1
|
Lin PC, Wung SF, Lin PC, Lin YC, Lin CY, Huang HL. Virtual reality-based simulation learning on geriatric oral health care for nursing students: a pilot study. BMC Oral Health 2024; 24:627. [PMID: 38807116 PMCID: PMC11134768 DOI: 10.1186/s12903-024-04249-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2023] [Accepted: 04/11/2024] [Indexed: 05/30/2024] Open
Abstract
BACKGROUND There is a great need for training and education in the nursing curriculum to improve nurses' knowledge and skills to provide oral health care. METHODS A pilot study was conducted to evaluate the use of a virtual reality (VR)-based Oral Health Care Learning System to train geriatric oral health care among nursing students. Fifty undergraduate nursing students were randomly assigned to experimental (n = 25) and control (n = 25) groups. The experimental group received the VR-based simulation training on geriatric oral health care and the training was implemented twice at two weeks apart from March to November 2021. The control group did not receive the training intervention. Knowledge, attitude, and self-efficacy of geriatric oral health care as well as the intention to assist oral health care for older adults were assessed at the beginning, second, and fourth weeks. Generalized estimating equations were used to analyze the effectiveness of the VR-based simulation training. RESULTS After the first round of training, students in the experimental group had significantly greater improvements in knowledge and self-efficacy of geriatric oral health care than in the control group. After the second round of training, students in the experimental group had significantly greater improvements in knowledge, attitude, and self-efficacy of geriatric oral health care as well as the intention to assist oral health care for older adult than in the control group. CONCLUSIONS The VR-based simulation training was effective to improve undergraduate nursing students' knowledge, attitudes and self-efficacy of geriatric oral health as well as the intention to assist oral health care for older adults. The VR-based simulation learning system is an effective tool to provide practice experiences to build confidence and skills and to bridge the gap of understudied geriatric oral health content in entry-level nursing curricula. TRIAL REGISTRATION ClinicalTrials.gov (NCT05248542; registration date 21/02/2022).
Collapse
Affiliation(s)
- Pei-Chao Lin
- School of Nursing, College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan
- Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
- Center for Long-Term Care Research, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Shu-Fen Wung
- College of Nursing, The University of Arizona, Tucson, AZ, USA
| | - Pei-Chen Lin
- Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Yi-Ching Lin
- School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
- Department of Oral Hygiene, Shu-Zen Junior College of Medicine and Management, Kaohsiung, Taiwan
| | - Cheng-Yu Lin
- Department of Radio, TV & Film, Shih Hsin University, Taipei, Taiwan
| | - Hsiao-Ling Huang
- Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
| |
Collapse
|
2
|
Choi MI, Noh HJ, Han SY, Bae SS, Kim G, Mun SJ. Development and evaluation of simulation-based scenario education program for professional oral hygiene care in intubated patient. J Dent Educ 2023; 87:1512-1522. [PMID: 37530076 DOI: 10.1002/jdd.13345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Revised: 07/12/2023] [Accepted: 07/22/2023] [Indexed: 08/03/2023]
Abstract
PURPOSE This study was conducted to develop a professional oral hygiene care (POHC) simulation education program for intubated patients and to evaluate the suitability of education by evaluating the performance confidence (PC), critical thinking disposition (CT), and learning satisfaction (LS) of dental hygiene students. METHODS This study developed a POHC simulation education program (theory, skill training, scenario education, and debriefing) for intubated patients through expert validation and consisted of a single-group pre- and postexperiment design. The subjects were 3rd and 4th year students at the Department of Dental Hygiene in Wonju City, and a total of 30 people were enrolled. The collected data were analyzed using the PASW Statistics version 23.0. The content validity test was measured by the CVI (Content validity index) value, and the PC, CT, and LS of the subjects before and after participating in the program were analyzed using a paired t-test. The significance level (α) was based on .05. RESULTS After the program, the PC improved from 4.29 ± 0.43 to 4.54 ± 0.44, and there was a significant difference (p = .004). CT improved from 3.73 ± 0.36 to 3.84 ± 0.36, but there was no significant difference (p = .062), and prudence improved from 4.21 ± 0.33 to 4.43 ± 0.27, and there was significant difference. (p = .001). LS increased from 4.66 ± 0.36 to 4.90 ± 0.16 after education, and there was a significant difference (p = .002). CONCLUSION(S) Simulation education program improved dental hygiene students' POHC performance confidence. Various scenarios will need to be developed in the future, and it is necessary to evaluate simulation education within the dental hygiene curriculum and identify areas for improvement.
Collapse
Affiliation(s)
- Ma-I Choi
- Department of Dental Hygiene, Yonsei University College of Software and Digital Healthcare Convergence, Wonju, South Korea
| | - Hie-Jin Noh
- Department of Dental Hygiene, Yonsei University College of Software and Digital Healthcare Convergence, Wonju, South Korea
| | - Sun-Young Han
- Department of Dental Hygiene, Yonsei University College of Software and Digital Healthcare Convergence, Wonju, South Korea
| | - Sung-Suk Bae
- Department of Dental Hygiene, Hanseo University, Seosan, South Korea
| | - GiYon Kim
- Department of Nursing, Yonsei University Wonju College of Medicine, Wonju, South Korea
| | - So-Jung Mun
- Department of Dental Hygiene, Yonsei University College of Software and Digital Healthcare Convergence, Wonju, South Korea
| |
Collapse
|
3
|
Jung SJ, Song JE, Bae SH, Lee Y, Gwon SH, Park JH. Simulation-based training program on patient safety management: A quasi-experimental study among new intensive care unit nurses. NURSE EDUCATION TODAY 2023; 126:105823. [PMID: 37080013 DOI: 10.1016/j.nedt.2023.105823] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Accepted: 04/10/2023] [Indexed: 05/03/2023]
Abstract
BACKGROUND Patient safety is an essential responsibility of nurses. However, newly graduated nurses experience patient safety incidents due to a lack of patient safety competency. In particular, intensive care unit nurses provide care to critical patients, making it difficult for new nurses to maintain patient safety. Therefore, it is necessary to improve the patient safety competency of newly graduated nurses working in the intensive care unit. OBJECTIVES To analyze the effects of a simulation-based training program on patient safety management on the patient safety competency, patient safety management activity, communication self-efficacy, and teamwork of newly graduated nurses working in an intensive care unit. DESIGN A quasi-experimental study. SETTINGS The study was conducted at a university in Korea. PARTICIPANTS A total of 44 newly graduated nurses working in the intensive care unit of a university hospital. METHODS A simulation-based training program on patient safety management was applied to the experimental group (n = 22), while only the usual hospital training program was used for the control group (n = 22). A structured questionnaire survey comprising Patient Safety Competency Self-Evaluation, Patient Safety Management Activities, the Korean version of the self-efficacy questionnaire, and K-self assessment of teamwork was conducted at baseline test (T1), post test (T2), and follow-up test (T3). Data were analyzed using a repeated measures ANOVA. RESULTS The experimental group showed significantly higher patient safety competency, patient safety knowledge, and patient safety skills, along with higher communication self-efficacy scores than the control group (p < .05) after the intervention and at four weeks after the intervention. CONCLUSIONS The simulation-based training program on patient safety management effectively improved the patient safety competency, patient safety knowledge, and patient safety skills as well as communication self-efficacy of newly graduated nurses working in an intensive care unit.
Collapse
Affiliation(s)
- Su Jin Jung
- College of Nursing Research Institute of Nursing Science, Ajou University, Suwon, Republic of Korea
| | - Ju-Eun Song
- College of Nursing Research Institute of Nursing Science, Ajou University, Suwon, Republic of Korea
| | - Sun Hyoung Bae
- College of Nursing Research Institute of Nursing Science, Ajou University, Suwon, Republic of Korea
| | - Youngjin Lee
- College of Nursing Research Institute of Nursing Science, Ajou University, Suwon, Republic of Korea
| | - Seok Hyun Gwon
- College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI, USA
| | - Jin-Hee Park
- College of Nursing Research Institute of Nursing Science, Ajou University, Suwon, Republic of Korea.
| |
Collapse
|
4
|
Interventions to promote oral care regimen adherence in the critical care setting: A systematic review. Aust Crit Care 2022; 35:583-594. [PMID: 34764003 DOI: 10.1016/j.aucc.2021.08.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Revised: 08/04/2021] [Accepted: 08/31/2021] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Oral care is a fundamental nurse-led intervention in the critical care setting that provides patient comfort and prevents adverse outcomes in critically ill patients. To date, there has been minimal focus on nurse-focused interventions to improve adherence to oral care regimens in the adult intensive care unit setting. OBJECTIVES The objectives of this study were to (i) identify types and characteristics of interventions to improve oral care adherence amongst critical care nurses and intervention core components, (ii) evaluate the effectiveness of interventions to improve adherence of oral care regimens, and (iii) identify the types of outcome measures used to assess oral care regimen adherence. DESIGN This is a systematic review in alignment with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. DATA SOURCES Key bibliographic databases and platforms, including Scopus, Cochrane, MEDLINE, CINAHL, Embase, PsycINFO, ProQuest, and Web of Science, were searched for studies published before July 2020. The Joanna Briggs Institute's quality appraisal tool was used to assess risk of bias in included studies. RESULTS A total of 21 original research studies were identified, of which 18 studies used multifaceted interventions. In accordance with the Joanna Briggs Institute's quality appraisal tools, four of the 20 quasi-experimental studies were rated as high quality. The one randomised control trial was of moderate quality. Outcome measures included oral care adherence behaviours, oral care knowledge, self-reported adherence, and documentation. Improved effectiveness in oral care adherence was reported in 20 studies. CONCLUSIONS Review findings confirm interventions to change behaviours improve oral care adherence. The most effective interventional approach could not be determined owing to heterogeneity in intervention design and outcome measures. Oral care in the intensive care unit is a vital, nurse-led activity that reduces the risk of hospital-acquired infection. It is recommended that future research adopt implementation science methods to ensure stakeholder engagement and feasibility. SYSTEMATIC REVIEW REGISTRATION NUMBER This review was submitted and subsequently registered on PROSPERO, the International Perspective Register of Systematic Reviews PROSPERO 2019 CRD42019123142.
Collapse
|
5
|
The Influence of Nursing Simulation on Patient Outcomes and Patient Safety: A Scoping Review. Clin Simul Nurs 2022. [DOI: 10.1016/j.ecns.2022.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
|
6
|
Rodrigues LG, Sampaio AA, da Cruz CAG, Vettore MV, Ferreira RC. A systematic review of measurement instruments for oral health assessment of older adults in long-term care facilities by nondental professionals. Gerodontology 2022; 40:148-160. [PMID: 35908227 DOI: 10.1111/ger.12648] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 05/15/2022] [Accepted: 07/19/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND Regular oral health assessment of older adults living in Long-term Care Facilities (LTCF) can improve their oral health. AIMS This study aimed to systematically review studies describing the development of instruments employed by nondental professionals to assess the oral health of older adults in LTCF and to evaluate their measurement properties. MATERIAL & METHODS Electronic searches were conducted in the MEDLINE (PubMed), Embase, Web of Science, Scopus, and LILACS databases. Measurement properties of the identified instruments were evaluated using the Consensus-based Standards to select health Measurement Instruments (COSMIN) checklist. Studies assessing at least one measurement property (validity, reliability, or responsiveness) of instruments used to assess oral health of older adults living in LTCF by nondental professionals were considered. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) checklist was used to evaluate the quality of evidence. RESULTS Fifteen studies reporting measurement properties of seven instruments were selected. The ohr-interRAI and the OHAT were considered to have sufficient content validity, with high and moderate evidence quality, respectively. OHAT, BOHSE, and DHI showed acceptable results on reliability but with very low quality of evidence. DHI and OHSTNP also showed acceptable results for criterion validity, but, with low quality of evidence, insufficient or unclear results were observed for the remaining measurement properties. Studies evaluating the validity criteria of BOHSE and hypotheses testing of ohr-MDS were considered to have high evidence quality. DISCUSSION AND CONCLUSION The ohr-interRAI can be provisionally recommended for use until further evidence is provided. Further methodologically rigorous studies are needed to assess the measurement properties of the existing instruments.
Collapse
Affiliation(s)
| | - Aline Araújo Sampaio
- Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | | | - Mario Vianna Vettore
- Department of Health and Nursing Sciences, University of Agder, Kristiansand, Norway
| | | |
Collapse
|
7
|
Doshi M, Mann J, Quentin L, Morton-Holtham L, Eaton KA. Mouth care training and practice: a survey of nursing staff working in National Health Service hospitals in England. J Res Nurs 2022; 26:574-590. [PMID: 35265164 DOI: 10.1177/17449871211016524] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
Abstract
Background This study investigated the training and mouth care practice of nursing staff in hospital Trusts across England. Oral health has been found to deteriorate during hospital admission, mouth care standards have been found to be poor. Aims The objectives of the study were to assess if and what the barriers are to supporting inpatients' mouth care, and to assess how confident nursing staff are in carrying out mouth care assessments and mouth care and see if this is related to previous training. Methods A cross-sectional descriptive survey was conducted in 33 Trusts in England with 1576 members of the nursing team including nurses and nursing assistants. Nursing staff were asked to complete a questionnaire on previous oral health training and their current practice. Results Nursing staff reported that they had limited training in mouth care. The main barriers to mouth care were time and patient compliance. Confidence in recognising oral cancer was low. Conclusions Nursing staff would benefit from mouth care training targeted at assessing the mouth and providing mouth care for all inpatients.
Collapse
Affiliation(s)
- Mili Doshi
- Consultant in Special Care Dentistry, Surrey and Sussex Healthcare Trust, UK
| | - Jessica Mann
- Specialty Registrar in Special Care Dentistry, Bristol Dental Hospital, UK
| | - Léa Quentin
- Kent Surrey Sussex Academic Health Science Network Hospital, UK
| | - Luke Morton-Holtham
- Senior Analyst, Kent Surrey Sussex Academic Health Science Network Hospital, UK
| | | |
Collapse
|
8
|
The role of simulation-based training in healthcare-associated infection (HAI) prevention. ANTIMICROBIAL STEWARDSHIP AND HEALTHCARE EPIDEMIOLOGY 2022; 2:e20. [PMID: 36310779 PMCID: PMC9614911 DOI: 10.1017/ash.2021.257] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 12/07/2021] [Accepted: 12/08/2021] [Indexed: 12/03/2022]
Abstract
Objectives: To perform a review of the literature on the role of simulation-based training (SBT) in healthcare-associated infection (HAI) prevention and to highlight the importance of SBT as an educational tool in infection prevention. Methods: We reviewed English language publications from PubMed to select original articles that utilized SBT as the primary mode of education for infection prevention efforts in acute-care hospitals. Results: Overall, 27 publications utilized SBT as primary mode of education for HAI prevention in acute-care hospitals. Training included the following: hand hygiene in 3 studies (11%), standard precaution in 1 study (4%), disaster preparedness in 4 studies (15%), central-line–associated blood stream infection (CLABSI) prevention in 14 studies (52%), catheter-associated urinary tract infection (CAUTI) prevention in 2 studies (7%), surgical site infection prevention in 2 studies (7%), and ventilatory associated pneumonia prevention in 1 study (4%). SBT improved learner’s sense of competence and confidence, increased knowledge and compliance in infection prevention measures, decreased HAI rates, and reduced healthcare costs. Conclusion: SBT can function as a teaching tool in day-to-day infection prevention efforts as well as in disaster preparedness. SBT is underutilized in infection prevention but can serve as a crucial educational tool.
Collapse
|
9
|
Jun MK, Ku JK, Kim IH, Park SY, Hong J, Kim JY, Lee JK. Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review. J Clin Med 2021; 10:jcm10163681. [PMID: 34441976 PMCID: PMC8397125 DOI: 10.3390/jcm10163681] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 07/31/2021] [Accepted: 08/18/2021] [Indexed: 11/16/2022] Open
Abstract
This study aimed to review the oral hygiene status, oral care guidelines, and outcomes of oral care in intensive care unit (ICU) patients from a dental perspective for effective oral care. A literature search using the keywords "Hospital dentistry" OR "Oral care" OR "Intensive care unit" OR "Hospital inpatient" OR "Hospitalization" OR "Emergency service" AND "Oral health" OR "Oral hygiene" OR "Dental plaque" was conducted in PubMed, Medline, and Google Scholar to identify publications reporting on the oral care of the patients admitted to ICUs. A total of 17,400 articles were initially identified. Of these, 58 were selected and classified into three categories for critical review. Seven of these studies evaluated the oral status of ICU patients, and most of the studies indicated that ICU patients had poor oral hygiene or required active dental treatment. Thirty-three of these studies evaluated oral care methods for ICU patients, and in general, oral care methods using chlorhexidine as adjuncts along with tooth brushing were recommended. However, there were insufficient studies to evaluate oral hygiene through effective assessment tools from a dental perspective. In 36 studies on the outcomes of oral care in ICU patients, interventions by dental professionals showed effective results in preventing hospital-acquired infection. This review highlights the importance of establishing guidelines for the evaluation of oral status in ICU patients and summarizes data that may be useful for future studies. Further studies on maintaining good oral hygiene among ICU patients are needed.
Collapse
Affiliation(s)
- Mi-Kyoung Jun
- Department of Oral and Maxillofacial Surgery, Institute of Oral Health Science, Ajou University School of Medicine, Suwon 16499, Korea;
| | - Jeong-Kui Ku
- Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul 06273, Korea; (J.-K.K.); (J.-Y.K.)
| | - Il-hyung Kim
- Department of Oral and Maxillofacial Surgery, Armed Forces Capital Dental Hospital, Armed Forces Medical Command, Seongnam 13574, Korea; (I.-h.K.); (S.-Y.P.)
| | - Sang-Yoon Park
- Department of Oral and Maxillofacial Surgery, Armed Forces Capital Dental Hospital, Armed Forces Medical Command, Seongnam 13574, Korea; (I.-h.K.); (S.-Y.P.)
| | - Jinson Hong
- Department of Prosthodontics, Armed Forces Capital Dental Hospital, Armed Forces Medical Command, Seongnam 13574, Korea;
| | - Jae-Young Kim
- Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul 06273, Korea; (J.-K.K.); (J.-Y.K.)
| | - Jeong-Keun Lee
- Department of Oral and Maxillofacial Surgery, Institute of Oral Health Science, Ajou University School of Medicine, Suwon 16499, Korea;
- Correspondence: ; Tel.: +82-31-219-5333; Fax: +82-31-219-5329
| |
Collapse
|
10
|
Krausch-Hofmann S, Tran TD, Janssens B, Declerck D, Lesaffre E, de Almeida Mello J, Declercq A, De Lepeleire J, Duyck J. Assessment of oral health in older adults by non-dental professional caregivers-development and validation of a photograph-supported oral health-related section for the interRAI suite of instruments. Clin Oral Investig 2021; 25:3475-3486. [PMID: 33196870 PMCID: PMC8137625 DOI: 10.1007/s00784-020-03669-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Accepted: 10/29/2020] [Indexed: 01/07/2023]
Abstract
OBJECTIVES An optimized oral health-related section and a video training were developed and validated for the interRAI suite of instruments. The latter is completed by professional non-dental caregivers and used in more than 40 countries to assess care needs of older adults. METHODS The optimized oral health-related section (ohr-interRAI) consists of nine items and a video training that were developed in consecutive phases. To evaluate psychometric properties, a study was conducted in 260 long-term care residents. Each resident was assessed by a dentist and by four caregivers (two who received the video training, two who did not). RESULTS Mean kappa values and percent agreement between caregivers and dentist ranged between κ = 0.60 (80.2%) for dry mouth and κ = 0.13 (54.0%) for oral hygiene. The highest inter-caregiver agreement was found for dry mouth with κ = 0.63 [95% CI: 0.56-0.70] (81.6%), while for the item palate/lips/cheeks only κ = 0.27 [95% CI: 0.18-0.36] (76.7%) was achieved. Intra-caregiver agreement ranged between κ = 0.93 [95% CI: 0.79-1.00] (96.4%) for dry mouth and κ = 0.45 [95% CI: 0.06-0.84] (82.8%) for gums. Logistic regression analysis showed only small differences between caregivers who watched the video training and those who did not. CONCLUSIONS Psychometric properties of the optimized ohr-interRAI section were improved compared to previous versions. Nevertheless, particularly the items based on inspection of the mouth require further refinement and caregiver training needs to be improved. CLINICAL RELEVANCE Valid assessment of oral health by professional caregivers is essential due to the impaired accessibility of regular dental care for care-dependent older adults.
Collapse
Affiliation(s)
- Stefanie Krausch-Hofmann
- KU Leuven Department of Oral Health Sciences, Population Studies in Oral Health, Kapucijnenvoer 7/a - box 7001, 3000 Leuven, Belgium
| | - Trung Dung Tran
- KU Leuven Department of Public Health and Primary Care, Biostatistics and Statistical Bioinformatics Centre (L-BioStat), Kapucijnenvoer 35/a - box 7001, 3000 Leuven, Belgium
| | - Barbara Janssens
- Ghent University Department of Oral Health Sciences, Special Needs in Oral Health, Gerodontology, C.-Heymanslaan 10, entrance 25, 9000 Ghent, Belgium
| | - Dominique Declerck
- KU Leuven Department of Oral Health Sciences, Population Studies in Oral Health, Kapucijnenvoer 7/a - box 7001, 3000 Leuven, Belgium
| | - Emmanuel Lesaffre
- KU Leuven Department of Public Health and Primary Care, Biostatistics and Statistical Bioinformatics Centre (L-BioStat), Kapucijnenvoer 35/a - box 7001, 3000 Leuven, Belgium
| | - Johanna de Almeida Mello
- KU Leuven LUCAS, Centre for Care Research and Consultancy, Minderbroedersstraat 8 - box 5310, 3000 Leuven, Belgium
| | - Anja Declercq
- KU Leuven LUCAS, Centre for Care Research and Consultancy, Minderbroedersstraat 8 - box 5310, 3000 Leuven, Belgium
- KU Leuven CESO, Center for Sociological Research, Parkstraat 45 - box 3601, 3000 Leuven, Belgium
| | - Jan De Lepeleire
- KU Leuven Department of Public Health and Primary Care, Academic Centre for General Practice, Kapucijnenvoer 33/j - box 7001, 3000 Leuven, Belgium
| | - Joke Duyck
- KU Leuven Department of Oral Health Sciences, Biomaterials/BIOMAT, Kapucijnenvoer 7/a - box 7001, 3000 Leuven, Belgium
| |
Collapse
|
11
|
Daigo T, Muramatsu M, Mitani A. Development of the Second Prototype of an Oral Care Simulator. JOURNAL OF ROBOTICS AND MECHATRONICS 2021. [DOI: 10.20965/jrm.2021.p0172] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Oral care is crucial to preventing diseases and maintaining the quality of life of elderly people. To create an effective training environment for nursing students, we developed a second prototype of an oral care simulator that can guide and record oral care practices. The simulator has three components: (1) a dentition model with pressure sensors, (2) a microcomputer to record signals, and (3) software for visualization. We proposed a novel mechanism to detect brushing behavior using pressure sensors and developed software to visualize the records of oral care practice. We calibrated the system to estimate the weights applied in the dentition model using a brush and verified that the calibration increased the accuracy of the estimation.
Collapse
|
12
|
Doğu Kökcü Ö, Terzi B. Development of an intensive care oral care frequency assessment scale. Nurs Crit Care 2020; 27:667-675. [PMID: 32633044 DOI: 10.1111/nicc.12529] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2019] [Revised: 04/22/2020] [Accepted: 06/16/2020] [Indexed: 11/26/2022]
Abstract
BACKGROUND Oral care and frequency of oral care is important for intensive care patients in order to prevent the risk of ventilator-associated pneumonia. However, there are no scales to assess the frequency of oral care specific to intensive care units (ICUs). AIMS AND OBJECTIVES This study aimed to develop a valid and reliable tool, "Intensive Care Oral Care Frequency Assessment Scale (ICOCFAS)", for assessing the frequency of nurses' oral care in critical ill patients. DESIGN This was an instrument development study. METHODS The validity and reliability of the ICOCFAS, which consists of nine items, were tested using content validity (five expert opinions), construct validity (factor analysis), item analysis, and internal consistency analysis methods. The population of the research consisted of inpatients at the ICU of a hospital in Sakarya, Turkey. The research was conducted with 73 patients in the ICU. RESULTS Expert opinions on the content validity indicated that the scale was admissible. The Kaiser-Meyer-Olkin (KMO) coefficient was calculated at 0.800, and the Chi-square value of the Bartlett test was considerably significant (χ2 = 270.539; P < .001). Using a path diagram in confirmatory factor analysis, Chi-square/df ratio values were calculated as 1.49, standardized root mean square residual as 0.077, comparative fit index as 0.97, and root mean square error of approximation as 0.082. Cronbach's alpha was 0.851. The correlations between the items and total scores were 0.455 to 0.835 and were statistically significant (P < .001). CONCLUSIONS The ICOCFAS is an efficient tool with high validity and reliability for assessing oral care frequency in the ICU. RELEVANCE TO CLINICAL PRACTICE The ICOCFAS is a valid and reliable tool for Turkish society for assessing the frequency of oral care of patients in the ICU. It is recommended for various national and international studies with different patients in ICUs.
Collapse
Affiliation(s)
- Özlem Doğu Kökcü
- Faculty of Health Sciencies, Sakarya University, Sakarya, Turkey
| | - Banu Terzi
- Faculty of Nursing, Fundamentals of Nursing Department, Akdeniz University, Antalya, Turkey
| |
Collapse
|
13
|
Kim YJ, Yoo JH. The utilization of debriefing for simulation in healthcare: A literature review. Nurse Educ Pract 2020; 43:102698. [PMID: 32004851 DOI: 10.1016/j.nepr.2020.102698] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2019] [Revised: 12/29/2019] [Accepted: 01/13/2020] [Indexed: 11/24/2022]
Abstract
The aim of this review was to examine how debriefings have been conducted in healthcare simulations. Using keywords, our search yielded 962 studies through databases. After removing duplicates, we found 20 studies that met inclusion and exclusion criteria. Through ancestry searches, we found two more studies. A total of 22 studies were reviewed. From each study, detailed information about debriefing was extracted based on six criteria, namely, timing, facilitator, place of occurrence, method, length, and structure. Various types of debriefings were available according to learning objectives, learners' abilities, availability of resources, and context of simulations. We found that peer-led debriefing might be more appropriate for experienced healthcare professionals than unlicensed students due to a gap in knowledge and problem-solving skills between them. In addition, we found that tele-debriefing was feasible in some studies. Although types of individual debriefing varied across the studies, a substantial number of debriefings closely aligned to the standards for high-quality debriefing.
Collapse
Affiliation(s)
- Young-Ju Kim
- College of Nursing, Sungshin Women's University, South Korea
| | - Jee-Hye Yoo
- Trudy Busch Valentine School of Nursing, Saint Louis University, USA.
| |
Collapse
|
14
|
Linn AC, Caregnato RCA, Souza END. Clinical simulation in nursing education in intensive therapy: an integrative review. Rev Bras Enferm 2019; 72:1061-1070. [PMID: 31432966 DOI: 10.1590/0034-7167-2018-0217] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Accepted: 09/18/2018] [Indexed: 01/21/2023] Open
Abstract
OBJECTIVE to analyze the publications on clinical simulation practices for education in Nursing in Intensive Care. METHOD an integrative review carried out through LILACS, PubMed, Cochrane Library, CINAHL and SciELO databases, of articles published from 2008 to 2017. RESULTS 29 articles were selected, of which 76% discuss the use of simulation in continuing education of nursing professionals, while the others describe their use for student education. There is a higher prevalence of studies with a level of evidence 6 (17), with 28 international publications. There was an increase in scientific production, with 16 articles published in the last three years. CONCLUSION variables after simulation use, such as confidence, communication skills, efficiency in the identification of clinical worsening of patients, development of technical skills, teamwork and clinical decision-making, presented a significant improvement, demonstrating that this tool is effective in qualifying care for critical patients.
Collapse
Affiliation(s)
- Amanda Chlalup Linn
- Centro Universitário Ritter dos Reis. Porto Alegre, Rio Grande do Sul, Brazil
| | | | | |
Collapse
|
15
|
Ghorbani B, Shahnazi H, Hassanzadeh A. Improving Student's Self-Efficacy and Perceived Susceptibility Toward Oral and Dental Health: A Randomized Controlled Trial. Oman Med J 2018; 33:423-428. [PMID: 30210722 DOI: 10.5001/omj.2018.77] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Objectives We sought to assess the impact of educational intervention on female junior high school students' perceived susceptibility and self-efficacy regarding oral and dental health. Methods We recruited 100 female junior high school students (50 in intervention and 50 in control group) from Falavarjan city using multistage random sampling. A self-administered questionnaire was used to gather data about study variables. Students in the intervention group attended five 90-minute sessions designed to teach the students about dental hygiene. Results We found no significant difference between the two groups with respect to the preintervention mean scores of knowledge, perceived susceptibility, and self-efficacy (p > 0.050). The postintervention mean scores in the intervention group were significantly higher than those in the control group (p < 0.050). Conclusions Training plans with particular behavioral goals and good instructional strategies can be useful in empowering students toward dental health.
Collapse
Affiliation(s)
- Behnam Ghorbani
- Student Research Committee, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Hossein Shahnazi
- Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Akbar Hassanzadeh
- Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
| |
Collapse
|
16
|
Blum DFC, Silva JASD, Baeder FM, Della Bona Á. The practice of dentistry in intensive care units in Brazil. Rev Bras Ter Intensiva 2018; 30:327-332. [PMID: 30183977 PMCID: PMC6180464 DOI: 10.5935/0103-507x.20180044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2018] [Accepted: 05/04/2018] [Indexed: 11/28/2022] Open
Abstract
Objective To evaluate the practice of dentistry in intensive care units. Methods An observational survey study was conducted in which questionnaires were sent
via the online platform for collaboration in intensive care research in
Brazil (AMIBnet). The study was carried out from June to October 2017. The
questionnaires, which contained 26 closed questions about hospitals and
dentistry practices in the intensive care units, were sent to 4,569
professionals from different specialties practicing in the units. Results In total, 203 questionnaires were returned, resulting in a response rate of
4.44%. Most of the responses were from intensive care units in the Southeast
region of the country (46.8%). Public hospitals (37.9%) and private
hospitals (36.4%) had similar participation rates. Of the respondents, 55%
indicated that a bedside dentistry service was present, and they were
provided in different ways. Conclusion The presence of dentistry services and oral health service delivery training
and protocols were correlated. The oral care methods varied greatly among
the intensive care units surveyed.
Collapse
Affiliation(s)
| | | | | | - Álvaro Della Bona
- Faculdade de Odontologia, Universidade de Passo Fundo - Passo Fundo (RS), Brasil
| |
Collapse
|
17
|
Compliance of Nurses and Hospitals With Ventilator-Associated Pneumonia Prevention Guidelines: A Middle Eastern Survey. J Nurs Care Qual 2018; 33:E8-E14. [PMID: 28858912 DOI: 10.1097/ncq.0000000000000286] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
This study was a self-reported cross-sectional survey that investigated nurses' and hospitals' compliance with ventilator-associated pneumonia prevention guidelines and the barriers and factors that affect their level of compliance. A questionnaire was completed by 471 intensive care unit nurses from 16 medical centers in 3 Middle Eastern countries: Jordan, Egypt, and Saudi Arabia. The results show that both nurses and hospitals have insufficient compliance. Previous education, experience, and academic degree were all found to affect nurses' compliance.
Collapse
|
18
|
Walker W, Albarran J. What's in this issue. Nurs Crit Care 2017; 22:121-122. [PMID: 28444719 DOI: 10.1111/nicc.12295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Wendy Walker
- Reader in Acute and Critical Care Nursing, Intern in Nursing in Critical Care
| | - John Albarran
- Associate Professor in Critical and Cardiovascular Nursing and Associate Editor of Nursing in Critical Care
| |
Collapse
|