Browse > Article
http://dx.doi.org/10.7587/kjrehn.2013.112

Nurses' Perception and Experiences at Nursing Home Residents with Dysphagia: Focus Group Interviews  

Park, Yeon-Hwan (College of Nursing, Research Institute of Nursing Science, Seoul National University)
Chang, Hee Kyung (Seoul Women's College of Nursing)
Bang, Hwal Lan (College of Nursing, Seoul National University)
Lee, Jin-Yi (Armed Forces Nursing Academy)
Publication Information
The Korean Journal of Rehabilitation Nursing / v.16, no.2, 2013 , pp. 112-121 More about this Journal
Abstract
Purpose: This study aimed to describe Korean nursing home nurses' perceptions on dysphagia management and their working experiences of older adults with dysphagia. Methods: Using a purposive sampling design, 23 eligible nurses were interviewed as four focus groups from 4 facilities out of nursing homes. The qualitative data from focus group interviews were analyzed using thematic analysis to classify common themes into larger categories. Results: Two main themes on the attributes of caring nursing home residents with dysphagia were 'Need for nursing resources' and 'Need for support'. In addition, four subthemes emerged as a result of analysis: 'need for nursing protocols for assessing and managing dysphagia', 'need for emergency care skills of nurses and nurse assistants', 'need for prompt and accurate management by cooperation of physicians and therapists', and 'need for partnership upon comprehension of visiting family members concerning dysphagia'. Conclusion: Nursing home nurses fully recognized the importance of dysphagia management; however, they experienced substantial barriers due to lack of adequate nursing protocols or partnership with family caregivers, insufficient training for emergency care, and deficient support from medical staff. Development of nursing guidelines tailored to the nursing home context and based on partnership among medical experts and family caregivers is needed.
Keywords
Dysphagia; Focus groups; Nurses; Nursing home; Qualitative research;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Magnus, V. (2001). Dysphagia training for nurses in an acute hospital setting: A pragmatic approach. International Journal of Language & Communication Disorders, 36 (s1), 375-378. http://dx.doi.org/10.3109/13682820109177914   DOI   ScienceOn
2 Morgan, D. L. (1996). Focus groups as qualitative research. Thousand Oaks, CA: Sage.
3 Morris, H. (2006). Dysphagia in the elderly: A management challenge for nurses. British Journal of Nursing, 15 (10), 558-562.   DOI
4 Nyamathi, A., & Shuler, P. (1990). Focus group interview: A research technique for informed nursing practice. Journal of Advanced Nursing, 15 (11), 1281-1288. http://dx.doi.org/10.1111/j.1365-2648.1990.tb01743.x   DOI
5 Palmer, J., & Metheny, N. A. (2008). How to try this: Preventing aspiration in older adults with dysphagia. American Journal of Nursing, 108 (2), 40-48. http://dx.doi.org/10.1097/01.NAJ.0000308961.99857.33   DOI   ScienceOn
6 Park, Y. H. (2011). Nursing care of patients with dysphagia. Journal of Korean Dysphagia Society, 1, 50-53.
7 Park, Y. H., Han, H. R., Oh, B. M., Lee, J., Park, J., Yu, S. J., et al. (2013). Prevalence and associated factors of dysphagia in nursing home residents. Geriatric Nursing, 34 (3), 212-217. http://dx.doi.org/10.1016/j.gerinurse.2013.02.014   DOI   ScienceOn
8 Pelletier, C. A. (2004). What do certified nurse assistants actually know about dysphagia and feeding nursing home residents? American Journal of Speech-Language Pathology, 13, 99-113. http://dx.doi.org/10.1044/1058-0360(2004/012)   DOI   ScienceOn
9 Westergren, A. (2006). Detection of eating difficulties after stroke: A systematic review. International Nursing Review, 53 (2), 143-149. http://dx.doi.org/10.1111/j.1466-7657.2006.00460.x   DOI   ScienceOn
10 Schrock, J. W., Bernstein, J., Glasenapp, M., Drogell, K., & Hanna, J. (2011). A novel emergency department dysphagia screen for patients presenting with acute stroke. Academic Emergency Medicine, 18 (6), 584-589. http://dx.doi.org/10.1111/j.1553-2712.2011.01087.x   DOI   ScienceOn
11 Shanley, C., & O'Loughlin, G. (2000). Dysphagia among nursing home residents: An assessment and management protocol. Journal of Gerontological Nursing, 26 (8), 35-48.
12 Ashford, J. R., & Skelley, M. (2008). Oral care and the elderly. Dysphagia, 17 (1), 19-26. http://dx.doi.org/10.1044/sasd17.1.19   DOI
13 Bang, H. L., & Park, Y. H. (2013). Development of evidence-based dysphagia nursing care protocol for nursing home residents. Journal of Muscle and Joint Health, 20 (1), 31-42. http://dx.doi.org/10.5953/JMJH.2013.20.1.31   DOI   ScienceOn
14 Barczi, S. R., Sullivan, P. A., & Robbins, J. (2000). How should dysphagia care of older adults differ? Establishing optimal practice patterns. Seminars in Speech and Language, 21 (4), 347-364. http://dx.doi.org/10.1055/s-2000-8387   DOI   ScienceOn
15 Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3 (2), 77-101. http://dx.doi.org/10.1191/1478088706qp063oa   DOI   ScienceOn
16 Brownie, S., & Nancarrow, S. (2013). Effects of person-centered care on residents and staff in aged-care facilities: A systematic view. Clinical Interventions in Aging, 8, 1-10. http://dx.doi. org/10.2147/CIA.S38589   DOI
17 Choi, K. H. (2009, November). Definition and epidemiology of dysphagia. Paper presented at the foundation conference and symposium of The Korean Dysphagia Society, Seoul, Korea.
18 Korean Ministry of Health and Welfare. (2013). The current state of elderly welfare facilities. Retrieved December 09, 2013, from http://kosis.kr
19 Kayser-Jones, J., & Pengilly, K. (1999). Dysphagia among nursing home residents. Geriatric Nursing, 20 (2), 77-84. http://dx.doi.org/10.1053/gn.1999.v20.97011   DOI   ScienceOn
20 Kayser-Jones, J., & Schell, E. S. (1997). Staffing and the mealtime experience of nursing home residents on a Special Care Unit. American Journal of Alzheimer's Disease and Other Dementias, 12 (2), 67-72. http://dx.doi.org/10.1177/153331759701200204   DOI
21 Krueger, R. A., & Casey, M. A. (2009). Focus groups: A practical guide for applied research. Thousand Oaks, CA: Sage.
22 Lubinski, R. (2006). Professionalism in long-term care settings. Journal of Communication Disorders, 39 (4), 292-300. http://dx.doi.org/10.1016/j.jcomdis.2006.02.004   DOI   ScienceOn
23 Geeganage, C., Beavan, J., Ellender, S., & Bath, P. M. W. (2012). Interventions for dysphagia and nutritional support in acute and subacute stroke. Cochrane Database of Systematic Reviews, CD000323. http://dx.doi.org/10.1002/14651858.CD000323.pub2   DOI   ScienceOn
24 Colodny, N. (2001). Construction and validation of the mealtime and dysphagia questionnaire: An instrument designed to assess nursing staff reasons for noncompliance with SLP dysphagia and feeding recommendations. Dysphagia, 16 (4), 263-271. http://dx.doi.org/10.1007/s00455-001-0085-5   DOI   ScienceOn
25 Dwyer, D. (2011). Experience of registered nurses as managers and leaders in residential aged care facilities: A systematic review. International Journal of Evidence-Based Healthcare, 9 (4), 388-402. http://dx.doi.org/10.1111/j.1744-1609.2011.00239.x   DOI   ScienceOn
26 El-Solh, A. A., Niederman, M. S., & Drinka, P. (2010). Management of pneumonia in the nursing home. Chest, 138 (6), 1480-1485. http://dx.doi.org/10.1378/chest.10-1135   DOI   ScienceOn
27 Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15 (9), 1277-1288. http://dx.doi.org/10.1177/1049732305276687   DOI   ScienceOn
28 Katz, P. R., Karuza, J., Intrator, O., & Mor, V. (2009). Nursing home physician specialists: A response to the workforce crisis in long-term care. Annals of Internal Medicine, 150 (6), 411-413. http://dx.doi.org/10.7326/0003-4819-150-6-20090-317000010   DOI   ScienceOn
29 Steele, C. M., Greenwood, C., Ens, I., Robertson, C., & Seidman-Carlson, R. (1997). Mealtime difficulties in a home for the aged: Not just dysphagia. Dysphagia, 12 (1), 43-50. http://dx.doi.org/10.1007/PL00009517   DOI
30 Werner, H. (2005). The benefits of the dysphagia clinical nurse specialist role. Journal of Neuroscience Nursing, 37 (4), 212-215.   DOI