TY - JOUR
T1 - Japanese clinical practice guidelines for aspiration and pharyngeal residual assessment during eating and swallowing for nursing care
AU - Sugama, Junko
AU - Ishibasi, Miyuki
AU - Ota, Erika
AU - Kamakura, Yayoi
AU - Saitoh, Eiichi
AU - Sanada, Hiromi
AU - Nakayama, Takeo
AU - Nomura, Takeshi
AU - Yamada, Masako
AU - Nakagami, Gojiro
AU - Sato, Naoko
AU - Shibata, Seiko
AU - Hase, Takashi
AU - Fukada, Junko
AU - Miki, Tatsuto
AU - Arita, Mikiko
AU - Urai, Tamae
AU - Okawa, Yohei
AU - Kitamura, Aya
AU - Dai, Misako
AU - Takahashi, Toshiaki
AU - Tamai, Nao
AU - Tobita, Itoko
AU - Noguchi, Hiroshi
AU - Matsumoto, Masaru
AU - Miura, Yuka
AU - Mukai, Kanae
AU - Mugita, Yuko
AU - Yoshida, Mikako
AU - Kurachi, Masako
AU - Shirasaka, Takako
AU - Yamane, Yukiko
N1 - Publisher Copyright:
© 2022 Japan Academy of Nursing Science.
PY - 2022/10
Y1 - 2022/10
N2 - 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.
AB - 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.
KW - clinical practice guideline
KW - deglutition disorders
KW - selection of nursing care
KW - standardization of practice
KW - systematic review
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U2 - 10.1111/jjns.12496
DO - 10.1111/jjns.12496
M3 - Article
C2 - 35715990
AN - SCOPUS:85132068376
SN - 1742-7932
VL - 19
JO - Japan Journal of Nursing Science
JF - Japan Journal of Nursing Science
IS - 4
M1 - e12496
ER -