{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T05:59:31Z","timestamp":1790315971738,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100007446","name":"King Khalid University","doi-asserted-by":"publisher","award":["RGP1\/31\/47"],"award-info":[{"award-number":["RGP1\/31\/47"]}],"id":[{"id":"10.13039\/501100007446","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Post\u2010extubation dysphagia (PED) is common after invasive mechanical ventilation. Nurses can provide timely bedside risk screening, but instrument validity, performance in nurses' hands and implementation effectiveness are distinct questions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To map direct nurse\u2010administered evidence, transferability of nurse\u2010feasible tools, nursing implementation context, and reported patient outcomes in adult intensive care units (ICUs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Literature searches were conducted in six databases, with the search updated in August 2026. Evidence was stratified according to the actual screening administrator and reference\u2010standard assessment. Criterion\u2010level MMAT and QUADAS\u20102 assessments were applied without summary scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The source\u2010verified map comprised 34 reports representing 31 study families. Instrumental\u2010reference evidence with nurse or nursing\u2010assistant administration included two complete\u2010verification cohorts: modified Volume\u2010Viscosity Swallow Test versus FEES in 44 extubated patients (sensitivity 89.5%, specificity 72%) and GUSS\u2010IVA versus FEES in 51 of 56 enrolled patients (81.0%, 88.9%). A third nurse screen had optional FEES in 38 of 123 patients (86%, 21%). Other nurse\u2010administered studies used clinical or proxy comparators or positive\u2010only verification. SLP\u2010administered FEES studies informed transferability, not nurse\u2010administered accuracy. Implementation fidelity varied, and outcome studies were non\u2010randomised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Nursing involvement in structured PED screening is feasible, but direct accuracy and patient\u2010outcome evidence remain heterogeneous and at risk of selection, verification and confounding bias. ICUs may pilot governed pathways with competency assessment, documentation, specialist escalation and outcome audit; no single screen is established as standard care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Bedside screening is risk stratification rather than diagnosis. Failed, discordant or high\u2010risk screens require prompt specialist assessment and, where indicated, FEES or VFSS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70687","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T05:21:14Z","timestamp":1790313674000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nurse\u2010Administered and Nurse\u2010Feasible Post\u2010Extubation Dysphagia Screening in Adult Intensive Care Units: A Scoping Review of Test Performance, Implementation and Patient Outcomes"],"prefix":"10.1111","volume":"31","author":[{"given":"Wesam Hamdy","family":"Elkasaby","sequence":"first","affiliation":[{"name":"King Khalid University  Abha Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youssef Mohamed","family":"Shalaby","sequence":"additional","affiliation":[{"name":"King Khalid University  Abha Saudi 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