%0 Journal Article
%T Nursing adherence, barriers and facilitators to conduct post-stroke dysphagia screening and assessment: A study based on theoretical domain framework.
%A Guo Y
%A Guo L
%A Dong X
%A Yang C
%A Wang M
%A Gao H
%A Lv P
%A Ma K
%J J Clin Nurs
%V 32
%N 13
%D Jul 2023 30
%M 36717977
%F 4.423
%R 10.1111/jocn.16623
%X <B>BACKGROUND: </B>There are an increasing number of evidence-based recommendations for managing dysphagia in post-stroke patients. However, it is unclear whether nurses adopt these recommendations in their daily nursing practices.<BR><B>OBJECTIVE: </B>This study aimed to explore nurses' adherence, barriers, facilitators and views on dysphagia screening and assessment of post-stroke dysphagia.<BR><B>METHODS: </B>In this study, multiple methods were adopted. In Phase 1, a general information questionnaire and a knowledge-attitude-practice and barriers/facilitators questionnaire for dysphagia screening and assessment were distributed in 55 hospitals online. In Phase 2, semi-structured interviews were conducted to explore nurses' views on barriers. Descriptive and one-way variance analyses were used to analyse the quantitative data, while content analysis was used to analyse the qualitative data. This study adheres to STROBE and COREQ guidelines.<BR><B>RESULTS: </B>Nine hundred and forty-two completed questionnaires were collected. Only 36.52% of the nurses screened for swallow function in patients as a guideline. The biggest barrier was 'memory, attention and decision process', with an average score of 3.22 (.74). The different stages of implementation had various types and degrees of barriers (p < .001). Five themes were extracted after interviews, namely 'Inadequate environment and resource support', 'Increased workload', 'Professional value perception', 'Organisational culture', and 'Poor knowledge and skill'.<BR><B>CONCLUSIONS: </B>Nurses' practice of dysphagia screening and assessment of patients with dysphagia after stroke were inadequate, and the barriers originated from patients, leadership and the nurses themselves.<BR><B>CONCLUSIONS: </B>This research extracted five barriers of guidance adherence for post-stroke dysphagia screening and assessment and identified the different kinds and degrees of barriers in five implementation stages, providing a basis for nursing managers to break through the bottleneck of guideline implementation.<BR><B>UNASSIGNED: </B>The nurses recruited in this study completed validated questionnaires in the survey and suggestive answers in interviews.