{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T22:28:47Z","timestamp":1769639327263,"version":"3.49.0"},"reference-count":40,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:00:00Z","timestamp":1733961600000},"content-version":"unspecified","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["bmjph"],"accepted":{"date-parts":[[2024,11,22]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>The complex, multifaceted nature of oropharyngeal dysphagia calls for all health professionals to be aware and involved in its management. Drawing on the WHO\u2019s Interprofessional Collaboration model, this study assessed the implications of health professionals\u2019 awareness and involvement in the management of oropharyngeal dysphagia among inpatients in the acute care facility of a national (level-six) hospital in Kenya. The research questions were (1) what roles do health professionals play in the management of oropharyngeal dysphagia among adult inpatients in the acute care facility of a Kenyan national hospital? (2) what implications do health professionals\u2019 awareness and involvement in oropharyngeal dysphagia management have on the outcomes of inpatients in the acute care facility of a Kenyan national hospital diagnosed with this condition?<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This study adopted a cross-sectional, descriptive design. Data collection involved semistructured interviews with 15 health professionals handling dysphagia inpatients in the facility. The resulting data were transcribed verbatim, analysed thematically and presented through narrations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The analysis revealed that health professionals perform several oropharyngeal dysphagia management roles that fall into two broad complementary categories: those contributing directly to oropharyngeal dysphagia management and those supporting patients with the condition. However, some participants were uncertain of their roles in dysphagia management. The analysis also identified several potential implications of health professionals\u2019 awareness\/non-awareness and involvement\/non-involvement in oropharyngeal dysphagia management. The implications were grouped into three themes: patient outcomes, professionalism and the healthcare system.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Increased involvement of all health professionals in the facility in oropharyngeal dysphagia management may result in improved patient outcomes and professionalism. As a recommendation, the hospital\u2019s management should implement programmes emphasising holistic collaboration among health professionals working in its acute care facility to facilitate oropharyngeal dysphagia management and enhance patient outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjph-2023-000871","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T23:18:37Z","timestamp":1734045517000},"page":"e000871","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Implications of health professionals\u2019 awareness and involvement in oropharyngeal dysphagia management on inpatient outcomes in a National Hospital in Kenya: a case study"],"prefix":"10.1136","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5045-6459","authenticated-orcid":false,"given":"Dalphine Chebet","family":"Ndiema","sequence":"first","affiliation":[{"name":"Early Childhood Studies and Special Needs Education (Speech-Language Pathology), Kenyatta University, Nairobi, Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom O","family":"Abuom","sequence":"additional","affiliation":[{"name":"Early Childhood Studies and Special Needs Education (Speech-Language Pathology), Kenyatta University, Nairobi, Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karia","family":"Matthew","sequence":"additional","affiliation":[{"name":"Early Childhood Studies and Special Needs Education (Speech-Language Pathology), Kenyatta University, Nairobi, Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,12,12]]},"reference":[{"key":"2025083110150105000_2.2.e000871.1","doi-asserted-by":"crossref","DOI":"10.1186\/s12967-022-03380-0","article-title":"The global prevalence of oropharyngeal dysphagia in different populations: a systematic review and meta-analysis","volume":"20","author":"Rajati","year":"2022","journal-title":"J Transl Med"},{"key":"2025083110150105000_2.2.e000871.2","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1007\/s00455-022-10465-x","article-title":"Prevalence of Oropharyngeal Dysphagia in Adults in Different Healthcare Settings: A Systematic Review and Meta-analyses","volume":"38","author":"Rivelsrud","year":"2023","journal-title":"Dysphagia"},{"key":"2025083110150105000_2.2.e000871.3","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1177\/0145561320917795","article-title":"Profiling of Oropharyngeal Dysphagia in an Acute Care Hospital Setting","volume":"100","author":"Matar","year":"2021","journal-title":"Ear Nose Throat J"},{"key":"2025083110150105000_2.2.e000871.4","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1007\/s00455-016-9695-9","article-title":"A Systematic Review of the Prevalence of Oropharyngeal Dysphagia in Stroke, Parkinson\u2019s Disease, Alzheimer\u2019s Disease, Head Injury, and Pneumonia","volume":"31","author":"Takizawa","year":"2016","journal-title":"Dysphagia"},{"key":"2025083110150105000_2.2.e000871.5","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2010.129"},{"key":"2025083110150105000_2.2.e000871.6","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1007\/s00455-014-9543-8","article-title":"The one-year attributable cost of post-stroke dysphagia","volume":"29","author":"Bonilha","year":"2014","journal-title":"Dysphagia"},{"key":"2025083110150105000_2.2.e000871.7","first-page":"20","article-title":"A descriptive retrospective review on the epidemiology of oropharyngeal dysphagia in the acute-care facility of a Kenyan (level-six) national hospital","volume":"12","author":"Ndiema","year":"2023","journal-title":"IOSR J Nurs Health Sci"},{"key":"2025083110150105000_2.2.e000871.8","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1089\/pop.2014.0120","article-title":"Disease Management: The Need for a Focus on Broader Self-Management Abilities and Quality of Life","volume":"18","author":"Cramm","year":"2015","journal-title":"Popul Health Manag"},{"key":"2025083110150105000_2.2.e000871.9","doi-asserted-by":"crossref","DOI":"10.5334\/ijic.301","article-title":"Disease management: a proposal for a new definition","volume":"9","author":"Schrijvers","year":"2009","journal-title":"Int J Integr Care"},{"key":"2025083110150105000_2.2.e000871.10","unstructured":"WHO . 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Kenya national bureau of statistics. 2024. Available: https:\/\/www.knbs.or.ke\/"},{"key":"2025083110150105000_2.2.e000871.27","unstructured":"Ministry of Medical Services . Kenya quality assurance model for health. 2006. Available: http:\/\/guidelines.health.go.ke:8000\/media\/Q_Level56_Standards.pdf"},{"key":"2025083110150105000_2.2.e000871.28","doi-asserted-by":"crossref","DOI":"10.2174\/0118749445270922240125062052","article-title":"Under-five Mortality: Comparative Study of Kenya and other three East-african Developing Countries","volume":"17","author":"Dlamini","year":"2024","journal-title":"TOPHJ"},{"key":"2025083110150105000_2.2.e000871.29","unstructured":"Bank W . Kenya health service delivery indicator survey 2018 report. 2019. 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