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Screening swallowing function of patients with acute stroke. Part two: detailed evaluation of the tool used by nurses
Author(s) -
Perry Lin
Publication year - 2001
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1046/j.1365-2702.2001.00502.x
Subject(s) - swallowing , dysphagia , medicine , summative assessment , rehabilitation , stroke (engine) , acute care , clinical judgement , judgement , acute stroke , physical therapy , physical medicine and rehabilitation , nursing , health care , intensive care medicine , psychology , formative assessment , surgery , mechanical engineering , pedagogy , emergency department , economic growth , law , political science , engineering , economics
• Stroke is a common problem and a major consumer of health and social care budgets in the UK. • Dysphagia is a frequent accompaniment and its management has the potential to exert significant influence within the rehabilitation process. • This study explores in detail the performance of a screening tool (based on the Standardized Swallowing Assessment) used by nurses. • Based on 68 complete screening episodes by independently competent nurses, with the effects of chance removed, the tool demonstrated good agreement with summative clinical judgement of swallow function (κ=0.88). The accuracy of results supported the full training and education programme for nurses. • Not all components of the tool were required; analyses suggested elimination of three variables but further exploration is warranted. • As a component of evidence‐based guidelines for nutritional support in acute stroke, the screening initiative contributed to improved patient outcomes.