Nurses’ knowledge of stroke-related oropharyngeal dysphagia in the Eastern Cape, South Africa

South African Journal of Communication Disorders

 
 
Field Value
 
Title Nurses’ knowledge of stroke-related oropharyngeal dysphagia in the Eastern Cape, South Africa
 
Creator Knight, Kerry Pillay, Bhavani van der Linde, Jeannie Krüger, Esedra
 
Subject Speech-Language Pathology oropharyngeal dysphagia; dysphagia screening; stroke-related dysphagia; nurse; interdisciplinary collaboration; South Africa; lower middle-income country; survey.
Description Background: Early identification of stroke-related oropharyngeal dysphagia (OPD) using screening by nurses can prevent adverse patient outcomes in lower middle-income countries. Nurses are essential in the OPD management team and should ideally be able to screen and prioritise dysphagia management in stroke patients.Objective: The aim of this research was to describe nurses’ practices related to identification and management of patients with stroke-related OPD.Methods: Qualified nurses from various healthcare levels in the Eastern Cape, South Africa were invited to complete a previously published hard copy survey on the signs and symptoms, complications and management of stroke-related OPD. A sample of 130 participants completed the survey.Results: The mean scores of correct responses for each section were: 8.7/13 (66.7%) for signs and symptoms, 4.7/10 (47.3%) for complications and 3.8/7 (54.2%) for management practices. Statistically, there were no differences between the levels of healthcare for the signs and symptoms section and the complications section. Regarding management of OPD, secondary-level (S) nurses demonstrated significantly better knowledge than primary-level (P) and tertiary-level (T) nurses (S–P: p = 0.022; S–T: p = 0.010). Secondary-level nurses also scored significantly higher across all three sections (S–P: p = 0.044; S–T: p = 0.025) than those at the other levels.Conclusions: The study found that nurses across all levels of healthcare had only moderate knowledge regarding identification and management of stroke-related OPD. Interdisciplinary collaboration between nurses and speech–language therapists may improve nurses’ knowledge in identification and management of stroke-related OPD in lower middle-income settings such as South Africa.
 
Publisher AOSIS
 
Contributor
Date 2020-09-02
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Survey
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajcd.v67i1.703
 
Source South African Journal of Communication Disorders; Vol 67, No 1 (2020); 7 pages 2225-4765 0379-8046
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajcd.org.za/index.php/sajcd/article/view/703/1346 https://sajcd.org.za/index.php/sajcd/article/view/703/1345 https://sajcd.org.za/index.php/sajcd/article/view/703/1347 https://sajcd.org.za/index.php/sajcd/article/view/703/1344
 
Coverage Lower-middle-income country — Nurses
Rights Copyright (c) 2020 Kerry Knight, Bhavani Pillay, Jeannie van der Linde, Esedra Krüger https://creativecommons.org/licenses/by/4.0
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