{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T08:56:46Z","timestamp":1787907406665,"version":"build-2784847793"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,12,27]],"date-time":"2019-12-27T00:00:00Z","timestamp":1577404800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The Japan Agency for Medical Research and Development"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Japan Journal Nursing Sci"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Nurses have the potential to perform fiberoptic endoscopic evaluation of swallowing (FEES) in Japan, which can aid in their provision of swallowing care appropriate to individual patients' swallowing functions. We aimed to confirm the safety and effectiveness of a new nursing education program on FEES by examining its impact on autonomy in performing FEES and accuracy in observing bolus swallowing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this prospective descriptive study, we developed a FEES education program comprising three phases: (a) obtaining knowledge and skills through e\u2010leaning and a practical workshop; (b) becoming proficient in skills for assessing healthy adults through self\u2010learning; and (c) obtaining clinical competence through 30 cases of on\u2010the\u2010job training (OJT). The trends in autonomy and in accuracy of FEES were evaluated by the data during OJT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the three certified nurses in dysphagia nursing, a trainee completed 30 cases of OJT and the other two trainees experienced 20 cases and 10 cases, respectively without any adverse event. Autonomy in the four major FEES skills gradually increased over the OJT. The correct answer rate, sensitivity, and specificity of the penetration\u2010aspiration scale and severity of residue in the pyriform sinus and epiglottis valley were above 95% at the first 10 cases of OJT among three trainees and they were 100% after the 11th case of OJT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results suggest that the developed education program helped nurses with experience being present at FEES obtain sufficient knowledge and skills to appropriately and safely perform FEES with 30 cases of OJT.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jjns.12313","type":"journal-article","created":{"date-parts":[[2019,12,28]],"date-time":"2019-12-28T01:00:25Z","timestamp":1577494825000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Safety and the effectiveness of a new education program for nurses to assess swallowing function using fiberoptic endoscopic evaluation of swallowing (FEES)"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3495-6206","authenticated-orcid":false,"given":"Mikako","family":"Yoshida","sequence":"first","affiliation":[{"name":"Department of Women's Health Nursing &amp; Midwifery Tohoku University Graduate School of Medicine  Miyagi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitoshi","family":"Kagaya","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine I, School of Medicine Fujita Health University  Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yayoi","family":"Kamakura","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Japanese Red Cross Toyota College of Nursing  Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuka","family":"Miura","sequence":"additional","affiliation":[{"name":"Department of Imaging Nursing Science The University of Tokyo Graduate School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiichi","family":"Saitoh","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine I, School of Medicine Fujita Health University  Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yohei","family":"Okawa","sequence":"additional","affiliation":[{"name":"Global Nursing Research Center The University of Tokyo Graduate School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1912-1251","authenticated-orcid":false,"given":"Hiromi","family":"Sanada","sequence":"additional","affiliation":[{"name":"Global Nursing Research Center The University of Tokyo Graduate School of Medicine  Tokyo Japan"},{"name":"Department of Gerontological Nursing The University of Tokyo Graduate School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,27]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Knowledge and skills for speech\u2010language pathologists performing endoscopic assessment of swallowing functions","author":"American Speech\u2013Language Hearing Association","year":"2002"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-016-0587-3"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000135652"},{"issue":"5","key":"e_1_2_9_5_1","first-page":"395","article-title":"Comparion between videofluoroscopy, fiberoptic endoscopy, and scintigraphy for diagnosis of oro\u2010pharyngeal dysphagia","volume":"36","author":"Fattori B.","year":"2016","journal-title":"Acta Otorhinolaryngologica Italica"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13591"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26419"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.5955.447"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318123ee6a"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2006.01292.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/PL00009544"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2008.06.004"},{"key":"e_1_2_9_13_1","unstructured":"Ministry of Health Labour and Welfare 2012 Retrieved fromhttps:\/\/www.mhlw.go.jp\/stf\/shingi\/2r98520000029ocx-att\/2r9852000002bkmn.pdf"},{"key":"e_1_2_9_14_1","unstructured":"Ministry of Health Labour and Welfare 2016 Vital statistics. 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