Speech Pathology Department, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.
Int J Speech Lang Pathol. 2020 Feb;22(1):95-105. doi: 10.1080/17549507.2019.1597922. Epub 2019 Apr 28.
: There are no examples in the literature of successful long-term hospital-wide implementation of nurse-led dysphagia screening. This article aims to describe strategies used to implement hospital-wide dysphagia screening in a large acute tertiary teaching hospital in Australia. It reports on compliance, accuracy and nursing staff satisfaction using the validated Royal Brisbane and Women's Hospital Dysphagia Screening Tool (RBWH DST).: A retrospective observational study of audit data was conducted to examine hospital-wide compliance and accuracy of dysphagia screen completion. A nursing staff survey measured staff satisfaction. Implementation included: (1) utilisation of validated tool (RBWH DST); (2) key stakeholder engagement and strong governance; (3) policy development; (4) education; and (5) review and monitoring processes.: Audits conducted over a 9-year period ( = 3726) showed an average hospital-wide compliance rate of 74% and an accuracy rate of 82%. A nurse satisfaction survey ( = 109) showed high levels of satisfaction associated with using the RBWH DST.: The RBWH DST was implemented in a large acute tertiary teaching hospital with acceptable compliance and accuracy rates and favourable nursing staff satisfaction. Further study is required to objectively evaluate patient health and cost benefits associated with using the RBWH DST.
: 文献中尚无成功实现护士主导的吞咽障碍全院筛查的长期实施的例子。本文旨在描述在澳大利亚一家大型急性三级教学医院中实施全院吞咽障碍筛查所采用的策略。本文使用经过验证的皇家布里斯班妇女医院吞咽障碍筛查工具（RBWH DST）报告了依从性、准确性和护理人员满意度。: 对审核数据进行了回顾性观察研究，以检查吞咽障碍筛查完成的全院依从性和准确性。一项护理人员调查衡量了员工满意度。实施措施包括：（1）使用经过验证的工具（RBWH DST）；（2）关键利益相关者的参与和强有力的治理；（3）政策制定；（4）教育；以及（5）审查和监测流程。: 在 9 年的审核期间（ = 3726），平均全院依从率为 74%，准确性为 82%。一项护士满意度调查（ = 109）显示，使用 RBWH DST 与护理人员的高度满意度相关。: RBWH DST 在一家大型急性三级教学医院中实施，其依从性和准确性均令人满意，护理人员满意度较高。需要进一步研究来客观评估使用 RBWH DST 与患者健康和成本效益的关系。
