Knowledge, attitudes, and practices of nurses on dysphagia screening and oral care in acute stroke patients - Report - MDSpire

Assessment of Nurses' Knowledge, Attitudes, and Practices Regarding Dysphagia Screening and Oral Hygiene in Patients with Acute Stroke

  • By

  • Mingfang Zhu

  • Yanan Li

  • Jing Gong

  • Lin Ye

  • Yanhui Wang

  • Mengke Ma

  • Yuan Wang

  • Yue Huang

  • July 21, 2026

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Clinical Report: Assessment of Nurses' Knowledge on Dysphagia in Stroke Patients

Overview

This study assessed the knowledge, attitudes, and practices of nurses regarding dysphagia screening and oral care in acute stroke patients. Results indicated that while nurses demonstrated good knowledge and positive attitudes, there were significant gaps in training and institutional support.

Background

Dysphagia is a common complication following acute stroke, impacting recovery and nutrition. Nurses play a crucial role in the detection and management of dysphagia, yet their knowledge and practices can vary significantly.

Data Highlights

MeasureMean Score
Knowledge15.6 ± 3.1
Attitudes77.4 ± 9.8
Practices73.2 ± 10.5

Key Findings

  • Nurses showed good knowledge of dysphagia management with a mean score of 15.6.
  • Positive attitudes towards dysphagia care were noted with a mean score of 77.4.
  • Moderate-to-good practices were reported with a mean score of 73.2.
  • Significant positive associations were found between knowledge, attitudes, and practices (r = 0.46–0.57, p < 0.001).
  • Higher qualifications and dysphagia training were linked to better attitudes and practices (p < 0.05).
  • Inadequate training and institutional support were identified as barriers to effective dysphagia management.

Clinical Implications

Enhancing nursing competency through in-service education and standardized screening techniques is critical for improving dysphagia management in stroke patients. Interprofessional teamwork may also facilitate better outcomes in dysphagia care.

Conclusion

The findings highlight the need for improved training and support for nurses in dysphagia management to enhance patient care in acute stroke settings.

Related Resources & Content

  1. Frontiers in Neurology, 2026 -- Dysphagia in patients with severe stroke: influencing factors and coping strategies
  2. DIGITAL HEALTH, 2026 -- Multi-sensor fusion for differentiating swallows between healthy adults and patients with post-stroke dysphagia
  3. Frontiers in Neurology, 2026 -- Videofluoroscopic swallow study in dysphagia stroke patients
  4. Intensive Care Medicine, 2020 -- Approaches to Managing Oropharyngeal Dysphagia in Acute and Critical Care Settings: A Systematic Review and Meta-Analysis
  5. 2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke: A Guideline From the American Heart Association/American Stroke Association
  6. 2025 Canadian Stroke Best Practice Evidence Tables
  7. 2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke: A Guideline From the American Heart Association/American Stroke Association

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