Early Dysphagia Screening to Reduce Aspiration Pneumonia in Stroke Patients

Early Dysphagia Screening to Reduce Aspiration Pneumonia in Stroke Patients
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Table of Contents Project Overview.. 4 Project Description. 4 Project Rationale. 4 Personal/Professional Expectations. 5 Project Goals. 5 Analysis of the Literature. 6 Procedure. 7 Findings. 7 Introduction. 7 Purpose. 8 Significance. 9 Literature Review on Early Dysphagia Screening in Stroke Patients. 11 Main Findings from the Literature Review.. 12 What Counts as Early Dysphagia Screening. 12 Incidence of Dysphagia in Stroke Patients. 12 Predictors of Dysphagia and Dysphagia Screening. 13 Dysphagia and Stroke-Associated Pneumonia. 14 Effects of Early Dysphagia Screening. 15 Implementation of Dysphagia Screening. 17 Summary of the Literature. 18 Methods. 18 Design. 18 Setting. 19 Participants. 19 Data Collection Methods. 20 Interviews. 20 Survey. 21 Discussion of Findings. 21 Recommendations. 23 Conclusion. 24 References. 26 Appendices. 32 Appendix A: Interview Questions. 32 Appendix B: Survey Questions. 32 Project Overview
Project Description
The nursing practicum project, which took place at the Presbyterian hospital in New York, was about early dysphagia screening in stroke patients. The project aimed to establish whether dysphagia screening reduces the risk of aspiration pneumonia among stroke patients. The project utilized the water swallow screen for dysphagia detection.
Project Rationale
This project was important because it benefited patients and the nursing practice. First, I found it necessary to do a project on dysphagia screening because national and international guidelines recommend it for stroke patients 4-24 hours after being admitted to the hospital (Eltringham et al., 2018). Yet, there is a gap between recommendation and practice because dysphagia screening for stroke patients is not as routine practice as it should be (Sivertsen et al., 2017). Therefore, this was a necessary project that would first identify the effectiveness of dysphagia screening among stroke patients and then ensure that it becomes routine practice at the hospital.
This project benefited mostly stroke patients because it would ensure they receive optimum care, including dysphagia screening, at the time of stroke diagnosis. As Palli et al. (2017) indicate, dysphagia screening reduces aspiration pneumonia and the length of hospital stay among stroke patients. It would also improve nursing science and practice by contributing to nursing research and promoting the use of evidence-based practice in nursing.
Personal/Professional Expectations
As I established the project, I hoped I would become more competent in leadership, quality improvement, interprofessional collaboration, and clinical prevention, especially as I transition to a nurse with a mastery understanding of the nursing practice. I believe I would efficiently provide optimum care to my patients through improved competency in the areas mentioned earlier. I also hoped that the project would challenge my thinking, especially about the nursing profession, and allow me to apply critical...