{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T02:35:05Z","timestamp":1790562905528,"version":"4.1.0"},"reference-count":38,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T00:00:00Z","timestamp":1712275200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Medical and Health Technology Plan of Longgang District, Shenzhen","award":["LGKCYLWS2020128"],"award-info":[{"award-number":["LGKCYLWS2020128"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"\nPurpose<\/jats:title>\nThis study aimed to explore the predictors of medical staff\u2019s Knowledge, Attitudes and Behavior of dysphagia assessment, to provide reference suggestions for constructing the training program and improving the rate of dysphagia assessment.<\/jats:p>\n<\/jats:sec>\n\nMethods<\/jats:title>\nThis study was a cross-sectional study. A total of 353 nurses and doctors from four provinces (Guangdong, Hunan, Guangxi, and Shaanxi) who were selected by convenience sampling and invited to complete the questionnaire through WeChat, DingTalk, and Tencent instant messenger from May 23 to 31, 2022. A self-reported questionnaire was used to assess participants\u2019 Knowledge, Attitude and Behavior regarding dysphagia assessment. Participants\u2019 sociodemographic, training, and nursing experience were measured using the general information sheet and analyzed as potential predictors of medical staff\u2019s Knowledge, Attitudes and Behavior of dysphagia assessment. A multiple linear regression model was used to identify the predictors.<\/jats:p>\n<\/jats:sec>\n\nResults<\/jats:title>\nThe mean scores for Knowledge, Attitudes and Behavior of dysphagia assessments were (15.3\u00b12.7), (35.9\u00b14.9) and (41.4\u00b114.4) respectively. Knowledge and Behavior of medical staff were medium, and attitude was positive. Multiple linear regression results indicated that experience in nursing patients with dysphagia, related training for dysphagia, working years in the field of dysphagia related diseases, specialized training (geriatric, swallowing and rehabilitation) and department (Neurology, Rehabilitation, Geriatrics) were significant predictors of Behavior, accounting for 31.5% of the variance. Working years in the field of dysphagia related diseases, department (Neurology, Rehabilitation, Geriatrics) and title were significant predictors of medical staff\u2019s knowledge, accounting for 7.8% of variance. Education, experience in nursing patients with dysphagia, department (Neurology, Rehabilitation, Geriatrics) and related training for dysphagia were significant predictors of medical staff\u2019s attitude, accounting for 12.9% of variance.<\/jats:p>\n<\/jats:sec>\n\nConclusions<\/jats:title>\nThe study findings implied that nursing experience, training, and work for patients with swallowing disorders could have positive effects on the Knowledge, Attitudes and Behavior of medical staff regarding dysphagia assessment. Hospital administrators should provide relevant resources, such as videos of dysphagia assessment, training centers for the assessment of dysphagia, and swallowing specialist nurses.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0301770","type":"journal-article","created":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T16:12:36Z","timestamp":1712333556000},"page":"e0301770","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":5,"title":["Predictors of medical staff\u2019s knowledge, attitudes and behavior of dysphagia assessment: A cross-sectional study"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4237-361X","authenticated-orcid":true,"given":"Juanhui","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenqiu","family":"Ye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingyun","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenna","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuebao","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yinjuan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,4,5]]},"reference":[{"issue":"10","key":"pone.0301770.ref001","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1016\/S1474-4422(21)00252-0","article-title":"Global, regional, and national burden of stroke and its risk factors, 1990\u20132019: a systematic analysis for the Global Burden of Disease Study 2019","volume":"20","author":"GBD 2019 Stroke Collaborators","year":"2021","journal-title":"Lancet Neurol"},{"issue":"1","key":"pone.0301770.ref002","doi-asserted-by":"crossref","DOI":"10.1111\/nmo.12910","article-title":"Cough reflex attenuation and swallowing dysfunction in sub-acute post-stroke patients: prevalence, risk factors, and clinical outcome","volume":"29","author":"N Vilardell","year":"2017","journal-title":"Neurogastroenterol Motil"},{"issue":"4","key":"pone.0301770.ref003","doi-asserted-by":"crossref","first-page":"364","DOI":"10.3143\/geriatrics.51.364","article-title":"Risk factors for the onset of aspiration pneumonia among stroke patients in the recovery stage","volume":"51","author":"T Matsumura","year":"2014","journal-title":"Nihon Ronen Igakkai Zasshi"},{"key":"pone.0301770.ref004","doi-asserted-by":"crossref","first-page":"1","DOI":"10.7812\/TPP\/19.230","article-title":"Validation Study of Kaiser Permanente Bedside Dysphagia Screening Tool in Acute Stroke Patients","volume":"24","author":"BS Finnegan","year":"2020","journal-title":"Perm J"},{"key":"pone.0301770.ref005","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.2147\/CIA.S107750","article-title":"European society for swallowing disorders-European union geriatric medicine society white paper: oropharyngeal dysphagia as a geriatric syndrome","volume":"11","author":"LW Baijens","year":"2016","journal-title":"Clin Interv Aging"},{"issue":"1","key":"pone.0301770.ref006","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":"MC Rivelsrud","year":"2023","journal-title":"Dysphagia"},{"issue":"12","key":"pone.0301770.ref007","doi-asserted-by":"crossref","first-page":"3566","DOI":"10.1111\/jan.14188","article-title":"Dysphagia and factors associated with malnutrition risk: a 5-year multicentre study","volume":"75","author":"V Blana\u0159","year":"2019","journal-title":"J Adv Nurs"},{"issue":"10","key":"pone.0301770.ref008","doi-asserted-by":"crossref","first-page":"1246","DOI":"10.1007\/s12603-018-1103-8","article-title":"Association between Oropharyngeal Dysphagia and Malnutrition in Dutch Nursing Home Residents: Results of the National Prevalence Measurement of Quality of Care","volume":"22","author":"VAL Huppertz","year":"2018","journal-title":"J Nutr Health Aging"},{"issue":"8","key":"pone.0301770.ref009","doi-asserted-by":"crossref","first-page":"2148","DOI":"10.1016\/j.jstrokecerebrovasdis.2019.04.025","article-title":"Predictive Factors of Swallowing Disorders and Bronchopneumonia in Acute Ischemic Stroke","volume":"28","author":"A Beharry","year":"2019","journal-title":"J Stroke Cerebrovasc Dis"},{"issue":"2","key":"pone.0301770.ref010","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1007\/s00455-021-10283-7","article-title":"White Paper by the European Society for Swallowing Disorders: Screening and Non-instrumental Assessment for Dysphagia in Adults","volume":"37","author":"R Speyer","year":"2022","journal-title":"Dysphagia"},{"issue":"2","key":"pone.0301770.ref011","first-page":"97","article-title":"Dysphagia: Evaluation and Collaborative Management","volume":"103","author":"JM Wilkinson","year":"2021","journal-title":"Am Fam Physician"},{"issue":"6","key":"pone.0301770.ref012","doi-asserted-by":"crossref","first-page":"2062","DOI":"10.1111\/1460-6984.12921","article-title":"Clinical practice patterns of speech-language pathologists for screening and identifying dysphagia","volume":"58","author":"M Dumican","year":"2023","journal-title":"Int J Lang Commun Disord"},{"issue":"1","key":"pone.0301770.ref013","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1097\/NJH.0000000000000404","article-title":"A Stepwise, Mixed-Method Study Approach to Identify the Barriers to Dysphagia Care in Hospice Care Nurses","volume":"20","author":"L Tan","year":"2018","journal-title":"J Hosp Palliat Nurs"},{"issue":"16","key":"pone.0301770.ref014","first-page":"1499","article-title":"Investigation on the knowledge and intervention status of swallowing function training in elderly patients by nurses in Guangzhou and Shenzhen","volume":"33","author":"Y Zhang","year":"2018","journal-title":"Journal of Nurses Training"},{"key":"pone.0301770.ref015","volume-title":"kendall\u2019s advanced theory of statistics","author":"MG Kendall","year":"2004"},{"key":"pone.0301770.ref016","unstructured":"Dong X. Evidence-based management of stroke patients with dysphagia and its effect evaluation. Zhengzhou University,2018."},{"issue":"08","key":"pone.0301770.ref017","first-page":"1196","article-title":"Investigation on the status of screening and evaluation of dysphagia in stroke patients by nurses in Henan Province","volume":"55","author":"K Ma","year":"2020","journal-title":"Chinese journal of nursing"},{"issue":"1","key":"pone.0301770.ref018","first-page":"37","article-title":"Research progress on the attitude, knowledge and behavior of nurses and caregivers for swallowing disorders after stroke in China","volume":"21","author":"S Lv","year":"2023","journal-title":"Chinese General practice nursing"},{"issue":"23","key":"pone.0301770.ref019","first-page":"3144","article-title":"Investigation on the current situation of knowledge and practice in nursing of dysphagia after stroke in neurology nurses","volume":"26","author":"Q Sun","year":"2020","journal-title":"Chinese journal of modern nursing"},{"issue":"5","key":"pone.0301770.ref020","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1111\/1460-6984.12563","article-title":"Dysphagia and mealtime difficulties in dementia: Speech and language therapists\u2019 practices and perspectives","volume":"55","author":"A Egan","year":"2020","journal-title":"Int J Lang Commun Disord"},{"issue":"6","key":"pone.0301770.ref021","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1111\/nicc.12548","article-title":"Nursing workload in intensive care units and the influence of patient and nurse characteristics","volume":"26","author":"KN Moghadam","year":"2021","journal-title":"Nurs Crit Care"},{"issue":"5","key":"pone.0301770.ref022","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1177\/1747493017711816","article-title":"Agreed definitions and a shared vision for new standards in stroke recovery research: The Stroke Recovery and Rehabilitation Roundtable taskforce","volume":"12","author":"J Bernhardt","year":"2017","journal-title":"Int J Stroke"},{"issue":"9","key":"pone.0301770.ref023","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1177\/1747493020915251","article-title":"Structural integrity of white matter tracts as a predictor of acute ischemic stroke outcome","volume":"15","author":"D Rajashekar","year":"2020","journal-title":"Int J Stroke"},{"issue":"3","key":"pone.0301770.ref024","doi-asserted-by":"crossref","first-page":"182","DOI":"10.4103\/npmj.npmj_96_17","article-title":"Dysphagia following acute stroke and its effect on short-term outcome","volume":"24","author":"SA Abubakar","year":"2017","journal-title":"Niger Postgrad Med J"},{"key":"pone.0301770.ref025","volume-title":"Clinical Pathways in Stroke Rehabilitation: Evidence-based Clinical Practice Recommendations","author":"NJ Paik","year":"2021"},{"issue":"1","key":"pone.0301770.ref026","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1186\/s12877-022-02960-5","article-title":"Prevalence of dysphagia and risk of pneumonia and mortality in acute stroke patients: a meta-analysis","volume":"22","author":"KJ Banda","year":"2022","journal-title":"BMC Geriatr"},{"issue":"4","key":"pone.0301770.ref027","doi-asserted-by":"crossref","first-page":"2139","DOI":"10.3390\/ijerph18042139","article-title":"Knowledge and Practice of Health Professionals in the Management of Dysphagia","volume":"18","author":"E S\u00e1nchez-S\u00e1nchez","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"pone.0301770.ref028","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1007\/s00455-018-9919-2","article-title":"Dysphagia Management in Iran: Knowledge, Attitude and Practice of Healthcare Providers","volume":"34","author":"S Farpour","year":"2019","journal-title":"Dysphagia"},{"issue":"6","key":"pone.0301770.ref029","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1007\/s00455-021-10389-y","article-title":"Dysphagia in Intensive Care Evaluation (DICE): An International Cross-Sectional Survey","volume":"37","author":"PE Spronk","year":"2022","journal-title":"Dysphagia"},{"issue":"13","key":"pone.0301770.ref030","doi-asserted-by":"crossref","first-page":"2385","DOI":"10.3390\/ijerph16132385","article-title":"Knowledge, Attitudes and Intentions to Prescribe Antibiotics: A Structural Equation Modeling Study of Primary Care Institutions in Hubei, China","volume":"16","author":"C Liu","year":"2019","journal-title":"Int J Environ Res Public Health"},{"issue":"3","key":"pone.0301770.ref031","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1136\/flgastro-2021-101917","article-title":"Curriculum review: investigation and management of dysphagia","volume":"13","author":"GB Nigam","year":"2021","journal-title":"Frontline Gastroenterol"},{"issue":"3","key":"pone.0301770.ref032","doi-asserted-by":"crossref","first-page":"1535","DOI":"10.1044\/2022_AJSLP-21-00231","article-title":"Examining the Content and Outcomes of Training in Dysphagia and Mealtime Management: A Systematic Review Informing Co-Design of New Training","volume":"31","author":"C Reddacliff","year":"2022","journal-title":"Am J Speech Lang Pathol"},{"issue":"1","key":"pone.0301770.ref033","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1002\/jca.21572","article-title":"Formatting an experiential learning education module to encourage dysphagia assessment in apheresis patients","volume":"33","author":"J West","year":"2018","journal-title":"J Clin Apher"},{"issue":"2","key":"pone.0301770.ref034","doi-asserted-by":"crossref","first-page":"101348","DOI":"10.1016\/j.jksus.2021.101348","article-title":"Scientific risk performance analysis and development of disaster management framework: A case study of developing Asian countries","volume":"33","author":"C Huo","year":"2021","journal-title":"J King Saud Univ Sci"},{"key":"pone.0301770.ref035","volume-title":"Self-Efficacy: The Exercise of Control","author":"A. Bandura","year":"1997"},{"issue":"4","key":"pone.0301770.ref036","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1002\/j.2048-7940.2002.tb02224.x","article-title":"Geriatric rehabilitation: the influence of efficacy beliefs and motivation","volume":"27","author":"B. Resnick","year":"2002","journal-title":"Rehabil Nurs"},{"issue":"7\u20138","key":"pone.0301770.ref037","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1111\/jocn.15995","article-title":"Experiences and perceptions of stroke patients living with dysphagia: A qualitative meta-synthesis","volume":"31","author":"C Li","year":"2022","journal-title":"J Clin Nurs"},{"issue":"4","key":"pone.0301770.ref038","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1016\/j.aucc.2022.04.004","article-title":"Intensive care professionals\u2019 perspectives on dysphagia management: A focus group study","volume":"36","author":"AH Nielsen","year":"2023","journal-title":"Aust Crit Care"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0301770","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T16:13:07Z","timestamp":1712333587000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0301770"}},"subtitle":[],"editor":[{"given":"Suzanne","family":"Rose","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,4,5]]},"references-count":38,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,4,5]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0301770","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,5]]}}}