Construction of Evidence-based Clinical Practice Program for Identification and Management of Dysphagia in Stroke
Author(s): GAO Shangqian, WANG Fang, GUO Hailing, JIANG Yuting, HAN Liu, ZHAO Junqiang, WANG Jinfang, HAO Yufang
Pages: 1623-1627
Year: 2016 Issue: 12
Journal: Journal of Chinese Nursing Management
Keyword: stroke; dysphagia; clinical practice guideline; evidence-based nursing practice; localization;
Abstract: Objectives: To develop Evidence-based Clinical Practice Program for Identification and Management of Dysphagia in Stroke patients, and to ensure the implementation of clinical guidelines, and to promote the scientific, standardized and uniifed clinical identiifcation and management of dysphagia in stroke patients. Methods: In this study, we used the Iowa model of evidence-based practice as a guide, established a clinical problems, formed an evidence-based practice team, retrieval, screening and appraisal guidelines, maked review criteria, review methods, and completed the baseline review, according to the audit results and the guideline implementation barriers and promoting factors analysis results of the experimental unit, formulated the corresponding action strategy, and eventually developed appropriate clinical evidence-based practice plan. Results: This study included 5 guidelines, and the developed program includes an overview of stroke patients with dysphagia, early identiifcation and management of dysphagia, health education for patients, various processes, tools, etc. Conclusion: The developed program based on the evidence-based practice guidelines, combined with China's speciifc situation, intention and mechanism of clinical patient preferences and medical staff professional judgment, which can provide reference on identiifcation and management of dysphagia in stroke patients, and it is the premise and guarantee of evidence utilization.
Pages: 1623-1627
Year: 2016 Issue: 12
Journal: Journal of Chinese Nursing Management
Keyword: stroke; dysphagia; clinical practice guideline; evidence-based nursing practice; localization;
Abstract: Objectives: To develop Evidence-based Clinical Practice Program for Identification and Management of Dysphagia in Stroke patients, and to ensure the implementation of clinical guidelines, and to promote the scientific, standardized and uniifed clinical identiifcation and management of dysphagia in stroke patients. Methods: In this study, we used the Iowa model of evidence-based practice as a guide, established a clinical problems, formed an evidence-based practice team, retrieval, screening and appraisal guidelines, maked review criteria, review methods, and completed the baseline review, according to the audit results and the guideline implementation barriers and promoting factors analysis results of the experimental unit, formulated the corresponding action strategy, and eventually developed appropriate clinical evidence-based practice plan. Results: This study included 5 guidelines, and the developed program includes an overview of stroke patients with dysphagia, early identiifcation and management of dysphagia, health education for patients, various processes, tools, etc. Conclusion: The developed program based on the evidence-based practice guidelines, combined with China's speciifc situation, intention and mechanism of clinical patient preferences and medical staff professional judgment, which can provide reference on identiifcation and management of dysphagia in stroke patients, and it is the premise and guarantee of evidence utilization.
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