Kontakt 2016, 18(2):e56-e63 | DOI: 10.1016/j.kontakt.2016.05.008

A cross-border educational session promoting nursing dysphagia screening in Greece: A pilot studyNursing - Original article

Petra Mandysováa,*, Josef Fuseka, Chrysoula Tsioub, Sotirios Plakasb
a University of Pardubice, Faculty of Health Studies, Department of Nursing, Pardubice, Czech Republic
b Technological Educational Institute of Athens, Faculty of Health and Caring Professions, Department of Nursing, Athens, Greece

Aim: Dysphagia is a common and potentially serious problem in patients with neurological conditions. In many countries, dysphagia screening is used, which contributes to better patient outcomes. In Greece, the implementation of dysphagia screening has not yet been described. The aim was to examine the effectiveness of an educational session delivered to Greek masters-level nursing students and their faculty on the correct use of an 8-item nursing dysphagia screening instrument developed in the Czech Republic.

Methods: Fifteen students and nursing faculty members of the Technological Educational Institute of Athens were enrolled in this descriptive pilot study. They were educated on dysphagia in a session consisting of a theoretical and practical part and a discussion. The participants were asked to indicate their clinical experience with dysphagia and their opinion on the importance of nurses' involvement in dysphagia assessment. Their knowledge of the screening procedure and interpretation and documentation of the result was tested using a hypothetical patient case.

Results: In this study, 4 (27%) participants had prior experience with patients with dysphagia. All of them thought that nurses' involvement in dysphagia assessment was very important. Slightly more than half of the participants identified, interpreted, and documented all of the 8 item results correctly.

Conclusion: The participants were motivated to learn, however, complete mastery of the assessment technique was not achieved. The learning experience was affected by several issues that were unique to Greece, and the participants' efforts focused on understanding how the new knowledge and skills could affect their daily practice. Direct ongoing support in the clinical setting could be beneficial.

Keywords: Brief Bedside Dysphagia Screening Test-Revised; Greece; nursing education; assessment skills; neurological conditions

Received: February 2, 2016; Revised: April 4, 2016; Accepted: May 25, 2016; Published: June 27, 2016  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Mandysová P, Fusek J, Tsiou C, Plakas S. A cross-border educational session promoting nursing dysphagia screening in Greece: A pilot study. Kontakt. 2016;18(2):e56-63. doi: 10.1016/j.kontakt.2016.05.008.
Download citation

References

  1. Kertscher B, Speyer R, Palmieri M, Plant C. Bedside screening to detect oropharyngeal dysphagia in patients with neurological disorders: An updated systematic review. Dysphagia 2014;29(2):204-12, doi: 10.1007/s00455-013-9490-9. Go to original source... Go to PubMed...
  2. Martino R, Martin RE, Black S. Dysphagia after stroke and its management. CMAJ 2012;184(10):1127-8, doi: 10.1503/cmaj.101659. Go to original source... Go to PubMed...
  3. Herdman TH, Kamitsuru S (eds). NANDA International Nursing Diagnoses: Definitions & Classification, 2015-2017. Oxford: Wiley Blackwell, 10th ed.; 2014, 483 p. Go to original source...
  4. Daniels SK, Anderson JA, Willson PC. Valid items for screening dysphagia risk in patients with stroke: a systematic review. Stroke 2012;43(3):892-7, doi: 10.1161/STROKEAHA.111.640946. Go to original source... Go to PubMed...
  5. Hinchey JA, Shephard T, Furie K, Smith D, Wang D, Tonn S. Formal dysphagia screening protocols prevent pneumonia. Stroke 2005;36:1972-6. Doi: 10.1161/01.STR.0000177529.86868.8d. Go to original source... Go to PubMed...
  6. Poorjavad M, Jalaie S. Systemic review on highly qualified screening tests for swallowing disorders following stroke: Validity and reliability issues. Journal of Research in Medical Sciences 2014;19(8):776-85. Go to PubMed...
  7. O'Horo JC, Rogus-Pulia N, Garcia-Arguello L, Robbins J, Safdar N. Bedside diagnosis of dysphagia: A systematic review. J Hosp Med 2015;10(4):256-65, doi: 10.1002/jhm.2313. Go to original source... Go to PubMed...
  8. Wilkinson AH, Burns SL, Witham MD. Aspiration in older patients without stroke: A systematic review of bedside diagnostic tests and predictors of pneumonia. Eur Geriatr Med 2012;3(3):145-52, doi: 10.1016/j.eurger.2012.02.004. Go to original source...
  9. Middleton S, Grimley R, Alexandrov AW. Triage, treatment, and transfer: evidence-based clinical practice recommendations and models of nursing care for the first 72 hours of admission to hospital for acute stroke. Stroke 2015;46(2):e18-25, doi: 10.1161/STROKEAHA.114.006139. Go to original source... Go to PubMed...
  10. Solná G, Lasotová N, Lebedová Z, Hofmanová J, Baborová E. Návrh jednotného postupu v péči o pacienty s dysfagií na iktových jednotkách v ČR. No date. [online] [cit. 2015-10-21]. Available from: http://nemocnicevitkovice.agel.cz/pracoviste/oddeleni/neurologicke-oddeleni/pdf/pece-o-pac-dysfagie.pdf
  11. Mandysová P, Ehler E, Škvrňáková J, Černý M, Bártová I, Pellant A. Development of the Brief Bedside Dysphagia screening Test-Revised: a cross-sectional Czech study. Acta Medica 2015;58(2):49-55, doi: 10.14712/18059694.2015.93. Go to original source... Go to PubMed...
  12. Schepp SK, Tirschwell DL, Miller RM, Longstreth WT, Jr. Swallowing screens after acute stroke: a systematic review. Stroke 2012;43(3):869-71, doi: 10.1161/STROKEAHA.111.638254. Go to original source... Go to PubMed...
  13. DePippo KL, Holas MA, Reding MJ. Validation of the 3-oz water swallow test for aspiration following stroke. Arch Neurol 1992;49(12):1259-61, doi: 10.1001/archneur.1992.00530360057018. Go to original source... Go to PubMed...
  14. Suiter DM, Leder SB. Clinical utility of the 3-ounce water swallow test. Dysphagia 2008;23(3):244-50, doi: 10.1007/s00455-007-9127-y. Go to original source... Go to PubMed...
  15. Lim SH, Lieu PK, Phua SY, Seshadri R, Venketasubramanian N, Lee SH, Choo PW. Accuracy of bedside clinical methods compared with fiberoptic endoscopic examination of swallowing (FEES) in determining the risk of aspiration in acute stroke patients. Dysphagia 2001;16(1):1-6, doi: 10.1007/s004550000038. Go to original source... Go to PubMed...
  16. Kidd D, Lawson J, Nesbitt R, MacMahon J. Aspiration in acute stroke: a clinical study with videofluoroscopy. Q J Med 1993;86(12):825-9.
  17. Donovan NJ, Daniels SK, Edmiaston J, Weinhardt J, Summers D, Mitchell PH. Dysphagia screening: state of the art: invitational conference proceeding from the State-of-the-Art Nursing Symposium, International Stroke Conference 2012. Stroke 2013;44(4):e24-31, doi: 10.1161/STR.0b013e3182877f57. Go to original source... Go to PubMed...
  18. Mandysová P, Ehler E, Škvrňáková J. Impaired swallowing: a neglected nursing diagnosis? Profese online 2011;4(1):16-20. Go to original source...
  19. Lukšová H, Vrublová Y. Impaired swallowing as a nursing diagnosis by NANDA International. Ošetřovatelství a porodní asistence 2012;3(4):490-6.
  20. Hočevar Posavec B, Vidmar V. Dilemmas faced by nurses caring for patients with swallowing disorders. Rehabilitacija 2015;14(Supl. 1):117-23.
  21. Mandysová P. A vision for dysphagia screening by nurses. Ošetrovateľstvo: teória, výskum, vzdelávanie 2014;14(1):39-43.
  22. Rhoda A, Pickel-Voight A. Knowledge of nurses regarding dysphagia in patients post stroke in Namibia. Curationis 2015;38(2):1-7, doi: 10.4102/curationis.v38i2.1564. Go to original source... Go to PubMed...
  23. Theofanidis D. Nursing stroke patients in Greece in austerity times. International Journal of Caring Sciences 2015;8(2):238-40.
  24. Mandysová P, Škvrňáková J, Ehler E, Černý M. Development of the Brief Bedside Dysphagia Screening Test in the Czech Republic. Nurs Health Sci 2011;13(4):388-95, doi: 10.1111/j.1442-2018.2011.00630.x. Go to original source... Go to PubMed...
  25. Sideras S, McKenzie G, Noone J, Markle D, Frazier M, Sullivan M. Making simulation come alive: Standardized patients in undergraduate nursing education. Nurs Educ Perspect 2013;34(6):421-5, doi: 10.5480/1536-5026-34.6.421. Go to original source... Go to PubMed...
  26. Knowles MS, Holton III EF, Swanson RA. The adult learner. New York: Routledge, 8th ed.; 2015, 402 p. Go to original source...
  27. Malandraki GA, Markaki V, Georgopoulos VC, Bauer JL, Kalogeropoulos I, Nanas S. An international pilot study of asynchronous teleconsultation for oropharyngeal dysphagia. J Telemed Telecare 2013;19:75-9, doi: 10.1177/1357633X12474963. Go to original source... Go to PubMed...
  28. Theofanidis D. Sick by appointment? Health Science Journal 2015;9(1):1-3.
  29. Mandysová P, Ehler E. The effectiveness of a nurse-led educational session focused on dysphagia screening. In: Líšková M, Semanišinová M, Zrubcová D. Nursing of the 21st century in the process of change. Nitra: Constantine the Philosopher University in Nitra, Faculty of Social Sciences and Health Care, Department of Nursing; 2013, p. 185-191.