Abu-Snieneh Hana M, Saleh Mohammad Y N
School of Nursing, The University of Jordan, Amman 11942, Jordan.
Clinical Nursing Department, The University of Jordan, Faculty of Nursing, Amman-Jordan.
Open Nurs J. 2018 Aug 31;12:184-194. doi: 10.2174/1874434601812010184. eCollection 2018.
An increased number of elderly people in the world may lead to an increase in the incidence of stroke, which creates a burden on the country's healthcare system. Dysphagia is the most common post stroke. Screening of dysphagia in stroke patients is serious to prevent complication linked to aspiration and inadequate hydration/nutrition.
This literature review aimed to discuss registered nurses' competency to screen dysphagia among stroke patients.
The keywords used were nurse's competency; dysphagia; dysphagia screening; and stroke. These keywords were entered into multiple electronic databases including CINAHL, Medline, Science Direct, Pro Quest, Pub Med, and Wiley Online Library. Aliterature search was conducted for the period2005 to 2016.Results:Seventeen studies were identified by a systematic search ofthe literature.Two parts created the body of this literature review. The first part covers the literature on the training nurses in screening dysphagia among stroke patients and benefits of screening. The second part covers nurse's competency in terms of knowledge and skills of screening dysphagia among stroke patients.
Because the nurses have more contact with the patient, they are most likely to observe dysphagia. It is important that formal dysphagia screening protocols are routine nursing care that requires special training to practice. Trained nurses should assess their competency in terms of knowledge and skills via well-developed tool.
世界上老年人数量的增加可能导致中风发病率上升，这给国家的医疗保健系统带来负担。吞咽困难是中风后最常见的情况。对中风患者进行吞咽困难筛查对于预防与误吸及水合/营养不足相关的并发症至关重要。
本综述旨在探讨注册护士对中风患者进行吞咽困难筛查的能力。
使用的关键词为护士能力；吞咽困难；吞咽困难筛查；中风。这些关键词被输入多个电子数据库，包括CINAHL、Medline、科学Direct、Pro Quest、Pub Med和Wiley在线图书馆。对2005年至2016年期间进行了文献检索。
通过系统的文献检索确定了17项研究。本综述分为两部分。第一部分涵盖了关于培训护士对中风患者进行吞咽困难筛查及筛查益处的文献。第二部分涵盖了护士在对中风患者进行吞咽困难筛查的知识和技能方面的能力。
由于护士与患者接触更多，他们最有可能观察到吞咽困难。重要的是，正式的吞咽困难筛查方案是常规护理，需要经过特殊培训才能实施。经过培训的护士应通过完善的工具评估自己在知识和技能方面的能力。
