Japanese clinical practice guidelines for aspiration and pharyngeal residual assessment during eating and swallowing for nursing care

Junko Sugama, Miyuki Ishibasi, Erika Ota, Yayoi Kamakura, Eiichi Saitoh, Hiromi Sanada, Takeo Nakayama, Takeshi Nomura, Masako Yamada, Gojiro Nakagami, Naoko Sato, Seiko Shibata, Takashi Hase, Junko Fukada, Tatsuto Miki, Mikiko Arita, Tamae Urai, Yohei Okawa, Aya Kitamura, Misako DaiToshiaki Takahashi, Nao Tamai, Itoko Tobita, Hiroshi Noguchi, Masaru Matsumoto, Yuka Miura, Kanae Mukai, Yuko Mugita, Mikako Yoshida, Masako Kurachi, Takako Shirasaka, Yukiko Yamane

Research output: Contribution to journalArticlepeer-review

Abstract

Aim: This clinical practice guideline aims to provide and recommend methods of assessing aspiration and pharyngeal residue during eating and swallowing and methods of selecting and implementing nursing care for adults to prevent the development of aspiration pneumonia through early and appropriate management of oropharyngeal dysphagia. Methods: In April 2018, the Japan Academy of Nursing Science established the Supervisory Committee in Nursing Care Development/Standardization Committee to develop clinical practice guidelines for aspiration and pharyngeal residual assessment during eating and swallowing for nursing care. This clinical practice guideline was developed according to the Minds Manual for Guideline Development 2017, with the aim of providing a specific pathway for nurses to determine the policy for selecting management for oropharyngeal dysphagia based on research evidence and multifaceted factors including the balance of benefits and harms and patients' values. Results: Based on the 10 clinical questions related to assessment by physical assessment, the Repetitive Saliva Swallowing Test, Modified Water Swallowing Test, Food Test, cervical auscultation, observation using an ultrasound diagnostic device, and an endoscope, 10 recommendations have been developed. Eight recommendations have been evaluated as the Grading of Recommendations Assessment, Development and Evaluation (GRADE) 2C, and the other two have been evaluated as no GRADE. Conclusion: The first reliable clinical practice guideline has been produced from an academic nursing organization that focuses on assessment for nursing care and incorporates the latest findings.

Original languageEnglish
JournalJapan Journal of Nursing Science
DOIs
Publication statusAccepted/In press - 2022

All Science Journal Classification (ASJC) codes

  • Research and Theory

Fingerprint

Dive into the research topics of 'Japanese clinical practice guidelines for aspiration and pharyngeal residual assessment during eating and swallowing for nursing care'. Together they form a unique fingerprint.

Cite this