A pilot study on the feasibility of training nurses to formulate multicomponent oral health interventions in a residential aged care facility

Deutsch, Alan; Siegel, Emma; Cations, Monica; Wright, Clive; Naganathan, Vasi; Brodaty, Henry

doi:10.1111/ger.12295

Cited by 12 publications

(11 citation statements)

References 44 publications

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“…Other roles of an RN include providing training and mentorship to other healthcare workers involved with nursing care. With nurses acting as mentors, oral health educational activities designed for caregivers of people with special healthcare needs have resulted in enhanced knowledge, skills and positive attitudes amongst these individuals towards oral hygiene maintenance 17 . Nurse intervention has also resulted in improved oral health status and quality of life for patients, especially those with special healthcare needs 18 .…”

Section: Discussionmentioning

confidence: 99%

Oral health education in the undergraduate nursing curriculum of Australian and Malaysian institutions

Ahmad

Abuzar

Razak

et al. 2020

Eur J Dental Education

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Introduction A high degree of training is necessary to prepare student nurses for their roles as oral healthcare partners that can promote a holistic approach to health in the community. This study aims to determine the extent of oral health education in Australian and Malaysian nursing institutions, as well as investigate educators' perceptions of education and practice in this area of care. Methodology An audio‐recorded, semi‐structured qualitative phone interview was conducted with the heads of 42 nursing schools across Australia (n = 35) and Malaysia (n = 7) during the 2015 academic year. Qualitative data were analysed via thematic analysis. Quantitative data, wherever appropriate, were measured for frequencies. Results The response rate was 34.2% (n = 12) and 71.4% (n = 5) for the Australian and Malaysian subjects, respectively. Findings revealed that although all the nursing schools measured provided didactic and clinical training in oral health, curriculum content, expected learning outcomes, amount of clinical exposure and assessment approach lacked consistency. Most nursing educators across both countries perceived an overloaded curriculum as a barrier to providing oral health education. Whilst educators demonstrated their support for training in this area of care, they expressed the need for an established national guideline that highlights the educational requirement for future nurses in oral health maintenance and their scope of practice. Conclusion This study provides valuable information for further developing oral health education for nurses, to improve their competency and ultimately the health of the communities that they will serve.

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Section: Discussionmentioning

confidence: 99%

Oral health education in the undergraduate nursing curriculum of Australian and Malaysian institutions

Ahmad

Abuzar

Razak

et al. 2020

Eur J Dental Education

View full text Add to dashboard Cite

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“…It was shown that coaching programs with practical support from oral health professionals for individual nursing home personnel are feasible [ 52 ]. A pilot study found that after 12 hours of training, nurses were able to formulate oral care plans that were highly congruent with those of an oral health professional [ 53 ]. In addition to specific ohr-interRAI training programs, the attention for oral health in the training of healthcare students needs to be increased as well.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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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.

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“…The test paper was observed for whether the micro brush could wet the pH paper and for colour change and salivary pH levels recorded. A lower pH score was recorded in cases where the level appeared to be between two values [ 28 ]. All numbers equal to 6.6 or above were considered normal, while values lower than 6.6 were considered as greater risk for oral disease [ 29 ].…”

Section: Methodsmentioning

confidence: 99%

Memory decline in older individuals predicts an objective indicator of oral health: findings from the Sydney Memory and Ageing Study

et al. 2022

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Background Growing evidence suggests that there is an association between poor oral health and cognitive function in late adulthood. However, most studies to date have relied on cross-sectional research methods that do not permit inferences about the temporality of any association. Moreover, the few longitudinal studies that do exist have typically relied on small samples and quite limited cognitive or oral health assessments. The aim of the present study was therefore designed to provide the first direct evaluation of whether cognitive function is predictive of poor oral health in older adults. Methods This longitudinal research included data from 339 participants aged 70 years or older from The Sydney Memory and Ageing Study (MAS), a large cohort of healthy community-dwelling older adults. Cognitive function was assessed using a battery of tests at baseline (Wave 1) in 2005 and six years later (Wave 4) in 2011. In 2015 (Wave 6), participants were assessed for oral health using the Oral Health Assessment Tool (OHAT), number of functional occluding pairs of natural teeth and sublingual resting saliva pH (SRSpH). Ordinal least squares regression analysis was used to model the effect of cognitive function on total OHAT score, and binomial logistic regression used for SRSpH and occluding pairs of functional teeth. Results Two models were tested. In the partially adjusted model, age, gender and years of education were included. The fully adjusted model additionally included medical conditions, general health, depression, smoking, alcohol consumption, functionality, and dental care utilization. The key finding to emerge was that a six-year change in memory (from Wave 1 to Wave 4) was associated with lower sublingual resting saliva pH at Wave 6 in partially (Odds Ratio (OR) = 0.65) and fully adjusted model (OR = 0.63). Conclusions This longitudinal study provides further evidence that a relationship between cognitive function and oral health exists, and also points to this relationship potentially being bi-directional, as previous evidence suggests. The findings from the study also suggest that older adults who present with greater than normal memory decline at an earlier point in life were more likely to experience poor oral health when this was evaluated at a later time-point, four years later.

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A pilot study on the feasibility of training nurses to formulate multicomponent oral health interventions in a residential aged care facility

Cited by 12 publications

References 44 publications

Oral health education in the undergraduate nursing curriculum of Australian and Malaysian institutions

Oral health education in the undergraduate nursing curriculum of Australian and Malaysian institutions

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

Memory decline in older individuals predicts an objective indicator of oral health: findings from the Sydney Memory and Ageing Study

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