Evidence map›Paper›PMID 38206345›Full record

ArticleDysphagia2024

Dysphagia Management in the Emergency Department: Using Concept Mapping to Identify Actionable Change to Improve Services.

Pranika B Lal, Elizabeth C Ward, Laurelie R Wishart, Jasmine Foley, Maria Schwarz, Marnie Seabrook, Carolann O'Donnell, Anne Coccetti

Abstract read
In one paragraph

Article in Dysphagia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Pranika B LalSchool of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, QLD, Australia. Pranika.Lal@health.qld.gov.au.ORCID 0000-0002-2280-0258
Elizabeth C WardSchool of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, QLD, Australia.
Laurelie R WishartSchool of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, QLD, Australia.
Jasmine FoleySchool of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, QLD, Australia.
Maria SchwarzLogan Hospital, Meadowbrook, QLD, Australia.
Marnie SeabrookSpeech Pathology Department, Logan Hospital, Metro South Hospital & Health Service, Meadowbrook, QLD, Australia.
Carolann O'DonnellDepartment of Emergency, Logan Hospital, Metro South Hospital & Health Service, Meadowbrook, QLD, Australia.
Anne CoccettiLogan Hospital, Meadowbrook, QLD, Australia.

Funding

Queensland Health RSS_2020_011
6 · The paper itself

Abstract

backgroundIntegrated speech-language pathology (SLP) services within the emergency department (ED) may facilitate timely dysphagia management. However, there are multiple patient and logistical factors specific to the ED that challenge the delivery of optimal dysphagia referral and management practices within this setting. The aim of the current study was to engage a stakeholder group to identify prioritised, actionable goals that could help enhance dysphagia management within the ED. METHODS AND PROCEDURES: Applying concept mapping methodology, 16 ED stakeholders from SLP, medical, nursing, and leadership participated in semi-structured interviews to develop action statements which were sorted and ranked for importance and changeability. Multidimensional scaling and hierarchical cluster analysis were used to organise data in clusters with unifying themes before statements were ranked by importance and changeability. OUTCOMES AND

resultsStakeholders identified 53 unique statements, grouped into 8 clusters. Review of the 8 clusters identified 3 overarching aspects for change: (a) Improving processes related to identification and referral of patients as well as communication; (b) Teamwork and collaboration amongst the ED multidisciplinary team and SLP; and (c) Improving staffing and access to training resources for SLP and nursing teams. Seventeen statements were within the Go-zone rated highest for importance and changeability) with the highest rated statement being: Clear documentation by SLP re: recommendations.

conclusionThe current data identified multiple aspects of service provision that require change to facilitate improved dysphagia referral and management services in the ED. Collaborative actions are required by both SLP and the ED multidisciplinary team to help optimise dysphagia services.

Indexed as

Deglutition DisordersEmergency Service, HospitalSpeech-Language PathologyFemaleHumansMalePatient Care TeamQuality ImprovementReferral and ConsultationStakeholder ParticipationConcept mappingDysphagiaEmergency departmentSpeech-language pathologySwallowing

Identifiers

PMID38206345
PMCPMC11239603

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.