To Study Awareness Level of Dysphagia and Role of Speech Language Pathologist in Dysphagia Assessment and Management among Nurses
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 7
Abstract
Over the years nearly every SLP department in the hospital across India has experienced a condition that poor referral from the medical professional for dysphagia management. This could be due to lack awareness among specialist and non specialist staff. Although it is widely recognized that dysphagia is a common consequence of stroke and neurological insult, it is also associated with a variety of other conditions Myasthenia gravis, ALS etc. The perception among healthcare professionals such as nurses that feeding and swallowing problems are primarily related to stroke could result in them being missed in patients who have other conditions. Objective: The objective of the present study is to find out level of awareness among nurses regarding role of speech and language pathologists in assessment and management of dysphagia and sign & symptom of dysphagia. Methods: non-experimental, descriptive survey research design was used for the purpose of this research. Purposive convenient sampling technique was used for data collection. Nurses were selected on the basis of inclusion criteria i.e. they should be having work experience more than 2 years. Nurses are working in ICU, neurological and medical wards included in sample. The total sample size was 81 nurses out of which were 76 female and 5 were male. Measures used in the study were demographic data sheet and a self-developed questionnaire.22 items questionnaire was developed in which cover swallowing assessment and management procedure done by SLP. The questionnaire was validated by 5 speech therapists who were working in hospital set up. The questions were closed ended having 1 target response with 3 distracters. Results: t tail was done for hypothesis testing. Data were analyzed using SPSS 16 (Statistical Package for the Social Sciences). Findings indicate lack of awareness in all four aspect of questionnaire (i.e. 5 items for assessment 5 items for management, 6 items for role of SLP, 6 items for general sign of dysphagia). Conclusion: Research study concluded that nurses lack of awareness about dysphagia and its sign. Nurses are not aware of role speech and language pathologist in diagnosis and management of dysphagia. Research recommends that medical hospital with otolaryngologist, neurologist and SLP should conduct camp or conferences for nurses in the area of swallowing assessment and management protocol. Hospital should make them as active member and their role should be defined for interdisciplinary team approach.
Authors and Affiliations
Mr. Shivraj Bhimte
Keywords
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