Encouraging Nurse Autonomy Through Skills Validation to Increase Dysphagia Screenings in Adults

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Holmes, Kelly B.
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Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Caring sciences::Nursing , Professional Practice Gaps , Aphasia , Competency Assessment , Nurse's Role , Yale swallow protocol , Deglutition Disorders
Globally as well as in the United States, dysphagia is a prevalent problem (Abu-Snieneh & Saleh, 2018; American Speech-Language-Hearing Association, 2020). Nurses primarily assess dysphagia risks and implement initial screenings as a means of secondary prevention pertaining to aspiration. There are multiple screening tools but limited data to create a standard protocol for nurse-led dysphagia screening leading to inconsistent screening, documentation, and screening techniques (Abu-Snieneh & Saleh, 2018; Dysphagia Screen - Patient Population, The Joint Commission, 2016). The purpose of this project was to determine if skills validation regarding the nurse-administered bedside swallow evaluation will help close practice gaps.