The Japanese Journal of Dysphagia Rehabilitation
Online ISSN : 2434-2254
Print ISSN : 1343-8441
Original Paper
Developing a Quality Assessment Scale of Dysphagia Nursing for Certified Nurses and Hospital Nurses
Junko FUKADAYayoi KAMAKURAYoshie ASADA
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JOURNAL FREE ACCESS

2009 Volume 13 Issue 2 Pages 88-106

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Abstract

[Purpose] The purpose of this study is to focus on the “nursing process” and develop a quality assessment scale of dysphagia nursing (QASDN) for both certified nurses(CNs)in the dysphagia nursing field and hospital nurses.

[Methods] The study was approved by the Ethics Committee of the Aichi Prefectural College of Nursing &Health. A QASDN was developed based on a literature review and assessed by thirteen experts in dysphagia rehabilitation. The QASDN of CNs and hospital nurses contained 76 and 70 items, respectively. A questionnaire survey regarding the QASDN was conducted among 58 CNs registered in 2006 and 2007, and 1002 nurses at a hospital where CNs work seven months after completion of the regular CN course.

[Results] 1. Valid responses to the QASDN of hospital nurses were obtained from 438 hospital nurses. Sixty-four items were selected from considering the results of mean and rate of practice. Construct validity was analyzed by factor analysis. Six factors were obtained, “assessment of swallowing function,” “assessment and practice for discharge planning,” “risk management and practice of dysphgia rehabilitation,” “practice of dysphgia rehabilitation for pharyngeal dysphagia” “evaluation and coordination,” and “assessment of risk management.” Reliability was analyzed by internal consistency. Cronbach's α was 0.92 for overall scores.

2. Valid responses to the QASDN of CNs were obtained from 47 CNs. Sixty-nine items were selected from considering the results of mean and rate of practice. Construct validity was analyzed by factor analysis of 17 items except for 52 items(5 factors)in common with the QASDN of hospital nurses above. Two factors were obtained, “evaluation, leadership, consultation and coordination to nursing team” and “coordination to rehabilitation team.” QASDN of CNs consisted of 69 items, seven factors. Reliability was analyzed by internal consistency. Cronbach's a was 0.98 for overall scores.

[Conclusion] These results suggested that the QASDN of both CNs and hospital nurses developed have high validity and reliability.

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© 2009 The Japanese Society of Dysphagia Rehabilitation
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