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Church L, Spahr A, Marschner S, Wallace J, Chow C, King S. Evaluating the impact of oral hygiene instruction and digital oral health education within cardiac rehabilitation clinics: A protocol for a novel, dual centre, parallel randomised controlled trial. PLoS One 2024; 19:e0306882. [PMID: 38990852 PMCID: PMC11239009 DOI: 10.1371/journal.pone.0306882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 06/24/2024] [Indexed: 07/13/2024] Open
Abstract
INTRODUCTION Diseases of the periodontal tissues including gingivitis and periodontitis can affect up to 90% and 50% of the population respectively. These conditions are multifactorial inflammatory conditions involving a dysbiotic biofilm that, if left untreated, can lead to the destruction of the supporting structures of the teeth and have significant systemic implications, specifically on cardiovascular health. The elevation of inflammatory markers, particularly high-sensitive C-reactive protein (hsCRP), are strongly associated with an increased risk of atherosclerosis, a key risk factor for cardiovascular disease (CVD). HsCRP as well as other inflammatory markers can be detected in blood samples as early as 21 days after ceasing toothbrushing, due to the immune response to stagnant oral biofilm. The most effective way to ensure oral biofilm cannot remain on oral tissues, thus preventing periodontitis and reducing inflammatory CVD risk, is with good oral hygiene. The primary aim of this study is to assess whether individualised oral hygiene instruction (OHI) partnered with a digital oral health education (DOHE) package can improve the oral health of patients living with CVD. METHODS AND ANALYSIS A total of 165 participants will be recruited from the Westmead and Blacktown Mt Druitt cardiac rehabilitation out-patient clinics into this dual centre, single blind, parallel design, randomised controlled trial. A baseline oral health clinical examination will be completed, followed by a self-report questionnaire before they are randomised in a 1:1:1 ratio into one of 3 arms as follows: individualised OHI partnered with DOHE (Group A), (Group B) DOHE only (Group B), and control/usual care (no oral health education) (Group C). Groups will have their intervention repeated at the 6-week follow-up. After completing the 12-week follow-up, Group B and Group C will receive tailored OHI. Group C will also receive the DOHE package. The primary outcome is the change in approximal plaque index score between baseline and 6-week follow up. ETHICS AND DISSEMINATION The study has been approved by the Western Sydney Local Health District Human Ethics Committee 2023/ETH00516. Results will be published in peer-reviewed journals and presented at conferences. TRIAL REGISTRATION NUMBER ACTRN12623000449639p ANZCTR: https://www.anzctr.org.au/.
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Affiliation(s)
- Lauren Church
- The University of Sydney Dental School, The University of Sydney, Sydney, New South Wales, Australia
- Westmead Applied Research Centre, The University of Sydney, Westmead, New South Wales, Australia
| | - Axel Spahr
- The University of Sydney Dental School, The University of Sydney, Sydney, New South Wales, Australia
- Westmead Applied Research Centre, The University of Sydney, Westmead, New South Wales, Australia
| | - Simone Marschner
- Westmead Applied Research Centre, The University of Sydney, Westmead, New South Wales, Australia
| | - Janet Wallace
- School of Health Sciences, Oral Health, The University of Newcastle, Ourimbah, New South Wales, Australia
| | - Clara Chow
- Westmead Applied Research Centre, The University of Sydney, Westmead, New South Wales, Australia
- The University of Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia
| | - Shalinie King
- The University of Sydney Dental School, The University of Sydney, Sydney, New South Wales, Australia
- Westmead Applied Research Centre, The University of Sydney, Westmead, New South Wales, Australia
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Suzuki H, Furuya J, Nakagawa K, Hidaka R, Yoshimi K, Shimizu Y, Saito K, Hatanaka Y, Mukai T, Itsui Y, Tohara H, Minakuchi S. Impact of oral health management by nurses and dental professionals on oral health status in inpatients eligible for the Nutrition Support Team: A longitudinal study. J Oral Rehabil 2024; 51:938-946. [PMID: 38366354 DOI: 10.1111/joor.13660] [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: 10/31/2023] [Revised: 12/25/2023] [Accepted: 02/05/2024] [Indexed: 02/18/2024]
Abstract
OBJECTIVE As the participation of dental professionals in multidisciplinary care is often limited, instructions on oral health management provided by dental professionals to other professionals are important to achieve transdisciplinary oral health management; however, the effectiveness of such instructions remains unclear. In this longitudinal study, we aimed to determine the impact of oral health management provided by dental professionals and nurses instructed on oral health management by dental professionals on the oral health of inpatients eligible for a Nurition Support Team (NST). METHODS The study participants were 117 patients (66 men and 51 women, mean age: 71.9 ± 12.5 years) who received oral health management during the NST intervention period. The participants received oral health management from nurses (Ns group) or dental professionals (D group). The nurses who conducted the oral health management received instructions from dental professionals. Oral health was assessed at the beginning and end of the NST intervention using the Oral Health Assessment Tool (OHAT). RESULT The Ns and D groups showed significant improvements in the total OHAT scores at the end of the NST intervention. Both groups showed significant improvements in the OHAT subitems of lip, tongue, gums and tissues, saliva, oral cleanliness and dental pain, while only the D group showed a significant improvement in the denture subitem. CONCLUSION Effective oral health management provided by dental professionals or by nurses trained by them improved the oral health status of inpatients eligible for NST at an acute-care hospital.
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Affiliation(s)
- Hiroyuki Suzuki
- Department of Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
- Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo, Japan
| | - Junichi Furuya
- Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo, Japan
- Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Kazuharu Nakagawa
- Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Rena Hidaka
- Department of Oral Health Sciences for Community Welfare, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Kanako Yoshimi
- Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Yukue Shimizu
- Department of Nutrition Service, Tokyo Medical and Dental University Hospital, Tokyo, Japan
| | - Keiko Saito
- Department of Nutrition Service, Tokyo Medical and Dental University Hospital, Tokyo, Japan
| | - Yukiko Hatanaka
- Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo, Japan
| | - Tomoko Mukai
- Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo, Japan
| | - Yasuhiro Itsui
- Medical Education Research and Development, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Haruka Tohara
- Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Shunsuke Minakuchi
- Department of Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
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Sajwani AI, AlShdaifat M, Hashi F, Abdelghany E, Alananzeh I. The intersection of oncology and oral health: exploring nurses' insights and practices - a systematic review. Support Care Cancer 2024; 32:138. [PMID: 38289506 PMCID: PMC10827822 DOI: 10.1007/s00520-024-08317-5] [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: 07/06/2023] [Accepted: 01/10/2024] [Indexed: 02/01/2024]
Abstract
PURPOSE Oral health care for cancer patients is essential but often overlooked. Nurses play a critical role in assessing and managing oral health in this population. This systematic review aims to examine nurses' knowledge, attitudes, and practices regarding oral healthcare in cancer patients. METHODS A systematic review was conducted following the Joanna Briggs Institute methodology. Qualitative and quantitative studies focused on nurses' knowledge, attitudes, and practices in oral healthcare for cancer patients. Seven databases were searched for studies published between January 2000 and January 2023. The primary outcomes of interest were patient satisfaction, quality of life, and nurses' knowledge, attitudes, and practices related to oral healthcare. RESULTS The review identified gaps in nurses' knowledge and training in oral healthcare for cancer patients. Insufficient understanding of oral diagnoses, treatment protocols, and pediatric oral care was noted. Lack of knowledge and skills posed barriers to implementation. Some healthcare providers demonstrated low awareness of oral health recommendations, including the use of fluoridated toothpaste and the need for dental referrals. Referrals to dental services and regular oral assessments were infrequent. Attitudes towards oral healthcare varied, with providers feeling more comfortable in certain areas than others. CONCLUSION Enhancing nurses' knowledge, attitudes, and practices in oral healthcare for cancer patients is crucial. Targeted educational initiatives and interventions are needed to address these gaps. By improving nurses' understanding of oral complications and management approaches, patient outcomes and quality of life can be improved. REGISTRATION PROSPERO International prospective register of systematic reviews, ID: CRD42022368053.
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Affiliation(s)
| | - Mohammad AlShdaifat
- School of Nursing, University of Wollongong Dubai, Dubai, United Arab Emirates
| | - Fatima Hashi
- School of Nursing, University of Wollongong Dubai, Dubai, United Arab Emirates
| | - Eman Abdelghany
- Waist Health Center, Primary Health Care Centers, Sharjah Health Services, Sharjah, United Arab Emirates
| | - Ibrahim Alananzeh
- School of Nursing Faculty of Science, Medicine & Health, University of Wollongong, Dubai, United Arab Emirates.
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Tsui PK, Chau PH, Wong JYH, Wang MP, Gao X, Lam OLT, Leung KCM, Lo ECM, Tiwari A. Oral care knowledge, attitude and practice among nursing staff in acute hospital settings in Hong Kong. PLoS One 2023; 18:e0289953. [PMID: 37582111 PMCID: PMC10427009 DOI: 10.1371/journal.pone.0289953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Accepted: 07/17/2023] [Indexed: 08/17/2023] Open
Abstract
Investigating the oral care delivered by nursing staff in acute hospital setting is having a remarkable shortage within the current literature. This was provoked due to lack of previous performed investigation in the acute hospital setting besides inconsistent existence of a standardized and comprehensive oral care knowledge, attitude and practice (KAP) instrumentation. Therefore, the purpose of this study is to assess the oral care KAP level for inpatients among nursing staff; to identify possible barriers to the provision of oral care; and to identify training preferences to improve the oral care of inpatients, in acute hospital settings in Hong Kong; and to provide standardized comprehensive KAP based assessment tool that would benefit and guide other future studies. In this study, a cross-sectional survey was conducted after a 55-item self-administered structured questionnaire was developed. A modified KAP tool was developed. The tool includes 4 domains: oral care knowledge, attitude, practice, and experience. Nursing staff was recruited from July 2018 to April 2019 via convenience sampling. Either online or printed questionnaires were completed. Proportions of nursing staff with good KAP, as defined by having 60% of the total score in the respective domain, were estimated with 95% confidence intervals (CI). Analysis of covariance was used to compare the mean scores of KAP among different independent variables and identify the factors associated with good KAP. 404 nursing staff were recruited. Approximately 29.5%, 33.7% and 14.9% of the respondents had good oral care knowledge, attitude and practice, respectively, and 53.2% of the respondents had unpleasant oral care experience. Better oral care practice was associated with higher levels of oral care knowledge (β = 0.1) and oral care attitude (β = 0.3). To conclude: nursing staff in acute hospital settings reported low levels of oral care KAP with variations between the RN, EN and HCA. This study adds to the literature the association between oral care unpleasant experiences and the oral care practice, as well as oral care knowledge and attitude which also in turns associated with practice. The developed standardised tool could be applied for future studies. Recommendations on the future research, training and practices were made.
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Affiliation(s)
- Pui Ki Tsui
- School of Nursing, The University of Hong Kong, Hong Kong Special Administrative Region, Hong Kong, China
- Department of Childcare, Elderly and Community Services, Hong Kong Institute of Vocational Education (Sha Tin), Hong Kong Special Administrative Region, Hong Kong, China
| | - Pui Hing Chau
- School of Nursing, The University of Hong Kong, Hong Kong Special Administrative Region, Hong Kong, China
| | - Janet Yuen Ha Wong
- School of Nursing, The University of Hong Kong, Hong Kong Special Administrative Region, Hong Kong, China
- School of Nursing & Health Studies, Hong Kong Metropolitan University, Hong Kong Special Administrative Region, Hong Kong, China
| | - Man Ping Wang
- School of Nursing, The University of Hong Kong, Hong Kong Special Administrative Region, Hong Kong, China
| | - Xiaoli Gao
- Faculty of Dentistry, National University of Singapore, Singapore, Singapore
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
| | - Otto Lok Tao Lam
- George & Fay Yee Centre for Healthcare Innovation, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Katherine Chiu Man Leung
- Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, Hong Kong, China
| | - Edward Chin Man Lo
- Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, Hong Kong, China
| | - Agnes Tiwari
- School of Nursing, The University of Hong Kong, Hong Kong Special Administrative Region, Hong Kong, China
- School of Nursing, Hong Kong Sanatorium & Hospital Limited, Hong Kong Special Administrative Region, Hong Kong, China
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Hammond L, Conroy T, Murray J. Exploring oral care practices, barriers, and facilitators in an inpatient stroke unit: a thematic analysis. Disabil Rehabil 2023; 45:796-804. [PMID: 35188869 DOI: 10.1080/09638288.2022.2040616] [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] [Indexed: 11/03/2022]
Abstract
PURPOSE Oral care is essential to support the health and rehabilitation of stroke survivors but is often performed poorly in the inpatient setting. This article examines the current practices, barriers and facilitators to oral care on an Australian stroke unit to inform future knowledge translation interventions within this setting. METHODS Qualitative semi-structured interviews were conducted with nursing staff members and speech-language pathologists with experience delivering oral care to stroke survivors. Reflexive thematic analysis was used to analyse the data. RESULTS Three themes were developed from the data. In the first theme, participants described current oral care practices within their stroke unit and acknowledged that there is room for improvement. In the second theme, participants identified the multiple overlapping barriers to oral care delivery on the ward. Finally, the third theme explored participants' suggestions for improving oral care, including both local and organisational change. CONCLUSIONS This study illustrates the complexities of oral care in the inpatient stroke setting and gives voice to the perspectives of nursing and speech-language pathology staff. It is clear that future oral health interventions in this setting require a comprehensive approach to addressing barriers and should prioritise the concerns of staff delivering the care.IMPLICATIONS FOR REHABILITATIONThe delivery of good oral care post-stroke is essential, but in practice is difficult due to limited time and supplies, inadequate education, fear of harm to patient and self, and perceived low priority of the care.Speech-language pathologists are often involved in oral care, but their role is not clearly delineated, and they are not provided with formal training in oral care provision.Oral care interventions should be comprehensive, including organisational policies, clear practice guidelines, structured multi-disciplinary education, and appropriate supplies.
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Affiliation(s)
- Lauren Hammond
- Northern Adelaide Local Health Network, Adelaide, Australia
- College of Nursing and Health Sciences, Flinders University of South Australia, Adelaide, Australia
| | - Tiffany Conroy
- College of Nursing and Health Sciences, Flinders University of South Australia, Adelaide, Australia
| | - Joanne Murray
- College of Nursing and Health Sciences, Flinders University of South Australia, Adelaide, Australia
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Schofield C, Bennett R, Orloff C, Devalia U. Children's hospices: an opportunity to put the mouth back in the body. Br Dent J 2022:10.1038/s41415-022-4926-y. [PMID: 36138101 PMCID: PMC9510251 DOI: 10.1038/s41415-022-4926-y] [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: 02/20/2022] [Accepted: 05/09/2022] [Indexed: 12/05/2022]
Abstract
Introduction The children and young people who utilise hospice services often have additional oral health care needs and may present with additional challenges in regard to mouth care. Hospice colleagues need support and would benefit from national direction in providing mouth care for this important group.Methods Questionnaires were provided to hospice nursing colleagues, parents and carers to assess current knowledge and confidence around mouth care and diet. An audit was also completed on hospice records to assess the recording of mouth care provision prior to the introduction of Mini Mouth Care Matters. Training was then provided to colleagues in the form of a virtual interactive learning session and a re-audit of hospice records was then completed.Results Almost 30% of colleagues had never received mouth care training and two-thirds of colleagues faced barriers in providing daily mouth care. Overall, 11% of children who accessed hospice services had never visited a dentist and nearly half of the children brushed less than twice a day. The Mini Mouth Care Matters assessment tool resulted in an increase in assessment of the mouth of children using the hospice, along with early identification of problems and improving daily mouth care.Conclusion Mini Mouth Care Matters is transferable to children's hospices and should be extended to all children's hospices nationally.
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Affiliation(s)
- Charlotte Schofield
- Department of Paediatric Dentistry, Glasgow Dental Hospital and Royal Hospital for Children, Glasgow, UK.
| | - Reuben Bennett
- Specialty Registrar in Paediatric Dentistry, Sheffield Teaching Hospitals NHS Trust, UK
| | - Courtney Orloff
- Department of Restorative Dentistry, Royal National ENT and Eastman Dental Hospitals, London, UK
| | - Urshla Devalia
- Department of Paediatric Dentistry, Royal National ENT and Eastman Dental Hospitals, London, UK
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Assessment of Knowledge, Attitude, and Practice of Iranian Nurses towards Toothbrush Maintenance and Use. Nurs Res Pract 2021; 2021:3694141. [PMID: 34950516 PMCID: PMC8692049 DOI: 10.1155/2021/3694141] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2021] [Accepted: 12/03/2021] [Indexed: 11/17/2022] Open
Abstract
Background Since nurses are considered a role model in society, they should have sufficient knowledge, attitude, and practice in the field of oral hygiene. This study was aimed to assess the nurses' knowledge, practice, and attitude towards toothbrush maintenance and use. Methods In this cross-sectional study, 325 nurses working in hospitals affiliated to Kermanshah University of Medical Sciences were randomly recruited. Data collection tools included a demographic information form and a researcher-made questionnaire on knowledge, attitude, and practice regarding toothbrush maintenance and use. Data were analyzed by SPSS software using descriptive and inferential statistics (Mann–Whitney U and Kruskal–Wallis H). Results The mean scores of nurses' knowledge, attitude, and practice were 59.2 ± 16.4, 64.2 ± 20.6, and 51.4 ± 17.0 out of 100, respectively. There was no statistically significant relation between nurses' knowledge, attitude, and practice and their gender, age, level of education, and work experience. Conclusions Nurses had moderate knowledge, attitude, and practice regarding toothbrush maintenance and use, which is not very desirable given their role model. Therefore, training courses are recommended to be held to increase the nurses' knowledge, attitude, and practice regarding toothbrush maintenance and use.
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Introducing Standardized Assessment and Management of Oral Cares in a Rehabilitation Unit: Patient Outcomes and Experiences. Rehabil Nurs 2020; 46:262-269. [PMID: 33315719 DOI: 10.1097/rnj.0000000000000301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE The aim of this study was to improve patient oral hygiene outcomes in a rehabilitation unit by implementing a nursing education package and oral hygiene assessment tool. DESIGN A case-control design with 50 rehabilitation patients was performed. METHODS Nursing staff received education and training in applying the Modified Oral Health Assessment Tool. Clinician assessment of patient oral hygiene occurred on admission and at days 5-7. Each patient reported their perceptions of oral hygiene and comfort prior to hospitalization, while in the hospital, and after transfer to the rehabilitation unit. FINDINGS Oral hygiene rating scores improved significantly from admission to the rehabilitation unit to days 5-7 (p = .00). The mean score of patient perceived cleanliness improved from hospital admission to admission to the rehabilitation unit. CONCLUSION Oral hygiene was improved following admission to a rehabilitation unit with a consistent and individualized approach to oral hygiene. CLINICAL RELEVANCE The introduction of a consistent and individualized approach to oral hygiene demonstrates positive patient outcomes and high patient acceptance.
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Chebib N, Waldburger TC, Boire S, Prendki V, Maniewicz S, Philippe M, Müller F. Oral care knowledge, attitude and practice: Caregivers' survey and observation. Gerodontology 2020; 38:95-103. [PMID: 33073432 DOI: 10.1111/ger.12502] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Revised: 09/08/2020] [Accepted: 09/28/2020] [Indexed: 12/26/2022]
Abstract
OBJECTIVES This study aims to assess caregivers' knowledge, perception and perceived barriers as well as their daily usual practice concerning oral care provision in a geriatric hospital. METHODS A semi-structured questionnaire was developed and administered to caregivers in a geriatric ward. Furthermore, oral care delivery to dependent and independent patients was clinically observed. RESULTS One hundred and fifty-two caregivers (60% nurses, 40% nursing aids) completed the survey (78% response rate). Clinical oral care was observed in 97 inpatients. Observations revealed that brushing was done in 94% of opportunities in independent patients but in only 55% of dependent patients. This corresponded to the frequency indicated in the questionnaire for independent elders (97%, n.s.), whereas it was significantly different for dependent elders (89%, P < .001). 95% of caregivers stated in the questionnaire never verifying self-administered oral care, whereas 12.3% were actually observed verifying intraorally its efficiency (P = .07 chi-squared test). 71% of the respondents stated storing the prostheses dry, and 8% stated that they reinserted it after cleaning. Caregivers' observation revealed that 35.1% of prostheses were reinserted in the mouth, indicating a significantly higher rate than in the questionnaire (P < .05). Respondents felt that their training to perform oral hygiene measures was suboptimal (VAS 48 ± 34.4). Patients verbally refusing oral care were stated as a barrier by 14% of respondents and were witnessed in 15.6% of observation opportunities (n.s). CONCLUSION Various measures, such as hospital health policy, improved logistics or advanced hands-on training, might help to converge the clinical practice towards the theoretical knowledge.
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Affiliation(s)
- Najla Chebib
- Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Talina Clizia Waldburger
- Undergraduate Student, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Sandrine Boire
- Division of Internal Medicine of the Aged, Department of Rehabilitation and Geriatrics, University Hospitals of Geneva, Thônex, Switzerland
| | - Virginie Prendki
- Division of Internal Medicine of the Aged, Department of Rehabilitation and Geriatrics, University Hospitals of Geneva, Thônex, Switzerland
| | - Sabrina Maniewicz
- Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Mojon Philippe
- Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Frauke Müller
- Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.,Division of Geriatrics, Department of Rehabilitation and Geriatrics, University Hospitals of Geneva, Thônex, Switzerland
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Patterson Norrie T, Villarosa AR, Kong AC, Clark S, Macdonald S, Srinivas R, Anlezark J, George A. Oral health in residential aged care: Perceptions of nurses and management staff. Nurs Open 2020; 7:536-546. [PMID: 32089850 PMCID: PMC7024615 DOI: 10.1002/nop2.418] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Revised: 09/27/2019] [Accepted: 10/21/2019] [Indexed: 11/13/2022] Open
Abstract
Aim This study aimed to explore the perceptions of residential aged care nursing and management staff regarding oral care, to develop strategies to improve the oral health of aged care residents. Design A qualitative approach was used. Methods Two focus groups were conducted with nursing and management staff at two residential aged care facilities and transcripts were thematically analysed. Results All staff had an awareness of the importance of oral health; however, they highlighted the significant challenges in the current system that affect implementation of oral health training and practice guidelines in the residential aged care facility. High staff turnover, time constraints, difficulties in accessing dental services and working together with residents, their families and external staff were barriers to providing oral health care. Staff highlighted the need for formalized clinical guidelines and processes and efficient dental referral pathways to create a more cohesive system of care.
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Affiliation(s)
- Tiffany Patterson Norrie
- Centre for Oral Health Outcomes & Research Translation (COHORT)Western Sydney UniversityLiverpoolNSWAustralia
- Oral Health ServicesSouth Western Sydney Local Health DistrictLiverpoolNSWAustralia
- Ingham Institute Applied Medical ResearchLiverpoolNSWAustralia
| | - Amy R. Villarosa
- Centre for Oral Health Outcomes & Research Translation (COHORT)Western Sydney UniversityLiverpoolNSWAustralia
- Oral Health ServicesSouth Western Sydney Local Health DistrictLiverpoolNSWAustralia
- Ingham Institute Applied Medical ResearchLiverpoolNSWAustralia
| | - Ariana C. Kong
- Centre for Oral Health Outcomes & Research Translation (COHORT)Western Sydney UniversityLiverpoolNSWAustralia
- Oral Health ServicesSouth Western Sydney Local Health DistrictLiverpoolNSWAustralia
- Ingham Institute Applied Medical ResearchLiverpoolNSWAustralia
| | - Sally Clark
- Oral Health ServicesSouth Western Sydney Local Health DistrictLiverpoolNSWAustralia
| | | | - Ravi Srinivas
- Centre for Oral Health Outcomes & Research Translation (COHORT)Western Sydney UniversityLiverpoolNSWAustralia
- Oral Health ServicesSouth Western Sydney Local Health DistrictLiverpoolNSWAustralia
- Ingham Institute Applied Medical ResearchLiverpoolNSWAustralia
- University of SydneySydneyNSWAustralia
| | - Jennifer Anlezark
- Oral Health ServicesSouth Western Sydney Local Health DistrictLiverpoolNSWAustralia
| | - Ajesh George
- Centre for Oral Health Outcomes & Research Translation (COHORT)Western Sydney UniversityLiverpoolNSWAustralia
- Oral Health ServicesSouth Western Sydney Local Health DistrictLiverpoolNSWAustralia
- Ingham Institute Applied Medical ResearchLiverpoolNSWAustralia
- University of SydneySydneyNSWAustralia
- Translational Health Research InstituteLiverpoolNSWAustralia
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Philip P, Villarosa A, Gopinath A, Elizabeth C, Norman G, George A. Oral health knowledge, attitude and practices among nurses in a tertiary care hospital in Bangalore, India: a cross-sectional survey. Contemp Nurse 2019; 55:261-274. [PMID: 31340719 DOI: 10.1080/10376178.2019.1647790] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Background: Maintaining good oral health among hospitalized individuals is essential for health outcomes and quality of life. Nurses, being the primary oral care givers require adequate knowledge, attitude and practice in this area to provide effective oral health care. However, limited studies have been undertaken to evaluate this aspect of nursing care in India. Aim: To determine the knowledge, attitude and practices of nurses regarding oral care for hospitalized patients. Design: Cross-sectional survey. Methods: A total of 244 nurses working in a tertiary care hospital in Bangalore, South India were purposively recruited for this study. Data was collected using a structured questionnaire with both closed and open-ended questions about knowledge, attitude and practice regarding oral care. Results: The mean oral health knowledge score was 6.74 out of maximum score of 22. Most nurses were aware of the importance of oral care among inpatients and the effect poor oral hygiene and systemic diseases have on oral health. Deficiencies in knowledge were prevalent in areas including common medications that affect oral health and regarding care of dentures. Nurses, with higher nursing qualifications and working in departments with longer length of stay had higher attitude scores. Most nurses assessed oral health needs within 24hrs of admission. However, there were inconsistencies in the oral health assessment and care protocols followed and documentation. Conclusion: Nurses' attitude towards oral health was positive yet their knowledge in specific aspects of care was inadequate. Their oral health practices needs improvement.
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Affiliation(s)
- Philcy Philip
- a Dental Department, Bangalore Baptist Hospital , Bellary Road, Hebbal, Bangalore , Karnataka 560024 , India
| | - Amy Villarosa
- b Centre for Oral Health Outcomes & Research Translation (COHORT), School of Nursing & Midwifery, Western Sydney University, South Western Sydney Local Health District , Sydney , Australia.,c Ingham Institute Applied Medical Research , Locked Bag 7103, Liverpool , NSW 1871 , Australia
| | - Anitha Gopinath
- d Department of Community Health and Family Medicine, Bangalore Baptist Hospital , Bellary Road, Hebbal, Bangalore , Karnataka 560024 , India
| | - Carolin Elizabeth
- d Department of Community Health and Family Medicine, Bangalore Baptist Hospital , Bellary Road, Hebbal, Bangalore , Karnataka 560024 , India
| | - Gift Norman
- d Department of Community Health and Family Medicine, Bangalore Baptist Hospital , Bellary Road, Hebbal, Bangalore , Karnataka 560024 , India
| | - Ajesh George
- b Centre for Oral Health Outcomes & Research Translation (COHORT), School of Nursing & Midwifery, Western Sydney University, South Western Sydney Local Health District , Sydney , Australia.,c Ingham Institute Applied Medical Research , Locked Bag 7103, Liverpool , NSW 1871 , Australia.,e Translational Health Research Institute, Western Sydney University , Sydney , Australia.,f School of Dentistry, Faculty of Medicine and Health, University of Sydney , Sydney , Australia
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12
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Gibney JM, Wright FA, D'Souza M, Naganathan V. Improving the oral health of older people in hospital. Australas J Ageing 2018; 38:33-38. [DOI: 10.1111/ajag.12588] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Jennifer M Gibney
- Centre for Education and Research on Ageing Concord Hospital Sydney New South Wales Australia
- Nepean Hospital Sydney New South Wales Australia
| | - Frederick A Wright
- Centre for Education and Research on Ageing Concord Hospital Sydney New South Wales Australia
| | - Mario D'Souza
- Sydney Local Health District Clinical Research Centre Hospital Royal Prince Alfred Hospital Sydney New South Wales Australia
| | - Vasi Naganathan
- Centre for Education and Research on Ageing Concord Hospital Sydney New South Wales Australia
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13
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Blum DFC, Munaretto J, Baeder FM, Gomez J, Castro CPP, Bona ÁD. Influence of dentistry professionals and oral health assistance protocols on intensive care unit nursing staff. A survey study. Rev Bras Ter Intensiva 2018; 29:391-393. [PMID: 29044309 PMCID: PMC5632984 DOI: 10.5935/0103-507x.20170049] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2017] [Accepted: 04/27/2017] [Indexed: 11/20/2022] Open
Affiliation(s)
| | | | | | - Jussara Gomez
- Hospital São Vicente de Paulo - Passo Fundo (RS), Brasil
| | | | - Álvaro Della Bona
- Faculdade de Odontologia, Universidade de Passo Fundo - Passo Fundo (RS), Brasil
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14
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Steel BJ. Oral hygiene and mouth care for older people in acute hospitals: part 2. Nurs Older People 2017; 29:20-25. [PMID: 29188927 DOI: 10.7748/nop.2017.e947b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/08/2017] [Indexed: 11/09/2022]
Abstract
Acute hospital admission provides an excellent opportunity to address poor oral health in older people, a group rarely seen by dental professionals and for who oral health activity in hospital is inconsistent and generally suboptimal. This two-part article explores oral hygiene and mouth care provision for older adults in acute hospitals. The first article presented the findings of a literature review exploring oral and dental disease in older adults, the importance of good oral health and mouth care, and the current situation. The second article explores clinical recommendations. A change in philosophy is needed to embed oral care as an essential component of holistic practice. More research is needed to determine the best ways to assess and treat oro-dental problems in older people, and promote and restore their oral health in hospitals. Great potential exists to innovate and develop new ways of providing care to this group.
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Affiliation(s)
- Ben J Steel
- ST1 Oral and Maxillofacial Surgery, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England
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15
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Steel BJ. Oral hygiene and mouth care for older people in acute hospitals: part 1. Nurs Older People 2017; 29:26-31. [PMID: 29124917 DOI: 10.7748/nop.2017.e947a] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/08/2017] [Indexed: 12/24/2022]
Abstract
The oral health of older people in acute hospitals has rarely been studied. Hospital admission provides a prime opportunity for identification and rectification of problems, and oral health promotion. This two-part article explores oral hygiene and mouth care provision for older adults in acute hospitals. The first article presents the findings of a literature review exploring oral and dental disease in older adults, the importance of good oral health and mouth care, and the current situation. Searches of electronic databases and the websites of relevant professional health service bodies in the UK were undertaken to identify articles and guidelines. The literature shows a high prevalence of oro-dental disease in this population, with many known detrimental effects, combined with suboptimal oral hygiene and mouth care provision in acute hospitals. Several guidelines exist, although the emphasis on oral health is weaker than other aspects of hospital care. Older adults admitted to acute hospitals have a high burden of oro-dental disease and oral and mouth care needs, but care provision tends to be suboptimal. The literature is growing, but this area is still relatively neglected. Great potential exists to develop oral and mouth care in this context. The second part of this article explores clinical recommendations.
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Affiliation(s)
- Ben J Steel
- The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England
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16
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Ab Malik N, M Yatim S, Lam OLT, Jin L, McGrath C. Oral Health Care Guidelines, Training, and Resources among Stroke Care Providers. JDR Clin Trans Res 2017; 2:312-319. [PMID: 30938632 DOI: 10.1177/2380084417693784] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
During a stroke, the mouth tends to become an unhealthy place and may give rise to various life-threatening conditions. To this end, there have been repeated calls to incorporate oral hygiene guidelines and practices for hospitalized stroke patients to prevent aspiration pneumonia and improve patients' oral health. The objective of the study was to determine health care providers' practices of oral health care among patients hospitalized after an occurrence of stroke and to determine health care providers' background and work environment effect on these practices. A cross-sectional study was conducted among stroke care providers in 13 public hospitals in Malaysia. The questionnaires distributed were self-administered, where nursing staff provided details of their oral health care practices for stroke patients. Information on the background of health care providers and work environment was also collected. Overall, a total of 780 responses from the registered nurses were obtained. Almost half of the respondents (48.1%) reported that they recommended toothbrushing twice or more per day to stroke patients. Two-thirds (64.7%) reported that they performed daily mouthwashing on their patient, while less than half (38.8%) reported daily oral hygiene assistance. Result of the analysis revealed that oral hygiene practices were significantly associated with having working wards ( P < 0.05), level of qualification ( P < 0.05), having oral health care guidelines ( P < 0.001), specific resources ( P < 0.05), and attending previous training in oral care ( P < 0.001). Provision of oral hygiene practices for hospitalized stroke patients is important. A lack of oral health care guidelines, support from dental professionals, specific resources, training, and assistance in daily oral care for patients is evident and detrimental to oral hygiene practices. The current findings have significant implications for new initiatives to support health care providers, particularly the registered nurses performing oral health care for hospitalized stroke patients. Knowledge Transfer Statement: This study may provide a basis of information for improving the delivery of oral health care to stroke patients. Enhancement in the training and improvement in the existing guidelines and resources is pivotal for the provision of better oral health care for the potential benefits to these patients, including their improved quality of life and disease prevention.
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Affiliation(s)
- N Ab Malik
- 1 Dental Public Health, Faculty of Dentistry, The University of Hong Kong, Hong Kong.,2 Faculty of Dentistry, Universiti Sains Islam Malaysia, Kuala Lumpur, Malaysia
| | - S M Yatim
- 3 Rehabilitation Department, Hospital Serdang, Serdang, Malaysia
| | - O L T Lam
- 4 Oral Rehabilitation, Faculty of Dentistry, The University of Hong Kong, Hong Kong
| | - L Jin
- 5 Periodontology, Faculty of Dentistry, The University of Hong Kong, Hong Kong
| | - C McGrath
- 6 Dental Public Health, Faculty of Dentistry, The University of Hong Kong, Hong Kong
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17
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Observations of oral hygiene care interventions provided by nurses to hospitalized older people. Geriatr Nurs 2017; 38:17-21. [DOI: 10.1016/j.gerinurse.2016.06.018] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2016] [Revised: 06/22/2016] [Accepted: 06/27/2016] [Indexed: 11/20/2022]
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