GAMBARAN PENGETAHUAN DAN SKRINING DISFAGIA OLEH PERAWAT TERHADAP PENERAPAN DOKUMENTASI PADA PASIEN DISFAGIA PASCA STROKE
Keywords:
Knowledge, Nursing, Dysphagia, Dysphagia Screening, DocumentationAbstract
Nurses' empowerment in screening effectively reduces pneumonia rates, improves hydration and nutrition so as to prevent further complications. Disphagia often has not been documented by nurses, due to the focus on self-care and prevention of complications. This research is a correlational description with a cross-sectional approach. The nurses working in the Stroke Unit Room and ICU consisted of 10 men and 36 women aged the majority of 25 – 31 years with a majority tenure of 18 years. A total of 30 medical records were observed, 19 cases of SNH + comorbid patients and 8 of them were dysphagia. There was a close relationship between knowledge and screening (p value 0.004) and no significant relationship between dysphagia knowledge and screening and documentation (p value 0.217). In Indonesian Nursing, thefocus is on aspiration risk, not dysphagia. Because of the lack of identification and means of being an obstacle in further management, thenurse has never received formal education. Butknowledge can be provided in self-paced, online classes. The use and adjustment of flowsheets in documentation helps in improving the workflow of completion of stroke management nursing documentation, but it takes skills and knowledge through an ethical approach to highlight the importance of communication and documentation with a patient-centered approach. The good level ofknowledge nurses about dysphagia dysphagia screening is not necessarily related to the nurse's ability to document the presence of dysphagia
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Antonios N, Giselle CM, Michael C, Leslie M, Holly H, Kelly H, et al. (2010). Analysis of a Physician Tool for Evaluating Dysphagia on an Inpatient Stroke Unit: The Modified Mann Assessment of Swallowing Ability. Journal of Stroke and Cerebrovascular Diseases, 19(1), 49–57. https://doi.org/10.1016/j.jstrokecerebrovasdis.2009.03.007
Clare, C. S. (2018). Role of the nurse in stroke rehabilitation. Nursing Standard (Royal College of Nursing) (Great Britain) : 1987), 33(7), 59–66. https://doi.org/10.7748/ns.2018.e11194
Clare C. S. (2018). Role of the nurse in stroke rehabilitation. Nursing Standard (Royal College of Nursing (Great Britain), 33(7), 59–66. https://doi.org/https://doi.org/10.7748/ns.2018.e11194
Crary, M. A., Carnaby, G. D., & Sia, I. (2014). Spontaneous Swallow Frequency Compared with Clinical Screening in the Identification of Dysphagia in Acute Stroke. Journal of Stroke and Cerebrovascular Diseases, 23(8), 2047–2053. https://doi.org/10.1016/j.jstrokecerebrovasdis.2014.03.008
Dinas Kesehatan Provinsi Kalimantan. (2018). Profil Kesehatan Kalimantan Timur Tahun 2017.
Dziewas, R., Michou, E., Trapl-Grundschober, M., Lal, A., Arsava, E. M., Bath, P. M., … Verin, E. (2021). European Stroke Organisation and European Society for Swallowing Disorders guideline for the diagnosis and treatment of post-stroke dysphagia. European Stroke Journal, 6(3), LXXXIX–CXV. https://doi.org/10.1177/23969873211039721
Edmiaston, J., Connor, L. T., Loehr, L., & Nassief, A. (2010). Validation of a dysphagia screening tool in acute stroke patients. American Journal of Critical Care, 19(4), 357–364. https://doi.org/10.4037/ajcc2009961
Hines, S. et al. (2011). Identification and nursing management of dysphagia in individuals with acute neurological impairment (update). International Journal of Evidence-Based Healthcare, 9(2), 148–150. https://doi.org/10.1111/j.1744- 1609.2011.00211.x
Hines, S., Kynoch, K., & Munday, J. (2013). Identification and nursing management of dysphagia in individuals with acute neurological impairment: a systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports, 11(7), 312–323. https://doi.org/10.11124/jbisrir-2013-566
Horgan, E., Lawson, S., & O’Neill, D. (2020). Oropharyngeal dysphagia among patients newly discharged to nursing home care after an episode of hospital care. Irish Journal of Medical Science (1971 -), 189(1), 295–297. https://doi.org/10.1007/s11845-019-02061-0
Jiang, J.-L., Fu, S.-Y., Wang, W.-H., & Ma, Y.-C. (2016). Validity and reliability of swallowing screening tools used by nurses for dysphagia: A systematic review. Tzu Chi Medical Journal, 28(2), 41–48. https://doi.org/https://doi.org/10.1016/j.tcmj.2016.04.006
Jones, C. L. C., & Porterfield, S. (2020). Nursing Students’ Knowledge of the Nurse’s Role in the Management of Dysphagia. Rehabilitation Nursing, 45(5), 299–307. https://doi.org/10.1097/rnj.0000000000000213
Kemenkes, R. (2019). Infodantin Stroke Kemenkes Ri 2019. Infodantin Stroke Kemenkes RI 2019.
Leslie, P., & Lisiecka, D. (2022). Ethical considerations in the care of people with eating, drinking and swallowing difficulties. Current Opinion in Otolaryngology & Head and Neck Surgery, 30(3). https://doi.org/10.1097/MOO.0000000000000803
Maffacciolli, R., & Oliveira, D. L. L. C. de. (2018). Desafios e perspectivas do cuidado em enfermagem a populações em situação de vulnerabilidade. Revista Gaucha de Enfermagem, 39, e20170189. https://doi.org/10.1590/1983- 1447.2018.20170189
Martino, R., Maki, E., & Diamant, N. (2014). Identification of dysphagia using the Toronto Bedside Swallowing Screening Test (TOR-BSST©): Are 10 teaspoons of
water necessary? International Journal of Speech-Language Pathology, 16(3), 193–
198. https://doi.org/10.3109/17549507.2014.902995
Masilamoney, M., & Dowse, R. (2018). Knowledge and practice of healthcare professionals relating to oral medicine use in swallowing-impaired patients: a scoping review. International Journal of Pharmacy Practice, 26(3), 199–209. https://doi.org/10.1111/ijpp.12447
Nepal, G. M., & Sherpa, M. D. (2019). Knowledge of Dysphagia in Stroke among Nurses Working in Tertiary Care Hospital. Kathmandu University Medical Journal (KUMJ), 17(66), 126–130.
Palli, C., Fandler, S., Doppelhofer, K., Niederkorn, K., Enzinger, C., Vetta, C., … Gattringer,
T. (2017). Early Dysphagia Screening by Trained Nurses Reduces Pneumonia Rate in Stroke Patients: A Clinical Intervention Study. Stroke, 48(9), 2583–2585. https://doi.org/10.1161/STROKEAHA.117.018157
Park, J.-H., & Lee, E.-K. (2021). Nursing practice today. Nursing Practice Today, 8(2), 132–138. Retrieved from http://npt.tums.ac.ir/index.php/npt/article/view/132 RCNi. (2016). SAFETY ALERT OVER Lack of dysphagia knowledge among stroke-
trained nurses. Nurs Stand, 30(9), 604. https://doi.org/10.7748/ns.30.15.11.s15 Rhoda, A., & Pickel-Voight, A. (2015). Knowledge of nurses regarding dysphagia in
patients post stroke in Namibia. Curationis, 38(2), 1564. https://doi.org/10.4102/curationis.v38i2.1564
Richardson, K. J., Sengstack, P., Doucette, J. N., Hammond, W. E., Schertz, M., Thompson, J., & Johnson, C. (2016). Evaluation of nursing documentation completion of stroke patients in the emergency department: A pre-post analysis Using flowsheet templates and clinical decision support. CIN - Computers Informatics Nursing, 34(2), 62–70. https://doi.org/10.1097/CIN.0000000000000206
Syahrun; Hani, A., & Rahayu, M. (2022). The Effect of Dysphagia Education Through Video on the Level of Knowledge and Screening of Dysphagia and Self- Efficacy of Nurses, 6(2), 229–238. Retrieved from https://ejournal.undiksha.ac.id/index.php/JERE/article/view/37383/22350
Syahrun, S., Hany, A., & Rahayu, M. (2022). Management Dysphagia in Post-Stroke Patients Recommendations for Indonesian Nursing Intervention Standards: a Literature Review. MNJ (Malang Neurology Journal), 8(1), 39–48. https://doi.org/10.21776/ub.mnj.2022.008.01.9
Titsworth LW, Abram J, Fullerton A, Hester J, Guin P, Michael f, et al. (2013). Prospective quality initiative to maximize dysphagia screening reduces hospital- acquired pneumonia prevalence in patients with stroke. Stroke, 44(11), 3154– 3160. https://doi.org/10.1161/STROKEAHA.111.000204
Wangen T, Hatlevig J, Pifer G, V. K. (2019). Preventing Aspiration Complications: Implementing a Swallow Screening Tool. Clinical Nurse Specialist, 33(5), 237–243. https://doi.org/10.1097/NUR.0000000000000471
West, J., Stutzman, S. E., Atem, F., & Olson, D. M. (2018). Formatting an experiential learning education module to encourage dysphagia assessment in apheresis patients. Journal of Clinical Apheresis, 33(1), 72–77. https://doi.org/10.1002/jca.21572





