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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Sivertsen, Jorun Graverholt, Birgitte Espehaug, Birgitte |
| Abstract | Background Dysphagia is common after stroke and represents a major risk factor for developing aspiration pneumonia. Early detection can reduce the risk of pulmonary complications and death. Despite the fact that evidence-based guidelines recommend screening for swallowing deficit using a standardized screening tool, national audits has identified a gap between practice and this recommendation. The aim was to determine the level of adherence to an evidence-based recommendation on swallow assessment and to take actions to improve practice if necessary. Methods We carried out a criteria-based clinical audit (CBCA) in a small stroke unit at a Norwegian hospital. Patients with hemorrhagic stroke, ischemic stroke and transient ischemic attack were included. A power calculation informed the number of included patients at baseline (n = 80) and at re-audit (n = 35). We compared the baseline result with the evidence-based criteria and gave feedback to management and staff. A brainstorming session, a root–cause analysis and implementation science were used to inform the quality improvement actions which consisted of workshops, use of local opinion leaders, manual paper reminders and feedback. We completed a re-audit after implementation. Percentages and median are reported with 95% confidence intervals (CI). Results Among 88 cases at baseline, documentation of swallow screening was complete for 6% (95% CI 2–11). In the re-audit (n = 51) 61% (95% CI 45–74) had a complete screening. Conclusion A CBCA involving management and staff, and using multiple tailored intervention targeting barriers, led to greater adherence with the recommendation for screening stroke patients for dysphagia. |
| Related Links | https://bmcnurs.biomedcentral.com/counter/pdf/10.1186/s12912-017-0222-6.pdf |
| Ending Page | 8 |
| Page Count | 8 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 14726955 |
| DOI | 10.1186/s12912-017-0222-6 |
| Journal | BMC Nursing |
| Issue Number | 1 |
| Volume Number | 16 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2017-06-02 |
| Access Restriction | Open |
| Subject Keyword | Nursing Nursing Management Nursing Research Criteria-based clinical audit Swallow screening Stroke Dysphagia Deglutition disorder |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nursing |
| Journal Impact Factor | 3.1/2023 |
| 5-Year Journal Impact Factor | 3.5/2023 |
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