Publicação
Nurse Specialist Interventions in Rehabilitation Nursing for Patients with Impaired Swallowing: a Scoping Review
| Resumo: | Introduction: Swallowing is an essential process for nutrition and airway protection. When compromised, it poses significant biopsychosocial risks, being prevalent among institutionalized adults and elderly individuals. The Rehabilitation Nurse Specialist (RNS) possesses the knowledge and skills necessary to address this issue. Objective: To map the most up-to-date scientific evidence on the intervention of RNS in patients with impaired swallowing in a hospital setting. Methodology: A Scoping Review based on the Joanna Briggs Institute® methodology was conducted applying PCC eligibility criteria, with research conducted in EBSCOhost, Cochrane Database, Scopus, SciELO, and PubMed for literature published from 2018 to 2023. Six studies were included: two case studies, two quantitative studies, one integrative review of the literature, and one randomized controlled trial. Results: The analysis of the six studies identified a set of RNS interventions for hospitalized patients with impaired swallowing: pre-oral feeding swallowing assessment, diet modification, oral hygiene, health education, motor functional rehabilitation, respiratory functional rehabilitation, and psychological intervention. These interventions contributed to reducing associated complications, improved cost-effectiveness, and decreased hospital length of stay. Discussion: The findings highlight the relevance of the RNS role in managing patients with impaired swallowing, despite the scarcity of robust studies on the topic. Conclusion: The RNS plays a fundamental role in achieving health gains for patients with impaired swallowing. Expanding research to systematize effective interventions is essential to promoting better health outcomes. Protocol registration (Open Science Framework): osf.io/3vc2x; https://doi.org/10.17605/OSF.IO/BYJ56 |
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| Autores principais: | Sousa, Vasco |
| Outros Autores: | Natário, Ana; Ferreira, Salomé; Rocha, Mariana; Lima, Andreia; Moreira, Maria Teresa |
| Assunto: | Deglutição Disfagia Enfermagem de Reabilitação Deglución Disfagia Enfermería de Rehabilitación Swallowing Dysphagia Rehabilitation Nursing |
| Ano: | 2025 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | unknown |
| Instituição associada: | Associação Portuguesa dos Enfermeiros de Reabilitação |
| Idioma: | português |
| Origem: | Revista Portuguesa de Enfermagem de Reabilitação |
| Resumo: | Introduction: Swallowing is an essential process for nutrition and airway protection. When compromised, it poses significant biopsychosocial risks, being prevalent among institutionalized adults and elderly individuals. The Rehabilitation Nurse Specialist (RNS) possesses the knowledge and skills necessary to address this issue. Objective: To map the most up-to-date scientific evidence on the intervention of RNS in patients with impaired swallowing in a hospital setting. Methodology: A Scoping Review based on the Joanna Briggs Institute® methodology was conducted applying PCC eligibility criteria, with research conducted in EBSCOhost, Cochrane Database, Scopus, SciELO, and PubMed for literature published from 2018 to 2023. Six studies were included: two case studies, two quantitative studies, one integrative review of the literature, and one randomized controlled trial. Results: The analysis of the six studies identified a set of RNS interventions for hospitalized patients with impaired swallowing: pre-oral feeding swallowing assessment, diet modification, oral hygiene, health education, motor functional rehabilitation, respiratory functional rehabilitation, and psychological intervention. These interventions contributed to reducing associated complications, improved cost-effectiveness, and decreased hospital length of stay. Discussion: The findings highlight the relevance of the RNS role in managing patients with impaired swallowing, despite the scarcity of robust studies on the topic. Conclusion: The RNS plays a fundamental role in achieving health gains for patients with impaired swallowing. Expanding research to systematize effective interventions is essential to promoting better health outcomes. Protocol registration (Open Science Framework): osf.io/3vc2x; https://doi.org/10.17605/OSF.IO/BYJ56 |
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