Implementation strategies to improve evidence-based practice for post-stroke dysphagia identification and management:A before-andafter study

作     者：Xiaoyan Zhang Junqiang Zhao Liping Zheng Xuejing Li Yufang Hao 张小艳;赵俊强;郑莉萍;李学靖;郝玉芳

作者机构：School of Traditional Chinese MedicineBeijing University of Chinese MedicineBeijingChina School of NursingFaculty of Health SciencesUniversity of OttawaOntarioCanada Department of NeurosurgeryDongzhimen Hospital Affiliated to Beijing University of Chinese MedicineBeijingChina School of NursingBeijing University of Chinese MedicineBeijingChina 

出 版 物：《International Journal of Nursing Sciences》 (国际护理科学（英文）)

年 卷 期：2022年第9卷第3期

页      面：295-302,I0001页

核心收录：

学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学] 

基　　金：This work was supported by the Postgraduate Independent Project of Beijing University of Chinese Medicine(No.2017-JYB-XS-085) 

主　　题：Deglutition disorders Evidence-based practice Implementation science Nurses Patient satisfaction Professional practice gaps Stroke 

摘      要：Objectives Even though guidelines are available to guide dysphagia identification and management practice,there is still a gap between evidence and practice,which requires *** purpose of this study was to determine the effect of using tailored,multifaceted strategies to improve evidence-based post-stroke dysphagia identification and management practice in a community *** Guided by the Knowledge to Action framework,the tailored,multifaceted strategies were developed and implemented for 5 months in a community hospital using a before-and-after study *** strategies consisted of training intervention,policy intervention,and audit and feedback ***’level of knowledge and adherence,were collected in March 2019 and again in January ***’quality of life and satisfaction were evaluated during the pre-intervention period(between February 2019 and April 2019)and the post-intervention period(between November 2019 and January 2020).Results A total of 55 patients with post-stroke dysphagia(28 in the pre-intervention period and 27 in the post-intervention period)and 17 registered nurses were *** implementation,there were statistically significant improvements in patients’outcomes(quality of life and satisfaction)and nurses’outcomes(level of knowledge and adherence).Conclusions This study assists in closing the research-practice gap by using tailored,multifaceted strategies to increase the use of evidence-based nursing care for dysphagia identification and management practices.