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Jämsä H, Laitala ML, Kaakinen P, Ylöstalo P, Syrjälä AM. Implementation of oral hygiene practices in nursing homes - a qualitative approach among supervisor nurses. Acta Odontol Scand 2024; 82:25-32. [PMID: 37671640 DOI: 10.1080/00016357.2023.2252493] [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: 04/13/2023] [Accepted: 08/23/2023] [Indexed: 09/07/2023]
Abstract
OBJECTIVES This study describes daily oral health care in private enhanced service housing units and nursing homes in Finland using a qualitative method. METHODS Nineteen supervisor nurses were interviewed in the six largest cities in Finland. The interviews consisted of semi-structured questions. The interviews were then transcribed and analyzed using inductive content analysis. RESULTS The qualitative content analysis revealed five main categories: diet, education in the oral health of older people, oral care equipment and taking care of them, caring for the mouths of residents, and professional oral health care. The results revealed that sugary snacks were given daily in the units and there was a need for oral health care education. The dental equipment of residents was taken care of well and the oral health of the residents was taken care of moderately well. Furthermore, there was a need for co-operation between dental professionals and only half of the residents had an individual oral care plan. CONCLUSIONS It can be concluded that based on this qualitative study, the implementation of daily oral health care in most nursing homes and enhanced housing units seems to be at a sufficient level and more oral health-related practical and theoretical education is needed.
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Affiliation(s)
| | - Marja-Liisa Laitala
- Research Unit of Population Health, Department of Cariology, Endodontology and Pedodontics, University of Oulu, Finland
- Oulu University Hospital and Medical Research Center, Oulu, Finland
| | - Pirjo Kaakinen
- Research Unit of Health Sciences and Technology, University of Oulu, Finland
| | - Pekka Ylöstalo
- Research Unit of Population Health, University of Oulu, Finland
- Oulu University Hospital and Medical Research Center, Oulu, Finland
- Department of Oral and Maxillofacial Surgery, Oulu University Hospital, Oulu, Finland
| | - Anna-Maija Syrjälä
- Research Unit of Population Health, Department of Periodontology and Geriatric Dentistry, University of Oulu, Finland
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Jämsä H, Laitala ML, Vähänikkilä H, Syrjälä AM. Implementation of oral hygiene practices in nursing homes - the view of supervisor nurses. Acta Odontol Scand 2022; 80:308-314. [PMID: 34826263 DOI: 10.1080/00016357.2021.2009026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVES The aim of our study was to analyse the implementation of oral health-related practices in private enhanced service housing units and nursing homes in Finland reported by supervisor nurses. METHODS We sent an anonymous, voluntary Webropol-questionnaire to the supervisor nurses of private enhanced service housing units and nursing homes (N = 245). The questionnaire included items about the implementation of oral healthcare-related practices in the care units and items based on the Nursing Dental Coping Beliefs index (DCBS index). Five dimensions of the implementation of oral healthcare-related practices, Oral hygiene practices and Favourable diet for oral health, Oral hygiene equipment, Professional dental services, and Knowledge and opinions were used as outcomes. The factors in the nursing DCBS index and background variables were used as explanatory variables. RESULTS Our main results showed that in care units, Oral hygiene practices, Favourable diet for oral health, Oral hygiene equipment, and Professional dental services were partly implemented. Furthermore, according to Knowledge and opinions supervisor nurses had challenges in oral health-related knowledge and difficulties in managing oral care. In the DCBS index, better self-efficacy in "Managing bleeding gums" was associated with better implementation of oral health practices. Furthermore, supervisor nurses' better own oral health habits were associated with better implementation of oral health-related practices. CONCLUSIONS It can be concluded that based on the responses of the supervisor nurses, oral health-related practices were partly implemented in private enhanced service housing units and nursing homes in Finland.
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Affiliation(s)
- Hannaleena Jämsä
- Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland
| | - Marja-Liisa Laitala
- Research Unit of Oral Health Sciences, Department of Cariology, Endodontology and Pedodontics, University of Oulu, Oulu, Finland
| | - Hannu Vähänikkilä
- Northern Finland Birth Cohorts, Arctic Biobank, Infrastructure for Population Studies, Faculty of Medicine, University of Oulu, Oulu, Finland
| | - Anna-Maija Syrjälä
- Institute of Dentistry, Periodontology and Geriatric Dentistry, University of Oulu, Oulu, Finland
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Weening-Verbree LF, Schuller DAA, Cheung SL, Zuidema PDSU, Schans PDCPVD, Hobbelen DJSM. Barriers and facilitators of oral health care experienced by nursing home staff. Geriatr Nurs 2021; 42:799-805. [PMID: 34090223 DOI: 10.1016/j.gerinurse.2021.04.012] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Revised: 04/07/2021] [Accepted: 04/09/2021] [Indexed: 11/18/2022]
Abstract
Objectives to explore attitudes, perceptions, and perceived barriers to and the perceived facilitators of daily oral health care and the actual daily oral health care performances among nursing home staff. Methods A mixed methods study in 21 nursing homes was completed; a) questionnaires for nursing staff and managers; b) focus group interviews with nursing staff. Results 409 (21%) questionnaires were completed by nursing staff and 14 focus group interviews organized. Conclusions attitude was not a barrier in this study, while oral care was not performed according to guidelines. Nursing staff reported a lack of products, while toothbrushes are available. The most frequently mentioned barriers were lack of support of dental staff, oral care for clients with cognitive impairment, and a lack of education. Increasing facilitators could be; more (practical) education combined with tailored advice from internal dental staff. Where and on whom will the research have an impact? Nursing home staff, nursing home organizations/ managers and dental professionals working in nursing homes.
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Affiliation(s)
- Lina Francina Weening-Verbree
- Hanze University of Applied Sciences Groningen, Research group Healthy Ageing, Allied Health Care and Nursing, Groningen, Netherlands; Center for Dentistry and Oral Hygiene, University Medical Center Groningen, Netherlands; University of Groningen, Groningen, Netherlands.
| | - Dr Annemarie Adriana Schuller
- Center for Dentistry and Oral Hygiene, University Medical Center Groningen, Netherlands; University of Groningen, Groningen, Leiden, TNO, Netherlands
| | - Sie-Long Cheung
- Hanze University of Applied Sciences Groningen, Research group Healthy Ageing, Allied Health Care and Nursing, Groningen, Netherlands; Department of Health Psychology, University Medical Center Groningen, University of Groningen, Netherlands; Hanze University of Applied Sciences, Petrus Driessenstraat 3, Groningen 9714 CA, Netherlands
| | - Prof Dr Sytse Ulbe Zuidema
- University of Groningen, Groningen, Netherlands; Department of General Practice and Elderly Care Medicine, University Medical Center Groningen (UMCG), Groningen, Netherlands
| | - Prof Dr Cornelis P Van Der Schans
- Hanze University of Applied Sciences Groningen, Research group Healthy Ageing, Allied Health Care and Nursing, Groningen, Netherlands; Department of Health Psychology, University Medical Center Groningen, University of Groningen, Netherlands; Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Netherlands; Hanze University of Applied Sciences, Petrus Driessenstraat 3, Groningen 9714 CA, Netherlands
| | - Dr Johannes Simon Maria Hobbelen
- Hanze University of Applied Sciences Groningen, Research group Healthy Ageing, Allied Health Care and Nursing, Groningen, Netherlands; University of Groningen, Groningen, Netherlands; Hanze University of Applied Sciences, Petrus Driessenstraat 3, Groningen 9714 CA, Netherlands
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Konstantopoulou K, Kossioni A, Karkazis H, Polyzois G. Implementation and evaluation of an oral health education programme for caregivers in nursing homes. SPECIAL CARE IN DENTISTRY 2021; 41:154-163. [PMID: 33382125 DOI: 10.1111/scd.12558] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 12/17/2020] [Accepted: 12/18/2020] [Indexed: 11/30/2022]
Abstract
AIM The aim was the design, implementation, and evaluation of an oral health education program for nursing home caregivers. METHODS AND RESULTS Fifty-five formal caregivers working in the three units of a nursing home were allocated to either a control (n = 27) or an intervention group (n = 28). A knowledge and attitudes questionnaire about oral health was developed and completed by the caregivers. Then, an education program about oral heath in older people was applied to the intervention group, and the completion of the questionnaire was repeated by both the intervention and control groups. Two months after the intervention, the questionnaire was completed again by the intervention group. Within groups analyses revealed a statistically significant increase in knowledge and attitudes only in the intervention group after the implementation of the education program (P < .001). Between-group analyses showed that the total knowledge and attitudes score in the intervention group were statistically significantly higher than in the control group (P < .001 and P = .02, respectively). In the intervention group, knowledge and attitudes were maintained in the measurement recorded 2 months later (P = .11 and P = .21, respectively). CONCLUSION The education program was effective in improving the caregivers' knowledge and attitudes toward nursing home residents' oral health and maintaining them 2 months after implementation.
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Affiliation(s)
- Kalliopi Konstantopoulou
- Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Anastassia Kossioni
- Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Hercules Karkazis
- Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Gregory Polyzois
- Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
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Haresaku S, Aoki H, Kubota K, Monji M, Miyoshi M, Machishima K, Nakashima F, Naito T. Comparison of perceptions, attitudes and performance regarding collaborative oral health care among health-care workers. Int Dent J 2020; 70:462-468. [PMID: 32533559 DOI: 10.1111/idj.12581] [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] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVE Collaborative oral health care among health-care workers (HCWs) is important to prevent oral and systemic diseases. The purpose of this study was to investigate the perceptions, attitudes and performance of HCWs regarding collaborative oral health care and to compare them among HCWs. METHOD The subjects were dentists (DTs), dental hygienists (DHs), hospital nurses (HNs), speech-language-hearing therapists (STs) and certified care workers (CCWs) in Fukuoka Prefecture, Japan. DTs were members of the Fukuoka Dental Association, and DHs worked in dental clinics. HNs worked in hospitals without dental departments. STs and CCWs were members of professional associations. Data were collected by a mail survey. The chi-square test and Kruskal-Wallis test were used to compare the data among HCWs. RESULTS A total of 119 DTs, 91 DHs, 229 HNs, 119 STs and 121 CCWs participated in this study. The total response rate was 20.6%. There were significant differences in perceptions of what should be performed as part of oral health care among HCWs. Only 20%-60% of HCWs performed collaborative oral health care, while more than 75% were willing to perform such care. Levels of collaborative oral health care with other types of professionals and positive willingness to perform such care were lower among HNs than among the other HCWs. CONCLUSIONS It is suggested that oral health professionals should recognise the presence of differences in the perceptions, attitudes and performance among other types of HCW and try to improve these to promote interprofessional collaboration of oral health care in hospitals.
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Affiliation(s)
- Satoru Haresaku
- Department of Nursing, Fukuoka Nursing College, Fukuoka, Japan
| | - Hisae Aoki
- Department of Nursing, Fukuoka Nursing College, Fukuoka, Japan
| | - Keiko Kubota
- Department of Nursing, Fukuoka Nursing College, Fukuoka, Japan
| | - Mayumi Monji
- Department of Nursing, Fukuoka Nursing College, Fukuoka, Japan
| | - Maki Miyoshi
- Department of Nursing, Fukuoka Nursing College, Fukuoka, Japan
| | | | | | - Toru Naito
- Section of Geriatric Dentistry, Department of General Dentistry, Fukuoka Dental College, Fukuoka, Japan
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