the intensive care unit – An implementation study DOI Creative Commons
Anne Højager Nielsen,

Robert Winding,

Bettina Hvas Busk

et al.

Australian Critical Care, Journal Year: 2024, Volume and Issue: 38(1), P. 101100 - 101100

Published: Aug. 29, 2024

BackgroundPostextubation is common in the intensive care unit, and bedside screening by nurses important to detect condition avoid aspiration airways.ObjectiveThe objective of this study was assess implementation nurse-led, systematic dysphagia unit identify barriers facilitators for screening.MethodsDesign: pragmatic study. Based on a programme theory, key behaviours were identified using Behaviour Change Wheel framework. Implementation activities included education, e-learning, peer support, feedback, cues environment. Data sources chart reviews, participant logs, log focus-group interviews.ResultsParticipant logs showed 94% participated educational sessions, less e-learning (67%). Chart reviews very little use nurse-led screening. Only 19% extubated patients followed protocol. Focus groups that accepted Yale Swallow Protocol as valid new skills understandings led empowerment aided decision making. Important keeping nil-per-mouth intubation, lack social support from other professionals, difficulties with documentation. Facilitators colleagues.ConclusionImplementation possible but challenged external factors. Attention should be given alterations protocol alteration instrument easy may facilitate safe oral intake need specialised assessment. aim provide competences swallowing function allow contextualisation without altering properties instrument.

Language: Английский

Citations

1