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Predictors of medical staff’s knowledge, attitudes, and behavior of dysphagia assessment: A cross-sectional study

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Apr 02, 2024 version files 111.82 KB

Abstract

This study aimed to develop training resources and standardize the assessment of dysphagia in patients with stroke. This study was a cross-sectional study. A total of 430 nurses and doctors from four provinces(Guangdong Province, Hunan Province, Guangxi Province, and Shaanxi Province) who were selected by convenience sampling were invited to complete the questionnaire through WeChat, DingTalk, and Tencent QQ from May 23 to 31, 2022. A self-reported questionnaire was used to assess participants’ Knowledge, Attitude, and Behavior regarding dysphagia. Participants’ sociodemographic, training, and nursing experience were measured using the general information sheet and assessed as potential predictors of medical staff’s Knowledge, Attitudes, and Behavior of dysphagia assessment. A multiple linear regression model was used to identify the factors predicting medical staff’s Knowledge, Attitudes, and Behavior regarding dysphagia assessment. The mean scores for Knowledge, Attitudes, and Behavior of dysphagia assessments were 92.654(SD 17.519). Multiple linear regression results indicated that experience in dysphagia patients’ nursing, related training for dysphagia, working years in the field of dysphagia-related diseases, specialized training in geriatric, swallowing & rehabilitation, and department related to neurology, rehabilitation & elderly were significant predictors, accounting for 35.1% of the variance in scores of medical staff’s Knowledge, Attitudes and Behavior of dysphagia assessment. Our findings imply that nursing experience, training, and work for patients with swallowing disorders could have positive effects on the Knowledge, Attitudes, and Behavior of medical staff regarding dysphagia assessment. Hospital administrators should provide relevant resources, such as videos of dysphagia assessment, training centers for the assessment of dysphagia, and swallowing specialist nurses. It is important that health policies fully recognize the role of training and support systems in caring for people with dysphagia.