Conceptualization of nursing care to the person with post-stroke dysphagia
DOI:
https://doi.org/10.12707/RV20024Keywords:
stroke, deglutition, nursing careAbstract
Background: Dysphagia is a clinical condition that affects a significant number of stroke patients. Its complications are among the main causes of death after a stroke, although dysphagia is not considered a cause of death.
Objective: To understand how nurses conceptualize nursing care to the person with post-stroke dysphagia.
Methodology: An exploratory descriptive study was conducted in an inpatient unit of a rehabilitation center, using the focus group and participant observation techniques, between April and July 2019.
Results: Several factors influence the decision-making process in nursing, resulting in practices based on interdependent intervention. Constraints were identified in the documentation of nursing therapeutic approaches. The focus on the person and family and their involvement in the care process is highlighted.
Conclusion: There are organizational aspects that negatively influence the conceptualization of care. The need to improve the documentation of nursing therapeutic approaches is reinforced.
Downloads
References
Abreu, W., Barroso, C., Segadães, M., & Teixeira, S. (2015). Promotion of self-care in clinical practice: Implications for clinical supervision in nursing. International Journal of Information and Education Technology, 5(1), 6-9. doi:10.7763/IJIET.2015.V5.466
Abu-Snieneh, H., & Saleh, M. (2018). Registered nurse’s competency to screen dysphagia among stroke patients: Literature review. The Open Nursing Journal, 12, 184-194. doi:10.2174/1874434601812010184
Aiken, L., Cimiotti, J., Sloane, D., Smith, H., Flynn, L., & Neff, D. (2011). Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Medical Care, 49(12), 1047-1053. doi:10.1097/MLR.0b013e3182330b6e
Bath, P., Sean, H., & Everton, L. (2018). Swallowing therapy for dysphagia in acute and subacute stroke. Cochrane Database of Systematic Reviews, 10, CD000323. doi:10.1002/14651858.CD000323.pub3
Benner, P. (2001). De iniciado a perito. Coimbra, Portugal: Quarteto.
Carapinheiro, G. (1998). Saberes e poderes no hospital. Porto, Portugal: Edições Afrontamento.
Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. London, England: Sage.
Chinn, P., & Kramer, M. (2015). Knowledge development in nursing: Theory and process (9th ed.). St. Louis, MO: Elservier Mosby.
Cohen, D., Roffe, C., Beavan, J., Blackett, B., Fairfield, C. A., Hamdy, S., . . . Bath, P. M. (2016). Post-stroke dysphagia: A review and design considerations for future trials. International Journal of Stroke, 11(4), 399-411. doi:10.1177/1747493016639057
Decreto-Lei n.º 161/96, de 4 de Setembro. Diário da República nº 205 - I Série. Ministério da Saúde. Lisboa, Portugal.
Freitas, M., & Parreira, P. (2013). Dotação segura para a prática de enfermagem: Operacionalidade do conceito e o seu impacto nos resultados. Revista de Enfermagem Referência, 3(10), 171-178. doi:10.12707/RIII12125
GBD 2016 Stroke Collaborators. (2019). Global, regional, and national burden of stroke, 1990-2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology, 18(5), 439-458. doi:10.1016/S1474-4422(19)30034-1
Hines, S., Kynoch, K., & Munday, J. (2016). Nursing interventions for identifying and managing acute dysphagia are effective for improving patient outcomes: A systematic review update. Journal of Neuroscience Nursing, 48(4), 1-9. doi:10.1097/JNN.0000000000000200
Kuiper, R., O’Donnell, S., Pesut, D., & Turrise, S. (2017). The essentials of clinical reasoning for nurses: Using the outcome-present state-model for reflective practice. Indianapolis, Brasil: Sigma Theta Tau International.
Melnyk, B., Gallagher-Ford, L., & Fineout-Overholt, E. (2017). Implementing the evidence-based practice (EBP) competencies in healthcare: A practical guide for improving quality, safety and outcomes.
Indianapolis, Brasil: Sigma Theta Tau International. Nibbelink, C., & Brewer, B. (2018). Decision-making in nursing practice: An integrative literature review. Journal of Clinical Nursing, 27(5-6), 917–928. doi:10.1111/jocn.14151
Oliveira, I., Couto, G., & Mota, L. (2019). Terapêuticas de enfermagem na pessoa com deglutição comprometida após acidente vascular cerebral. Revista de Enfermagem Referência, 4(23), 133-140. doi:10.12707/RIV19057
Ordem dos Enfermeiros. (2012). Padrões de qualidade dos cuidados de enfermagem: Enquadramento conceptual: Enunciados descritivos. Lisboa, Portugal: Autor. Recuperado de https://www.ordemenfermeiros.pt/media/8903/divulgar-padroes-de-qualidade-dos-cuidados.pdf
Sørensen, R. T., Rasmussen, R. S., Overgaard, K., Lerche, A., Johansen, A. M., & Lindhardt, T. (2013). Dysphagia screening and intensified oral hygiene reduce pneumonia after stroke. Journal of Neuroscience Nursing, 45(3), 139-146. doi:10.1097/JNN.0b013e31828a412c
Standing, M. (2014). Clinical judgement and decision-making for nursing students (2nd ed.). London, England: Sage.
