PDF(Pubmed)
Abstract：
UNASSIGNED: Even though guidelines are available to guide dysphagia identification and management practice, there is still a gap between evidence and practice, which requires improvement. The 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 hospital.
UNASSIGNED: 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 design. These strategies consisted of training intervention, policy intervention, and audit and feedback intervention. Nurses\' level of knowledge and adherence, were collected in March 2019 and again in January 2020. Patients\' 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).
UNASSIGNED: 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 recruited. Following implementation, there were statistically significant improvements in patients\' outcomes (quality of life and satisfaction) and nurses\' outcomes (level of knowledge and adherence).
UNASSIGNED: 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.
UNASSIGNED: 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 design. These strategies consisted of training intervention, policy intervention, and audit and feedback intervention. Nurses\' level of knowledge and adherence, were collected in March 2019 and again in January 2020. Patients\' 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).
UNASSIGNED: 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 recruited. Following implementation, there were statistically significant improvements in patients\' outcomes (quality of life and satisfaction) and nurses\' outcomes (level of knowledge and adherence).
UNASSIGNED: 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.
摘要：
■即使指南可用于指导吞咽困难的识别和管理实践，证据和实践之间仍然存在差距，这需要改进。这项研究的目的是确定使用定制的效果，改善社区医院卒中后吞咽困难循证识别和管理实践的多方面策略。
■在知识到行动框架的指导下，量身定制的，在社区医院,采用研究前后的设计,制定了多方面的策略,并实施了5个月.这些策略包括培训干预，政策干预,以及审计和反馈干预。护士的知识水平和依从性，分别于2019年3月和2020年1月收集。在干预前（2019年2月至2019年4月）和干预后（2019年11月至2020年1月）评估患者的生活质量和满意度。
■共招募了55名卒中后吞咽困难患者（28名在干预前，27名在干预后）和17名注册护士。实施后，患者结局(生活质量和满意度)和护士结局(知识水平和依从性)均有统计学显著改善.
■这项研究有助于缩小研究与实践的差距，在吞咽困难识别和管理实践中增加循证护理使用的多方面策略。
■在知识到行动框架的指导下，量身定制的，在社区医院,采用研究前后的设计,制定了多方面的策略,并实施了5个月.这些策略包括培训干预，政策干预,以及审计和反馈干预。护士的知识水平和依从性，分别于2019年3月和2020年1月收集。在干预前（2019年2月至2019年4月）和干预后（2019年11月至2020年1月）评估患者的生活质量和满意度。
■共招募了55名卒中后吞咽困难患者（28名在干预前，27名在干预后）和17名注册护士。实施后，患者结局(生活质量和满意度)和护士结局(知识水平和依从性)均有统计学显著改善.
■这项研究有助于缩小研究与实践的差距，在吞咽困难识别和管理实践中增加循证护理使用的多方面策略。
