Nurses' satisfaction with the implementation of a deglutition assessment procedure: cross-sectional study
DOI:
https://doi.org/10.62486/sic2025220Keywords:
Deglutition, Dysphagia, Methods, Nursing, Personal SatisfactionAbstract
Introduction: Dysphagia affects around 40 million people in Europe and increases the risk of aspiration in stroke patients by 4.08 times, making it essential to assess patients' swallowing abilities. At the Professor Doutor Fernando Fonseca Hospital of the Amadora-Sintra Local Health Unit, the Volume-Viscosity Clinical Exploration Method is used. In January 2024, the swallowing assessment procedure was published. This study aims to identify the degree of satisfaction of nurses from the Neurology Service and the Adult Emergency Service at HFF regarding the implementation of the swallowing assessment procedure.
Methods: This is a cross-sectional study. A specific questionnaire was developed. The Qualtrics online platform was used to collect the data between June 3 and July 3, 2024. Quantitative data analysis was conducted.
Results/Discussion: 38,46% of nurses working in these services responded to the questionnaire. The average age of the participants was 31,86 years old, with the majority working in the Adult Emergency Service. Satisfaction with the implementation of the procedure was 76,36% while satisfaction with training was 81,25%. The reported benefits of implementing the procedure were: simplicity and easy application (75,51%), easy interpretation of the result (85,71%) and facilitating the provision of an adequate diet (89,8%). These findings are evident in other studies on this topic.
Conclusions: Nurses expressed satisfaction with the implementation of the procedure, as it enhances the quality of nursing care and facilitates patients’ functional readaptation.
References
1. Dziewas R, Beck A, Clave P, Hamdy S, Heppner H, Langmore S, et al. Recognizing the Importance of Dysphagia: Stumbling Blocks and Stepping Stones in the Twenty-First Century. Dysphagia [Internet]. 2017;32(1):78–82. Available from: https://pubmed.ncbi.nlm.nih.gov/27571768/
2. Mora M. Aprendiendo más sobre la prueba MECV-V [Internet]. 2021 [cited 2023 Apr 25]. Available from: https://www.nutricionemocional.es/pacientes-y-cuidadores/aprendiendo-mas-sobre-la-prueba-mecv-v
3. Silva M. Caracterização e análise de custos da Disfagia Orofaríngea numa Unidade de Cuidados Continuados de Média Duração e Reabilitação [Internet]. Instituto Politécnico do Porto; 2020. Available from: https://recipp.ipp.pt/handle/10400.22/17713
4. Banda K, Chu H, Kang X, Liu D, Pien L-C, Jen H-J, et al. Prevalence of dysphagia and risk of pneumonia and mortality in acute stroke patients: a meta ‑ analysis. BMC Geriatr [Internet]. 2022;22(420):1–11. Available from: https://pubmed.ncbi.nlm.nih.gov/35562660/
5. Ordem dos Enfermeiros. Instrumentos de recolha de dados para a documentação dos cuidados especializados em Enfermagem de Reabilitação. 2016. 1–67 p.
6. Martins R, Silva L, Paredes M, Fonseca S. Early swallowing testing in patients with post-stroke dysphagia: Assessment of benefits. Servir [Internet]. 2014;2(7). Available from: https://revistas.rcaap.pt/servir/article/view/32662
7. Clavé P, Arreola V, Romea M, Medina L, Palomera E, Serra-Prat M. Accuracy of the volume-viscosity swallow test for clinical screening of oropharyngeal dysphagia and aspiration. Clin Nutr [Internet]. 2008;27:806–15. Available from: https://pubmed.ncbi.nlm.nih.gov/18789561/
8. Simões C. CONTRIBUTO PARA A VALIDAÇÃO DO THE VOLUME-VISCOSITY SWALLOW TEST (V-VST) - VERSÃO PORTUGUESA [Internet]. Universidade de Coimbra; 2018. Available from: https://eg.uc.pt/handle/10316/82676
9. Ordem dos Enfermeiros. Regulamento dos Padrões de Qualidade dos Cuidados Especializados em Enfermagem de Reabilitação [Internet]. Portugal; 2011 p. 1–16. Available from: https://www.ordemenfermeiros.pt/arquivo/colegios/Documents/PQCEEReabilitacao.pdf
10. Ordem dos Enfermeiros. Core de Indicadores por categoria de Enunciados Descritivos dos Padrões de Qualidade dos Cuidados de Enfermagem de Reabilitação (PQCER) [Internet]. Porto; 2015. Available from: https://www.ordemenfermeiros.pt/arquivo/colegios/Documents/2015/MCEER_Assembleia/Core_Indicadores_por_Categoria_de_Enunciados_Descrit_PQCER.pdf
11. Midje HH, Nyborg VN, Nordsteien A, Øvergård KI, Brembo EA, Torp S. Antecedents and outcomes of work engagement among nursing staff in long-term care facilities—A systematic review. J Adv Nurs [Internet]. 2024;80(1):42–59. Available from: https://onlinelibrary.wiley.com/doi/epdf/10.1111/jan.15804
12. Ordem dos Enfermeiros. Anuário Estatístico 2024 [Internet]. 2025. Available from: https://view.officeapps.live.com/op/view.aspx?src=https%3A%2F%2Fwww.ordemenfermeiros.pt%2Fmedia%2F37149%2F2024_anuarioestatisticos_nacional.xlsx&wdOrigin=BROWSELINK
13. Benner P. De Iniciado a Perito. Coimbra: Quarteto; 2001.
14. Dziewas R, Michou E, Trapl-Grundschober M, Lal A, Arsava EM, Bath PM, et al. European Stroke Organisation and European Society for Swallowing Disorders guideline for the diagnosis and treatment of post-stroke dysphagia. Eur Stroke J. 2021;6(3):LXXXIX–CXV.
15. Perez ML, Rodrigues T, Botelho MD, Silva NS, Delgado BM, de Jesus Oliveira I. Relevance of Rehabilitation Nursing in the Emergency Department: Focus Group. Rev Port Enferm Reabil [Internet]. 2021;4(2):30–7. Available from: https://rper.aper.pt/index.php/rper/article/view/183/428
16. Silva C, Potra T. Satisfação profissional dos enfermeiros numa unidade local de saúde: determinantes da satisfação. Rev Enferm Refe [Internet]. 2019;Série IV(20):117–28. Available from: https://rr.esenfc.pt/rr/index.php?module=rr&target=publicationDetails&pesquisa=&id_artigo=3084&id_revista=24&id_edicao=173
17. Pimentel N, Silva R, Oliveira Y, Silva A. A satisfação dos trabalhadores de enfermagem como indicador de gestão. Rev Eletrônica Acervo Saúde [Internet]. 2020;55:1–8. Available from: https://acervomais.com.br/index.php/saude/article/view/3258
18. Santos AL, Sousa L, Ildefonso T, Veludo F, Sousa P, Marques R. Fatores que influenciam a adesão dos profissionais de saúde (médicos e enfermeiros) às boas práticas clínicas: uma scoping review. Cad Saúde [Internet]. 2020;12:122–3. Available from: https://doi.org/10.34632/cadernosdesaude.2020.10295
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Filipe Teixeira, Adriana Sentieiro, Andreia Cunha, Edgar Pires, Miriam Silva, Cátia de Deus (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.