Article

OBJECTIVE: To determine registered nurses' (RNs') ability to obtain and maintain
accurate procedural skills and reliable interpretation of the screening items
under study to develop the Rapid Aspiration Screening for Suspected Stroke.
DESIGN: Prospective, observation study. SETTING:
A certified primary stroke
center in a major metropolitan medical facility. PARTICIPANTS: RNs (N=15) were
recruited and trained in the administration and interpretation of the screening
items under study to develop the Rapid Aspiration Screening for Suspected Stroke.
INTERVENTIONS: RNs completed a total of 239 screenings of patients admitted with
suspected stroke over a 2-year period. RNs administered the swallowing screening
items and interpreted the patient's response to each item. Independent of the RN,
a speech-language pathologist simultaneously interpreted the response of the
participant with stroke to each swallowing screening item.
MAIN OUTCOME MEASURES:
Reliability of the interpretation and accuracy of the administration of the
swallowing screening items. RESULTS: The average accuracy rate for the
administration of the Rapid Aspiration Screening for Suspected Stroke was 98.33%,
with the overall accuracy rate for each procedural task ranging from 95.42% to
100%. For the specific swallowing screening items that formed the Rapid
Aspiration Screening for Suspected Stroke, dysarthria and a positive sign after
water swallow, reliability was high (k=.817). The accuracy rate for the
administration and reliability of the interpretation of the swallowing screening
items improved as RNs gained experience, and both were maximized at 20 screening
opportunities. CONCLUSIONS: RNs demonstrate both excellent accuracy of procedural
administration and reliability of interpretation of the items of the Rapid
Aspiration Screening for Suspected Stroke. With feedback and repeated
opportunities to practice, maintenance of skills is achievable.
CI - Published by Elsevier Inc.

Langue : ANGLAIS