{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:52:49Z","timestamp":1785437569428,"version":"3.56.0"},"reference-count":47,"publisher":"AOSIS","issue":"2","license":[{"start":{"date-parts":[[2025,11,23]],"date-time":"2025-11-23T00:00:00Z","timestamp":1763856000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Communication between speech-language therapists (SLTs) and nursing personnel is essential for safe dysphagia management, as unclear exchanges can compromise patient outcomes and care continuity. In South Africa, high patient loads, limited dysphagia training, and linguistic diversity create additional challenges, making effective interprofessional communication crucial.\nObjectives:\u00a0This study aimed to identify communication practices related to dysphagia in exchanges between SLTs and nursing personnel, focusing on mutual understanding, openness in interactions and frustration experienced during communication. It also explored nursing personnel\u2019s preferred communication modes when discussing feeding and swallowing management.\nMethod:\u00a0A quantitative, cross-sectional design was used. Data were collected from 18 nurses by means of an adapted Nurse-Physician Communication Scale. The survey was distributed electronically across South Africa via multiple channels. Purposive sampling targeted nursing personnel with at least 6 months\u2019 experience in managing patients with dysphagia.\nResults:\u00a0Findings showed that while some mutual understanding exists, nursing personnel often felt misunderstood during interactions with SLTs. Reduced mutual understanding and openness correlated with dissatisfaction in communication. Nursing personnel frequently perceived much of the dysphagia-related information as irrelevant, which increased frustration. Nurses expressed a preference for face-to-face verbal and written communication over electronic modes.\nConclusion:\u00a0The study highlights the need to improve communication practices employed in dysphagia management to support successful interactions and optimal patient management. Strengthening interdisciplinary communication between SLTs and nursing personnel can enhance patient outcomes, increase nursing satisfaction, and promote better teamwork.<\/jats:p>","DOI":"10.4102\/sajcd.v72i2.1129","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T09:00:07Z","timestamp":1763629207000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Nursing personnel and speech-language therapists communication practices in dysphagia management"],"prefix":"10.4102","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8540-0318","authenticated-orcid":false,"given":"Alida","family":"de Beer","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05bk57929","id-type":"ROR","asserted-by":"publisher"}],"name":"Stellenbosch University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2019-6175","authenticated-orcid":false,"given":"Athenkosi","family":"Mpiti","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05bk57929","id-type":"ROR","asserted-by":"publisher"}],"name":"Stellenbosch University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9423-5925","authenticated-orcid":false,"given":"Zeenat","family":"Ganie","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05bk57929","id-type":"ROR","asserted-by":"publisher"}],"name":"Stellenbosch University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6133-8632","authenticated-orcid":false,"given":"Lesedi","family":"Rakgase","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05bk57929","id-type":"ROR","asserted-by":"publisher"}],"name":"Stellenbosch University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1017-5466","authenticated-orcid":false,"given":"Sinovuyo","family":"Mduzulwana","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05bk57929","id-type":"ROR","asserted-by":"publisher"}],"name":"Stellenbosch University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0080-6752","authenticated-orcid":false,"given":"Aldon","family":"Barend","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05bk57929","id-type":"ROR","asserted-by":"publisher"}],"name":"Stellenbosch University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2025,11,23]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Abbott, P.A., & Coenen, A. (2008). Globalization and advances in information and communication technologies: The impact on nursing and health. Nursing Outlook, 56(5), 238\u2013246. https:\/\/doi.org\/10.1016\/j.outlook.2008.06.009","DOI":"10.1016\/j.outlook.2008.06.009"},{"key":"ref1","unstructured":"Alder, S. (2025). Effects of poor communication in healthcare. Retrieved June 20, 2022, from https:\/\/www.hipaajournal.com\/effects-of-poor-communication-in-healthcare\/?amp."},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Armstrong, R., Schimke, E., Mathew, A., & Scarinci, N. (2023). Interprofessional practice between speech-language pathologists and classroom teachers: A mixed-methods systematic review. Language, Speech, and Hearing Services in Schools, 54(4), 1358\u20131376. https:\/\/doi.org\/10.1044\/2023_LSHSS-22-00168","DOI":"10.1044\/2023_LSHSS-22-00168"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Barlow, M., Watson, B., Jones, E., Maccallum, F., & Morse, K.J. (2023). The influence of professional identity on how the receiver receives and responds to a speaking up message: A cross-sectional study. BMC Nursing, 22, 26. https:\/\/doi.org\/10.1186\/s12912-023-01178-z","DOI":"10.1186\/s12912-023-01178-z"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Barnard, R., Jones, J., & Cruice, M. (2020). Communication between therapists and nurses working in inpatient interprofessional teams: Systematic review and meta-ethnography. Disability and Rehabilitation, 42(10), 1339\u20131349. https:\/\/doi.org\/10.1080\/09638288.2018.1526335","DOI":"10.1080\/09638288.2018.1526335"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Barnard, R., Jones, J., & Cruice, M. (2022). Managing ongoing swallow safety through information-sharing: An ethnography of speech and language therapists and nurses at work on stroke units. International Journal of Language & Communication Disorders, 57, 852\u2013864. https:\/\/doi.org\/10.1111\/1460-6984.12725","DOI":"10.1111\/1460-6984.12725"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Blackwell, Z., & Littlejohns, P. (2010). A review of the management of dysphagia: A South African perspective. Journal of Neuroscience Nursing, 42(2), 61\u201370. https:\/\/doi.org\/10.1097\/JNN.0b013e3181ce5c86","DOI":"10.1097\/JNN.0b013e3181ce5c86"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Bloom, R.D., Tufano, V.E., & Perez, C.T. (2022). Registered nurses\u2019 and speech language pathologists\u2019 interprofessional collaboration: A systematic scoping review of the literature. Nursing Forum, 57(6), 1129\u20131136. https:\/\/doi.org\/10.1111\/nuf.12802","DOI":"10.1111\/nuf.12802"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Bramhall, E. (2014) Effective communication skills in nursing practice. Nursing Standard, 29(14), 53\u201359. https:\/\/doi.org\/10.7748\/ns.29.14.53.e9355","DOI":"10.7748\/ns.29.14.53.e9355"},{"key":"ref9","unstructured":"Clark, H., & Ebersole, K. (2018). Management of dysphagia in acute care settings. Journal of Speech, Language, and Hearing Research, 61(3), 789\u2013798."},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Daly, L. (2017). Effective communication with older adults. Nursing Standard, 31(41), 55\u201363. https:\/\/doi.org\/10.7748\/ns.2017.e10832","DOI":"10.7748\/ns.2017.e10832"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"De Benedictis, A., Lettieri, E., Masella, C., Gastalid, L., Macchini, G., Santu, C., & Tartaglini, D. (2019). WhatsApp in hospital: An empirical investigation of individual and organisational determinants to use. PLoS One, 14(1), e0209873. https:\/\/doi.org\/10.1371\/journal.pone.0209873","DOI":"10.1371\/journal.pone.0209873"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Dlamini, B.B., & Park, M. (2024). The effect of teamwork, communication skills, and structural empowerment on the provision of patient-centered care among nurses in Eswatini: A cross-sectional study. Journal of Evaluation in Clinical Practice, 30(6), 954\u2013964. https:\/\/doi.org\/10.1111\/jep.14003","DOI":"10.1111\/jep.14003"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Dondorf, K., Fabus, R., & Ghassemi, A. (2015). The interprofessional collaboration between nurses and speech-language pathologists working with patients diagnosed with dysphagia in skilled nursing facilities. Journal of Nursing Education and Practice, 6(4), 17\u201320. https:\/\/doi.org\/10.5430\/jnep.v6n4p17","DOI":"10.5430\/jnep.v6n4p17"},{"key":"ref14","unstructured":"Ferreira-Padilla, J., Claramunt-Escrib\u00e0, M., Sancho, P., & Gomis, M. (2015). Communication in healthcare: A fundamental clinical skill. International Journal of Medical Education, 6, 37\u201343."},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"Gleeson, L., O\u2019Brien, G.L., O\u2019Mahony, D., & Byrne, S. (2023). Interprofessional communication in the hospital setting: A systematic review of the qualitative literature. Journal of Interprofessional Care, 37(2), 203\u2013213. https:\/\/doi.org\/10.1080\/13561820.2022.2028746","DOI":"10.1080\/13561820.2022.2028746"},{"key":"ref16","unstructured":"Goldberg, A. (2015). The economic impact of load shedding: The case of South African retailers. Retrieved from http:\/\/hdl.handle.net\/2263\/52398"},{"key":"ref17","unstructured":"Hess, J. (2016). Strengthening the introductory communication course: An opportunity through better alignment with today\u2019s needs. Basic Communication Course Annual, 28(1), a7. Retrieved from https:\/\/ecommons.udayton.edu\/bcca\/vol28\/iss1\/7\/"},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"Hines, S., Kynoch, K., & Munday, J. (2014). Identification and nursing management of dysphagia in individuals with acute neurological impairment: A systematic review (new update). JBI Database of Systematic Reviews and Implementation Reports, 12(5), 195\u2013236. https:\/\/doi.org\/10.11124\/jbisrir-2014-1589","DOI":"10.11124\/jbisrir-2014-1589"},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"Hur, Y., & Kang, Y. (2024). Communication training program for nurses caring for patients with aphasia: A quasi-experimental study. BMC Nursing, 23, 893. https:\/\/doi.org\/10.1186\/s12912-024-02599-0","DOI":"10.1186\/s12912-024-02599-0"},{"key":"ref20","doi-asserted-by":"crossref","unstructured":"Kathard, H., & Pillay, M. (2013). Promoting change through political consciousness: A South African speech-language pathology response to the world report on disability. International Journal of Speech-Language Pathology, 15(1), 84\u201389. https:\/\/doi.org\/10.3109\/17549507.2012.757803","DOI":"10.3109\/17549507.2012.757803"},{"key":"ref21","doi-asserted-by":"crossref","unstructured":"K\u0131nas, S.B., Bilgi\u00e7, \u015e., & G\u00fcrdo\u011fan, E.P. (2025). The relationship between nursing students\u2019 communication skills and their attitudes toward clinical practice: A descriptive and correlational study. Mediterranean Nursing and Midwifery, 5(1), 53\u201361. https:\/\/doi.org\/10.4274\/MNM.2024.24234","DOI":"10.4274\/MNM.2024.24234"},{"key":"ref22","doi-asserted-by":"crossref","unstructured":"Kourkouta, L., & Papathanasiou, I.V. (2014). Communication in nursing practice. Materia Socio Medica, 26(1), 65\u201367. https:\/\/doi.org\/10.5455\/msm.2014.26.65-67","DOI":"10.5455\/msm.2014.26.65-67"},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"Kuokkanen, L., & Leino-Kilpi, H. (2000). Power and empowerment in nursing: Three theoretical approaches. Journal of Advanced Nursing, 31(1), 235\u2013241. https:\/\/doi.org\/10.1046\/j.1365-2648.2000.01241.x","DOI":"10.1046\/j.1365-2648.2000.01241.x"},{"key":"ref24","doi-asserted-by":"crossref","unstructured":"Leon, A.C., Davis, L.L., & Kraemer, H.C. (2011). The role and interpretation of pilot studies in clinical research. Journal of Psychiatric Research, 45(5), 626\u2013629. https:\/\/doi.org\/10.1016\/j.jpsychires.2010.10.008","DOI":"10.1016\/j.jpsychires.2010.10.008"},{"key":"ref25","doi-asserted-by":"crossref","unstructured":"Manojlovich, M., Adler-Milstein, J., Harrod, M., Sales, A., Hofer, T.P., Saint, S., & Krein, S.L. (2015). The effect of health information technology on health care provider communication: A mixed-method protocol. JMIR Research Protocols, 4(2), e72. https:\/\/doi.org\/10.2196\/resprot.4463","DOI":"10.2196\/resprot.4463"},{"key":"ref26","doi-asserted-by":"crossref","unstructured":"Mohamed, N., Peck, C., & Senekal, J. (2024). Perceptions of interprofessional collaborative practice in South Africa: A systematic review. Health SA Gesondheid, 29, 2413. https:\/\/doi.org\/10.4102\/hsag.v29i0.2413","DOI":"10.4102\/hsag.v29i0.2413"},{"key":"ref27","doi-asserted-by":"crossref","unstructured":"O\u2019Keeffe, S.T. (2018). Use of modified diets to prevent aspiration in oropharyngeal dysphagia: Is current practice justified?. BMC Geriatrics, 18(1), 160. https:\/\/doi.org\/10.1186\/s12877-018-0839-7","DOI":"10.1186\/s12877-018-0839-7"},{"key":"ref28","doi-asserted-by":"crossref","unstructured":"Pain, T., Kingston, G., Askern, J., Smith, R., Phillips, S., & Bell, L. (2016). How are allied health notes used for inpatient care and clinical decision-making? A qualitative exploration of the views of doctors, nurses, and allied health professionals. Health Information Management Journal, 46(1), 23\u201331. https:\/\/doi.org\/10.1177\/1833358316664451","DOI":"10.1177\/1833358316664451"},{"key":"ref29","doi-asserted-by":"crossref","unstructured":"Pascoe, M., & Norman, V. (2011). Contextually-relevant resources in Speech-language Therapy and Audiology in South Africa: Are there any?. South African Journal of Communication Disorders, 58(1), a35. https:\/\/doi.org\/10.4102\/sajcd.v58i1.35","DOI":"10.4102\/sajcd.v58i1.35"},{"key":"ref30","doi-asserted-by":"crossref","unstructured":"Pierpoint, M., & Pillay, M. (2020). Post-stroke dysphagia: An exploration of initial identification and management performed by nurses and doctors. South African Journal of Communication Disorders, 67(1), e1\u2013e13. https:\/\/doi.org\/10.4102\/sajcd.v67i1.625","DOI":"10.4102\/sajcd.v67i1.625"},{"key":"ref31","doi-asserted-by":"crossref","unstructured":"Pillay, R. (2009) Work satisfaction of professional nurses in South Africa: A comparative analysis of the public and private sectors. Human Resources for Health, 7, 15. https:\/\/doi.org\/10.1186\/1478-4491-7-15","DOI":"10.1186\/1478-4491-7-15"},{"key":"ref32","doi-asserted-by":"crossref","unstructured":"Robbertse, A., & De Beer, A. (2020). Perceived barriers to compliance with speech-language therapist dysphagia recommendations of South African nurses. South African Journal of Communication Disorders, 67(1), a686. https:\/\/doi.org\/10.4102\/sajcd.v67i1.686","DOI":"10.4102\/sajcd.v67i1.686"},{"key":"ref33","doi-asserted-by":"crossref","unstructured":"Schmid, I.K., & Svarstad, B.L. (2002). Nurse\u2013physician communication and quality of drug use in Swedish nursing homes. Social Science & Medicine, 54(12), 1767\u20131777. https:\/\/doi.org\/10.1016\/S0277-9536(01)00146-0","DOI":"10.1016\/S0277-9536(01)00146-0"},{"key":"ref34","doi-asserted-by":"crossref","unstructured":"Schiller, S.Z., & Cui, J. (2010). Communication openness in the workplace: The effects of medium (F2F and IM) and culture (U.S. and China). Journal of Global Information Technology Management, 13(2), 37\u201375. https:\/\/doi.org\/10.1080\/1097198X.2010.10856514","DOI":"10.1080\/1097198X.2010.10856514"},{"key":"ref35","doi-asserted-by":"crossref","unstructured":"Seedat, J., & Strime, N. (2021). \u2018Finishing that plate of food \u2026\u2019 The role of the nurse caring for the patient with dysphagia. South African Journal of Clinical Nutrition, 35(2), 39\u201343. https:\/\/doi.org\/10.1080\/16070658.2021.1940717","DOI":"10.1080\/16070658.2021.1940717"},{"key":"ref36","doi-asserted-by":"crossref","unstructured":"Shee, W.S., Ahmad, A., & Mahadevan, B. (2019). The swallowing ability and psychosocial domains of patients with dysphagia among head and neck cancer population. Jurnal Sains Kesihatan Malaysia, 17(1), 1\u20138. https:\/\/doi.org\/10.17576\/jskm-2019-1701-01","DOI":"10.17576\/jskm-2019-1701-01"},{"key":"ref37","doi-asserted-by":"crossref","unstructured":"Shrivastava, S., & Prasad, V. (2019). Importance of communication strategies to improve workplace communication. International Journal of Recent Technology and Engineering, 8(3S3), 161\u2013168. https:\/\/doi.org\/10.35940\/ijrte.C1047.1183S319","DOI":"10.35940\/ijrte.C1047.1183S319"},{"key":"ref38","unstructured":"South African Nursing Council. (2019). South African nursing council registrations and listed qualifications -calendar year 2019. Retrieved from https:\/\/www.sanc.co.za\/wp-content\/uploads\/2020\/09\/Stats-2019-2-Registrations-and-Listed-Qualifications.pdf"},{"key":"ref39","doi-asserted-by":"crossref","unstructured":"St\u00fchlinger, M., Schmutz, J.B., & Grote, G. (2019). I hear you, but do I understand? The relationship of a shared professional language with quality of care and Job Satisfaction. Frontiers in Psychology, 10, 01310. https:\/\/doi.org\/10.3389\/fpsyg.2019.01310","DOI":"10.3389\/fpsyg.2019.01310"},{"key":"ref40","doi-asserted-by":"crossref","unstructured":"Tanner, D., & Culbertson, W. (2014). Avoiding negative dysphagia outcomes. Online Journal of Issues in Nursing, 19(2), 6. https:\/\/doi.org\/10.3912\/OJIN.Vol19No02PPT03","DOI":"10.3912\/OJIN.Vol19No02PPT03"},{"key":"ref41","doi-asserted-by":"crossref","unstructured":"Taylor, A., & Kazembe, P. (2024). Assessing language barriers in health facilities in Malawi. BMC Health Services Research, 24, 1393. https:\/\/doi.org\/10.1186\/s12913-024-11901-4","DOI":"10.1186\/s12913-024-11901-4"},{"key":"ref42","unstructured":"Templeton, S.J. (2025). Interprofessional simulation with nursing and Speech-Language Pathology (SLP) students utilizing theatre students as live standardized patients. Excerpted from the essentials teaching resource database. American Association of Colleges of Nursing. Retrieved from https:\/\/www.aacnnursing.org\/AACN-Essentials\/Implementation-Tool-Kit"},{"key":"ref43","doi-asserted-by":"crossref","unstructured":"Varkey, B. (2021). Principles of clinical ethics and their application to practice. Med Princ Pract, 30(1), 17\u201328. https:\/\/doi.org\/10.1159\/000509119","DOI":"10.1159\/000509119"},{"key":"ref44","doi-asserted-by":"crossref","unstructured":"Vose, A., Nonnenmacher, J., Singer, M.L., & Gonz\u00e1lez-Fern\u00e1ndez, M. (2014). Dysphagia management in acute and sub-acute stroke. Current Physical Medicine and Rehabilitation Reports, 2(4), 197\u2013206. https:\/\/doi.org\/10.1007\/s40141-014-0061-2","DOI":"10.1007\/s40141-014-0061-2"},{"key":"ref45","doi-asserted-by":"crossref","unstructured":"Wang, Y., Wan, Q., Lin, F., Zhou, W., & Shang, S. (2018). Interventions to improve communication between nurses and physicians in the intensive care unit: An integrative literature review. International Journal of Nursing Science, 5(1), 21\u201388. https:\/\/doi.org\/10.1016\/j.ijnss.2017.09.007","DOI":"10.1016\/j.ijnss.2017.09.007"},{"key":"ref46","doi-asserted-by":"crossref","unstructured":"Wieke Noviyanti, L., Ahsan, A., & Sudartya, T.S. (2021). Exploring the relationship between nurses\u2019 communication satisfaction and patient safety culture. 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