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Experiences of Nurses in the Use of Evidence-Based Guidelines in Dysphagia Management (A Qualitative Study)

Year 2021, , 35 - 42, 31.03.2021
https://doi.org/10.31125/hunhemsire.906943

Abstract

Aim: This study aims to determine the experiences and opinions of nurses regarding the use of evidence-based guidelines developed.
Material and Methods: Descriptive qualitative research method was used in the study. The sample consists of 10 nurses who provide care to stroke patients. The study data was collected using the in-depth interview method by the semi-structured interview form and descriptive information form and evaluated by Colaizzi's Content Analysis Method.
Results: Nurses caring for stroke patients using evidence-based guidelines stated that they see the developed guideline as a resource that increases patient safety, quality of care, patient and nurse satisfaction, and professional competence while facilitates access to information. Besides, the nurses have reported that the use of the guideline increased their motivation, made them feel supported in fulfilling their independent nursing roles, allowed them to experience the motivation of implementing the evidence-based practice, and gave them the satisfaction of witnessing the cooperation between the academic and clinical fields.
Conclusion: In the study, it was concluded that the use of a guideline in clinical practice increased patient safety, quality of care, professional competence, and patient and nurse satisfaction. It is recommended that evidence-based guidelines are applied and expanded in the clinic.

References

  • 1. Boyraz S. İnmeli bireylerde yutma ve beslenme. Turkiye Klinikleri J Intern Med Nurs-Special Topics. 2015;1(1):48-53.
  • 2. Durna Z, Akyıl RÇ. İnmeli Bireylerde Multidisipliner Rehabilitasyon. Turkiye Klinikleri J Intern Med Nurs-Special Topics. 2015;1(1):72-82.
  • 3. Hines S, Kynoch K, Munday J. Nursing interventions for identifying and managing acute dysphagia are effective for improving patient outcomes: a systematic review update. Journal of Neuroscience Nursing. 2016;48(4):215-23.
  • 4. Raoufi F, Shade K. Evaluation of nursing dysphagia screening tools among patients with stroke: A systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports. 2014;12(10):61-72.
  • 5. Titsworth WL, Abram J, Fullerton A, Hester J, Guin P, Waters MF, ve ark. Prospective quality initiative to maximize dysphagia screening reduces hospital-acquired pneumonia prevalence in patients with stroke. Stroke. Nov 2013;44(11):3154-60.
  • 6. 6Sorensen RT, Rasmussen RS, Overgaard K, Lerche A, Johansen AM, Lindhardt T. Dysphagia screening and intensified oral hygiene reduce pneumonia after stroke. J Neurosci Nurs. Jun 2013;45(3):139-46.
  • 7. Middleton S, McElduff P, Ward J, Grimshaw JM, Dale S, D'Este C, ve ark. Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC): a cluster randomised controlled trial. Lancet. Nov 12 2011;378(9804):1699-706.
  • 8. Perry L, McLaren S. Nutritional support in acute stroke: the impact of evidence-based guidelines. Clin Nutr. Jun 2003;22(3):283-93.
  • 9. Kocaman G. Hemşirelikte kanıta dayalı uygulama. Hemşirelikte Araştırma Geliştirme Dergisi. 2003;2(4):61-9.
  • 10. 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-e25.
  • 11. Piñero-Sáez S, Córcoles-Jiménez MP, Ruiz-García MV. Implementation results of a Best Practice Guideline in stroke patients hospitalized. Revista Científica de la Sociedad de Enfermería Neurológica (English ed). 2018.
  • 12. Twaddle S. Clinical practice guidelines. Singapore Medical Journal. Dec 2005;46(12):681-86.
  • 13. Schaffer MA, Sandau KE, Diedrick L. Evidence-based practice models for organizational change: overview and practical applications. J Adv Nurs. 2013;69(5):1197-209.
  • 14. Göl I, Ozsoy S. Research utilization models in nursing and research examples using these models (Hemşirelikte Araştırma Kullanım Modelleri ve Bu Modellerin Kullanıldığı Araştırma Örnekleri). Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi.2016;8:162-85
  • 15. Reker DM, Duncan PW, Horner RD, Hoenig H, Samsa GP, Hamilton BB, ve ark. Postacute stroke guideline compliance is associated with greater patient satisfaction. Arch Phys Med Rehabil. 2002;83(6):750-56.
  • 16. Yıldırım K. Raising the quality in qualitative research.İlköğretim Online. 2010;9(1):79-92.
  • 17. Bjartmarz I, Jónsdóttir H, Hafsteinsdóttir TB. Implementation and feasibility of the stroke nursing guideline in the care of patients with stroke: A mixed methods study. BMC Nursing. 2017;16(1):72.
  • 18. Perry L. Screening swallowing function of patients with acute stroke. Part two: detailed evaluation of the tool used by nurses. Journal of Clinical Nursing. 2001;10(4):474- 81.
  • 19. Perry L, Hamilton S, Williams J, Jones S. Nursing interventions for improving nutritional status and outcomes of stroke patients: descriptive reviews of processes and outcomes. Worldviews Evid Based Nurs. Feb 2013;10(1):17-40.
  • 20. Donnellan C, Sweetman S, Shelley E. Implementing clinical guidelines in stroke: A qualitative study of perceived facilitators and barriers. Health Policy. 2013;111(3):234-44.

Hemşirelerin Disfaji Yönetiminde Kanıta Dayalı Rehber Kullanımına Yönelik Deneyimleri (Nitel Bir Çalışma)

Year 2021, , 35 - 42, 31.03.2021
https://doi.org/10.31125/hunhemsire.906943

Abstract

Amaç: Bu çalışmada hemşirelerin, geliştirilen kanıta dayalı rehber kullanımına ilişkin deneyim ve görüşlerinin belirlenmesi amaçlanmıştır.
Gereç ve Yöntem: Çalışmada tanımlayıcı nitel araştırma yöntemi kullanılmıştır. Örneklem, inmeli hastaya bakım veren 10 hemşireden oluşmaktadır. Araştırmanın verileri, “Tanıtıcı Bilgi Formu” ve “Yarı Yapılandırılmış Görüşme Formu” kullanılarak “derinlemesine görüşme” yöntemiyle toplanmış ve Colaizzi’nin İçerik Analizi Yöntemi ile değerlendirilmiştir.
Bulgular: Çalışmamızda geliştirilen kanıta dayalı rehber ile inmeli hastaya bakım veren hemşireler, oluşturulan bu rehberi; hasta güvenliğini, bakım kalitesini, hasta ve hemşire memnuniyetini ve mesleki yeterlilikleri artıran ve ayrıca bilgiye ulaşmayı kolaylaştırıcı bir kaynak olarak gördüklerini belirtmiştir. Ayrıca çalışma kapsamındaki hemşireler rehber kullanımının; motivasyonlarını artırdığını, bağımsız hemşirelik rollerini yerine getirme konusunda desteklendiklerini hissettiklerini, kanıta dayalı uygulamayı hayata geçirmenin motivasyonunu yaşadıklarını ve akademik alan ile klinik alan arasında kurulan işbirliğinden duydukları memnuniyeti ifade etmiştir.
Sonuç: Çalışmada klinikte rehber kullanımının, hasta güvenliği, bakım kalitesi, mesleki yeterlilik, hasta ve hemşire memnuniyetini artırdığı belirlenmiştir. Kanıta dayalı rehberlerin klinikte uygulanması ve yaygınlaştırılması önerilmektedir.

References

  • 1. Boyraz S. İnmeli bireylerde yutma ve beslenme. Turkiye Klinikleri J Intern Med Nurs-Special Topics. 2015;1(1):48-53.
  • 2. Durna Z, Akyıl RÇ. İnmeli Bireylerde Multidisipliner Rehabilitasyon. Turkiye Klinikleri J Intern Med Nurs-Special Topics. 2015;1(1):72-82.
  • 3. Hines S, Kynoch K, Munday J. Nursing interventions for identifying and managing acute dysphagia are effective for improving patient outcomes: a systematic review update. Journal of Neuroscience Nursing. 2016;48(4):215-23.
  • 4. Raoufi F, Shade K. Evaluation of nursing dysphagia screening tools among patients with stroke: A systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports. 2014;12(10):61-72.
  • 5. Titsworth WL, Abram J, Fullerton A, Hester J, Guin P, Waters MF, ve ark. Prospective quality initiative to maximize dysphagia screening reduces hospital-acquired pneumonia prevalence in patients with stroke. Stroke. Nov 2013;44(11):3154-60.
  • 6. 6Sorensen RT, Rasmussen RS, Overgaard K, Lerche A, Johansen AM, Lindhardt T. Dysphagia screening and intensified oral hygiene reduce pneumonia after stroke. J Neurosci Nurs. Jun 2013;45(3):139-46.
  • 7. Middleton S, McElduff P, Ward J, Grimshaw JM, Dale S, D'Este C, ve ark. Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC): a cluster randomised controlled trial. Lancet. Nov 12 2011;378(9804):1699-706.
  • 8. Perry L, McLaren S. Nutritional support in acute stroke: the impact of evidence-based guidelines. Clin Nutr. Jun 2003;22(3):283-93.
  • 9. Kocaman G. Hemşirelikte kanıta dayalı uygulama. Hemşirelikte Araştırma Geliştirme Dergisi. 2003;2(4):61-9.
  • 10. 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-e25.
  • 11. Piñero-Sáez S, Córcoles-Jiménez MP, Ruiz-García MV. Implementation results of a Best Practice Guideline in stroke patients hospitalized. Revista Científica de la Sociedad de Enfermería Neurológica (English ed). 2018.
  • 12. Twaddle S. Clinical practice guidelines. Singapore Medical Journal. Dec 2005;46(12):681-86.
  • 13. Schaffer MA, Sandau KE, Diedrick L. Evidence-based practice models for organizational change: overview and practical applications. J Adv Nurs. 2013;69(5):1197-209.
  • 14. Göl I, Ozsoy S. Research utilization models in nursing and research examples using these models (Hemşirelikte Araştırma Kullanım Modelleri ve Bu Modellerin Kullanıldığı Araştırma Örnekleri). Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi.2016;8:162-85
  • 15. Reker DM, Duncan PW, Horner RD, Hoenig H, Samsa GP, Hamilton BB, ve ark. Postacute stroke guideline compliance is associated with greater patient satisfaction. Arch Phys Med Rehabil. 2002;83(6):750-56.
  • 16. Yıldırım K. Raising the quality in qualitative research.İlköğretim Online. 2010;9(1):79-92.
  • 17. Bjartmarz I, Jónsdóttir H, Hafsteinsdóttir TB. Implementation and feasibility of the stroke nursing guideline in the care of patients with stroke: A mixed methods study. BMC Nursing. 2017;16(1):72.
  • 18. Perry L. Screening swallowing function of patients with acute stroke. Part two: detailed evaluation of the tool used by nurses. Journal of Clinical Nursing. 2001;10(4):474- 81.
  • 19. Perry L, Hamilton S, Williams J, Jones S. Nursing interventions for improving nutritional status and outcomes of stroke patients: descriptive reviews of processes and outcomes. Worldviews Evid Based Nurs. Feb 2013;10(1):17-40.
  • 20. Donnellan C, Sweetman S, Shelley E. Implementing clinical guidelines in stroke: A qualitative study of perceived facilitators and barriers. Health Policy. 2013;111(3):234-44.
There are 20 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Emine Özer Küçük This is me 0000-0003-0746-1785

Sevgisun Kapucu This is me 0000-0003-3908-3846

Publication Date March 31, 2021
Submission Date January 30, 2020
Published in Issue Year 2021

Cite

Vancouver Özer Küçük E, Kapucu S. Hemşirelerin Disfaji Yönetiminde Kanıta Dayalı Rehber Kullanımına Yönelik Deneyimleri (Nitel Bir Çalışma). HUHEMFAD. 2021;8(1):35-42.