{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T16:27:49Z","timestamp":1790353669807,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dysphagia is a prevalent and critical issue in critically ill patients who have undergone mechanical ventilation. The knowledge, attitude, and practice (KAP) of ICU nurses are determinants of the effectiveness of post\u2010extubation dysphagia (PED) management. However, existing evidence regarding the current KAP status of PED among ICU nurses remains insufficient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to assess the current status of ICU nurses' KAP regarding PED, along with associated individual and organisational factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From August to September 2024, a cross\u2010sectional, multicentre study was conducted on a convenience sample of 305 ICU nurses from 15 tertiary hospitals in 10 cities of Guangdong Province, China. An online self\u2010reported structured questionnaire was used to collect data on the KAP of PED among ICU nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 305 valid questionnaires were analysed. The overall mean score was (70.08\u2009\u00b1\u200915.34). The mean scores of knowledge, attitude, and practice were (78.10\u2009\u00b1\u200928.98), (80.02\u2009\u00b1\u200913.27), and (52.13\u2009\u00b1\u200922.94), respectively. Multivariate analysis revealed that the individual factors related to the total score included confidence in PED management (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.356,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and the organisational factors included leadership support (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.210,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), unit compliance with PED screening and treatment protocols (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u2212 0.169,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), and availability of PED educational resources (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.156,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ICU nurses possess a relatively extensive knowledge base and exhibit positive attitudes toward PED, but there is still room for practice improvement. Besides strengthening the training of ICU nurses on PED\u2010related knowledge, formulating standardised protocols, establishing a multidisciplinary management team, creating a favourable improvement atmosphere, and providing sufficient training resources are indispensable measures for enhancing the quality of clinical PED management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>To enhance the quality of PED management, it is advisable to formulate a multi\u2010aceted support strategy targeting both organisations and individuals, thereby facilitating the implementation of relevant practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement of cross\u2010sectional studies was followed for reporting in the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public involvement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70032","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T02:30:43Z","timestamp":1752114643000},"page":"708-718","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Individual and Organisational Factors Influencing Knowledge, Attitude and Practice Regarding Post\u2010Extubation Dysphagia in\n                    <scp>ICU<\/scp>\n                    Nurses: A Cross\u2010Sectional Multicentre Study"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1314-9758","authenticated-orcid":false,"given":"Long","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Intensive Care Unit Zhuhai People's Hospital (The Affiliated Hospital of Beijing Institute of Technology, Zhuhai Clinical Medical College of Jinan University)  Zhuhai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fan","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit Zhuhai People's Hospital (The Affiliated Hospital of Beijing Institute of Technology, Zhuhai Clinical Medical College of Jinan University)  Zhuhai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anqi","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit Zhuhai People's Hospital (The Affiliated Hospital of Beijing Institute of Technology, Zhuhai Clinical Medical College of Jinan University)  Zhuhai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit Zhuhai People's Hospital (The Affiliated Hospital of Beijing Institute of Technology, Zhuhai Clinical Medical College of Jinan University)  Zhuhai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun\u2010feng","family":"Luo","sequence":"additional","affiliation":[{"name":"Nursing Department Zhuhai People's Hospital (The Affiliated Hospital of Beijing Institute of Technology, Zhuhai Clinical Medical College of Jinan University)  Zhuhai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2020.03.001"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0033\u2010295x.84.2.191"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010016\u20100534\u2010z"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010022\u201000950\u2010x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/xeb.0000000000000450"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16623"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054\u2010022\u201003974\u20106"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16284"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2023.154447"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.13026"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010018\u20105181\u20101"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.51893\/2022.4.Oa5"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2020.05.008"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2021.03.008"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.14438"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100043\u20101767676"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2021.05.002"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15826"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00101\u2010022\u201001092\u20100"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/ccm.0000000000002765"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010021\u201010389\u2010y"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/9981458"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12871\u2010023\u201002072\u20106"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010018\u20109930\u20107"},{"key":"e_1_2_9_26_1","unstructured":"Yang L.2021.\u201cA Study on the Current Situation of Knowledge Belief and Practice of Swallowing Disorders in ICU Nurses with Tracheal Intubation Patients after Extubation.\u201dMaster\u2019s thesis Lanzhou University. Available from:https:\/\/kns.cnki.net\/kcms2\/article\/abstract?v=_ISxPpdig3yOIcDs83dZuVVtFdUoQG8jTtxvizcrT9JaHYYuCt7n\u2010n9rHGd\u2010_qCgeA7Eiy7el4casyvN4wTkUNaFLMPR9\u2010GEprfo62iK5abPuoNuZ_K4fnVzf6rGEVJ0Y6AbaT06zwd4sBbuZ1W2LjQE8Rjcsd4hf6f7A\u20105izTM95zqkpH9jeUyNfNvGzYYB&uniplatform=NZKPT&language=CHS."},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40001\u2010024\u201002024\u2010x"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.13280"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054\u2010019\u20102400\u20102"}],"updated-by":[{"DOI":"10.1111\/jocn.70350","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000}}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.70032","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.70032","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.70032","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T03:19:11Z","timestamp":1788319151000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.70032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,9]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1111\/jocn.70032"],"URL":"https:\/\/doi.org\/10.1111\/jocn.70032","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,9]]},"assertion":[{"value":"2025-04-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}