Expert Nursing Knowledge in the Care of Patients at Risk of Impaired Swallowing

Jeanne M. McHale, Marion A. Phipps, Kathy Horvath, Joseph Schmelz

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Purpose: To describe the practical knowledge of expert nurses when they assess and feed patients at risk of impaired swallowing. Observation uncovered a lack of well-developed nursing practices in assessing patients' swallowing and eating, and a wide range of interventions in the care ofdifficult-to-feed-patients. Finding little previous nursing research to guide practice for patients with impaired swallowing, the authors undertook a study to identify and describe the knowledge embedded in the everyday practice of nurses. Design: Descriptive, exploratory using purposive sampling. Twelve nurses were identified in 1994 as expert in the care of patients at risk of impaired swallowing in one Boston, Massachusetts teaching hospital. Methods: Data were collected using written narratives by each participant; group interviews in which nurses discussed the written narratives; nonparticipant observations and individual interviews of the expert nurses; and patients'chart review. Data were analyzed using interpretive phenomenology. Findings: Most nurses in the study did not perform a complete assessment of swallowing before feeding their patients. Yet, through feeding patients, they were able to describe several components of the swallowing assessment used in their practice. Conclusions: The areas of assessment described by the nurses can serve as a template for the development of educational content and assessment tools for swallowing.

Original languageEnglish (US)
Pages (from-to)137-141
Number of pages5
JournalJournal of Nursing Scholarship
Volume30
Issue number2
StatePublished - Jun 1998
Externally publishedYes

Fingerprint

Deglutition
Patient Care
Nursing
Nurses
Educational Measurement
Interviews
Nursing Research
Teaching Hospitals
Eating
Observation

Keywords

  • Expert knowledge
  • Impaired swallowing

ASJC Scopus subject areas

  • Nursing(all)

Cite this

McHale, J. M., Phipps, M. A., Horvath, K., & Schmelz, J. (1998). Expert Nursing Knowledge in the Care of Patients at Risk of Impaired Swallowing. Journal of Nursing Scholarship, 30(2), 137-141.

Expert Nursing Knowledge in the Care of Patients at Risk of Impaired Swallowing. / McHale, Jeanne M.; Phipps, Marion A.; Horvath, Kathy; Schmelz, Joseph.

In: Journal of Nursing Scholarship, Vol. 30, No. 2, 06.1998, p. 137-141.

Research output: Contribution to journalArticle

McHale, JM, Phipps, MA, Horvath, K & Schmelz, J 1998, 'Expert Nursing Knowledge in the Care of Patients at Risk of Impaired Swallowing', Journal of Nursing Scholarship, vol. 30, no. 2, pp. 137-141.
McHale, Jeanne M. ; Phipps, Marion A. ; Horvath, Kathy ; Schmelz, Joseph. / Expert Nursing Knowledge in the Care of Patients at Risk of Impaired Swallowing. In: Journal of Nursing Scholarship. 1998 ; Vol. 30, No. 2. pp. 137-141.
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