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An Educational Intervention: Exploring Home Health Care Nurses' Knowledge and Perceptions of Identifying Dysphagia in Patients with Dementia

Oates, Virginia C, Oates
http://orcid.org/0000-0002-3099-1445
http://rave.ohiolink.edu/etdc/view?acc_num=casednp1513883116484059

Abstract Details

2018, Doctor of Nursing Practice , Case Western Reserve University, School of Nursing.
Abstract This study determined the effectiveness of a dysphagia educational module for home health care nurses, and explored barriers to nurses identifying dysphagia in clients with dementia. (N=36) participated in the study at the Visiting Nurse Service of New York. On average the sample included: nurses between 40-49 years old; nurses for 16-30 years; 6-15 years of experience in the field; held a baccalaureate degree or higher, had dementia care experience, and over 80% had no dysphagia training. (N=33) completed the Massachusetts General Hospital Swallow Screening Tool (MGH-SST) dysphagia module, and the Patient Safety Behavior Questionnaire (PSBQ). MGH-SST was an effective educational intervention with paired sample t- testing, t= -7.449, and (p <.000), resulting in significant improvement pre-post-tests. Correlational statistics for age, years as a nurse, years in home care, and MGH-SST scores : age, rs = .423 (p=.014); years as a nurse, rs= .287 (p=.105); years in home care rs= .244 (p=.172); positive correlations for age. Academic levels and dysphagia training levels (ANOVA) resulted in no differences and the MGH-SST scores (F1, 31=.532, p=.471); (F1, 32=.083, p=.775). PSBQ ranked: environmental context/resources (M=3.1803, SD= 1.2597) as primary barrier, lack of skills (M= 3.106, SD= 1.412), and social influences (M=3.060, SD= .9662). Recommend dysphagia in-service training in home health care agencies. Further nursing research: identify an evidence-based dysphagia educational module, aimed at home healthcare nurses, and track nurse referrals to the speech language pathologist department. MGH-SST was an effective tool in training home health care nurses in dysphagia screening and identification. The Patient Safety Behavior Questionnaire, used as a needs assessment identified home health care nurses’ barriers to screening for dysphagia in clients with dementia. This study was the first time that research was conducted focusing on home health care nurses and their screening for dysphagia in clients with dementia.
Evelyn Duffy, Dr. (Committee Chair)
152 p.
Health Care
dysphagia; dementia; home healthcare nurses; dysphagia education; identifying dysphagia

Recommended Citations

Citations

  • Oates, Oates, V. C. (2018). An Educational Intervention: Exploring Home Health Care Nurses' Knowledge and Perceptions of Identifying Dysphagia in Patients with Dementia [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1513883116484059

    APA Style (7th edition)

  • Oates, Oates, Virginia. An Educational Intervention: Exploring Home Health Care Nurses' Knowledge and Perceptions of Identifying Dysphagia in Patients with Dementia. 2018. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=casednp1513883116484059.

    MLA Style (8th edition)

  • Oates, Oates, Virginia. "An Educational Intervention: Exploring Home Health Care Nurses' Knowledge and Perceptions of Identifying Dysphagia in Patients with Dementia." Doctoral dissertation, Case Western Reserve University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1513883116484059

    Chicago Manual of Style (17th edition)

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This open access ETD is published by Case Western Reserve University Doctor of Nursing Practice and OhioLINK.