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

To assess nurses’ knowledge, attitudes, and practices regarding dysphagia screening and oral care among stroke patients and to identify factors associated with good attitudes and practices.

Approach:
  • Study Design: Cross-sectional study involving 650 tertiary stroke and neurology nurses.
  • Data Collection: Utilized a validated self-administered questionnaire on dysphagia screening and oral care.
  • Data Analysis: Included descriptive statistics, Pearson’s correlation, and multivariate logistic regression.
Key Findings:
  • Nurses demonstrated good knowledge (mean score = 15.6 ± 3.1) and positive attitudes (77.4 ± 9.8) towards dysphagia management.
  • Moderate-to-good practices (73.2 ± 10.5) were observed, but documentation and formal training were lacking.
  • Knowledge, attitude, and practice showed significant positive associations (r = 0.46–0.57, p < 0.001).
  • Higher qualifications, career experience, stroke unit experience, and dysphagia training were associated with more positive attitudes and practices (p < 0.05).
Interpretation:

Limitations:
  • Lack of formal training and institutional support.
  • Study conducted in a single hospital may limit generalizability.
Conclusion:

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