2024 Volume 28 Issue 1 Pages 29-36
Objective: In the present study, we sought to identify the characteristic nursing practices of Certified Nurses in Dysphagia Nursing (CNDNs) for preventing aspiration pneumonia (AP) relapse among dysphagia patients in Japan’s community healthcare support hospitals.
Methods: We conducted semi-structured interviews with six CNDNs and performed qualitative retraction analysis on their responses.
Results: From a total of 37 subcategories, we selected eight core categories including: “Observing typical symptoms of AP, and repeatedly considering assessments and nursing plans”; “Determine feasibility based on the subject’s background and dialogue, and explain dietary assistance and training methods, as well as measures to prevent recurrent aspiration pneumonia”; “Assessing the vicious cycle of deterioration of the subject’s general condition and provide support while seeking nursing care that respects the subject’s wishes”; “Practicing nursing care while devising methods to identify patients with AP and patients at risk in each ward, hospital, and community”; “Establishing a system for accepting consultations to deal with difficult cases of AP in hospitals”; “Educating ward nurses who are most closely involved with patients and their families in order to improve their practical skills in clinical dysphagia patients nursing”; “Visualizing nursing practice to ensure its continuity in response to changes in patients over time”; and “Adjusting the environment so that the various professions involved with patients and their families can continuously demonstrate their expertise to each other.” In addition, the eight categories became three core categories.
Conclusion: Three core categories were identified as characteristics of nursing care practiced by CNDNs working at a community healthcare support hospital in Japan to prevent recurrence of AP in patients with dysphagia: Nursing practice that uses specialized knowledge and skills to deal with individuality, Nursing practice as management of nursing services focusing on the organization, and Nursing practice for continuity of nursing of dysphagia patients.
