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pdf icon A vision for dysphagia screening by nurses

Petra Mandysová
Faculty of Health Studies, University of Pardubice

Abstract

MANDYSOVÁ, P. A vision for dysphagia screening by nurses. In Ošetrovateľstvo: teória, výskum, vzdelávanie [online], 2014, vol. 4, no. 1, pp. 37-41. Available on: https://www.osetrovatelstvo.eu/archiv/2014-rocnik-4/cislo-1/a-vision-for-dysphagia-screening-by-nurses.

Aim: The aim was to develop and implement in practice a simple nursing dysphagia screening tool (NDST).

Methods and Sample: In Phase 1, a total of 157 patients prone to dysphagia underwent a nursing swallowing assessment (32 items). The results were compared with the objective flexible endoscopic examination of swallowing (FEES). Nursing assessment items with a statistically significant relationship to FEES became the NDST items. In Phase 2, the effectiveness of an educational session on the NDST’s correct use was studied, using a knowledge post-test. Seventy nurses or university students attended the session. In Phase 3, the NDST’s inter-rater reliability was studied on a sample of 42 patients with cerebrovascular accident, using coefficient kappa (κ).

Results: Eight items were selected for the NDST; its sensitivity (95.5%) and negative predictive value (88.9%) were high in the neurological subgroup. The average success rate of the knowledge post-test was 73.8%. The overall inter-rater reliability was low (κ = 0.264; p = 0.047); however, substantial agreement was reached for selected items.

Conclusion: The NDST is the only dysphagia screening tool developed in the Czech Republic; its diagnostic criteria are high. Current work focuses on fine-tuning education and supporting its implementation.

Keywords: dysphagia, inter-rater reliability, nursing assessment, screening tool, swallowing

Full text (english language)

Contact

Petra Mandysová, MSN, Ph.D.
Faculty of Health Studies, University of Pardubice
Průmyslová 395
532 10 Pardubice
Czech Republic
email: Petra.Mandysova@upce.cz

Prijaté: 21. 3. 2014
Akceptované: 28. 4. 2014