Courtney Bobby A, Flier Lisa A
Indiana University School of Law, Indianapolis, IN, USA.
J Neurosci Nurs. 2009 Feb;41(1):28-38. doi: 10.1097/jnn.0b013e31819345ac.
According to the Joint Commission, dysphagia, which occurs in anywhere from 27% to 50% of stroke patients and often leads to aspiration, is a significant quality/safety indicator. As such, it is identified as a standard of performance when awarding disease-specific certification in stroke care. Application for this certification required one institution to assign a multidisciplinary process improvement team to develop and implement a dysphagia screening protocol to replace their current practice, which was being used on an inconsistent basis. This article outlines the steps necessary to identify and tailor a tool for dysphagia screening, develop a protocol to ensure appropriate use of said tool, and use a multiphase implementation process to identify strengths and weaknesses as well as create caregiver support for the practice change.
根据联合委员会的说法，吞咽困难在27%至50%的中风患者中出现，且常常导致误吸，它是一个重要的质量/安全指标。因此，在授予中风护理特定疾病认证时，它被确定为一项绩效标准。申请该认证要求一家机构指派一个多学科流程改进团队来制定并实施吞咽困难筛查方案，以取代其当前使用情况不一的现行做法。本文概述了识别并定制吞咽困难筛查工具、制定确保正确使用该工具的方案以及使用多阶段实施流程来识别优缺点并为实践变革建立护理人员支持所需的步骤。
