Academic-practice partnerships to promote evidence-based practice in long-term care: Oral hygiene care practices as an exemplar

McConnell, Eleanor S.; Lekan, Deborah; Hebert, Catherine A; L, Leatherwood

doi:10.1016/j.outlook.2006.12.003

Cited by 31 publications

(23 citation statements)

References 29 publications

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“…The most wellknown is the senior capstone experience where students work one-on-one with a clinical nurse to care for assigned patients [79, 80]. Reports of other academic-service partnerships have focused on enhancing individual student experiences with vulnerable populations [75, 81–90]; with schools [91, 92], the elderly [93, 94], and in primary care settings [95, 96]. …”

Section: Resultsmentioning

confidence: 99%

Academic-Service Partnerships in Nursing: An Integrative Review

Beal

2012

Nursing Research and Practice

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This integrative review summarizes currently available evidence on academic-service partnerships in the profession of nursing. More than 300 articles, published primarily in refereed journals, were accessed. Articles (110) were included in this review as they presented detailed and substantive information about any aspect of a nursing academic-service partnership. The majority were anecdotal in nature. Topics clustered around the following categories:pre-requisites for successful partnerships, benefits of partnerships, types of partnerships, andworkforce developmentwith its themes ofacademic-practice progressionandeducational re-design.Many examples of partnerships between academic and service settings were thoroughly described and best practices suggested, most often, however, without formal evaluation of outcomes. Nursing leaders in both settings have a long tradition of partnering with very little replicable evidence to support their efforts. It is critical that future initiatives evaluate the effectiveness of these partnerships, not only to ensure quality of patient outcomes but also to maximize efforts at building capacity for tomorrow's workforce.

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Section: Resultsmentioning

confidence: 99%

Academic-Service Partnerships in Nursing: An Integrative Review

Beal

2012

Nursing Research and Practice

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“…Third, there are few RNs on staff and even fewer who are prepared to assist in translating research-based practices to care (DiCenso, 2003;McConnell, Lekan, Hebert, & Leatherwood, 2007). Because most nursing homes do not have processes in place to help staff incorporate evidence-based guidelines into practice (McConnell et al, 2007), it is unclear if pain management is guided more by custom or evidence. Therefore, the primary purpose of this study was to document the degree to which nursing home staff adhere to current evidencebased pain assessment and management practices.…”

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confidence: 99%

Nursing Home Staff Adherence to Evidence-Based Pain Management Practices

Jablonski¹,

Ersek²

2009

J Gerontol Nurs

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The purpose of this study was to determine the extent to which nursing home staff adhere to current evidence-based guidelines to assess and manage persistent pain experienced by elderly residents. A retrospective audit was conducted of the medical records of 291 residents of 14 long-term care facilities in western Washington State. Data revealed a gap between actual practice and current best practice. Assessment of persistent pain was limited primarily to intensity and location. Although prescribing practices were more in line with evidence-based guidelines, a significant number of residents did not obtain adequate pain relief. Nonpharmacological pain management methods were rarely implemented. Nursing home staff and administrators must critically examine both system and individual staff reasons for failure to comply with best pain management practices. Research is needed to determine factors that contribute to less-than-optimal adherence to evidence-based guidelines for pain management, as well as the best methods for implementing practice change.The quality of care provided in U.S. nursing homes has long been a concern of policy makers, health care providers, and consumers. Following a study conducted in 1986, the Institute of Medicine (IOM) concluded that care provided in nursing homes was often seriously inadequate. These findings provided the impetus for enactment of the Omnibus Budget Reconciliation Act of 1987, which established higher standards of care for nursing homes receiving Medicare and Medicaid funding. Although the quality of care in nursing homes improved after this legislation went into effect, it is well known that care remains less than optimal in many instances (Weiner, Freiman, & Brown, 2007). The prevalence of pressure ulcers, malnutrition, and incontinence remains at unacceptable levels (IOM, 2001;Weiner et al., 2007). Of particular concern is the high number of nursing home residents who experience pain (AGS Panel on Persistent Pain in Older Persons [AGS Panel], 2002;Gibson, 2007;Zanocchi et al., 2007).Research indicates that as many as 83% of nursing home residents experience pain that often goes unrecognized or inappropriately treated (AGS Panel, 2002;Teno, Kabumoto, Wetle, Roy, & Mor, 2004;Zanocchi et al., 2007). This is significant in that the presence of persistent pain adversely affects mood, sleep quality, functional ability, and quality of life (AGS Panel, 2002;Leong & Nuo, 2007). From a systems perspective, the high prevalence of pain is a Address correspondence to Anita Jablonski, PhD, RN, Assistant Professor, Seattle University College of Nursing, 901 12th Avenue, PO Box 222000, Seattle, WA 98122-1090; jablonsk@seattleu.edu.. The authors disclose that they have no significant financial interests in any product or class of products discussed directly or indirectly in this activity. 2003). The guidelines synthesize current best practice through integration of scientific evidence, clinical experience, and expert opinion. These resources can potentially increase the effe...

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“…It is now well-known that poor oral hygiene has been linked to increased risk for serious medical problems, including pulmonary infection, cardiovascular disease, stroke, brain abscess, and poor control of diabetes mellitus [21]. Several articles have pointed out that oral care should be included in nursing work as a more highly prioritized task [22][23][24], however, the caregivers' brushing technique is demanded not only to professional medical staff such as nurses but also facility staff or family members engaging in home healthcare because the number of targeted people are increasing recently.…”

Section: Discussionmentioning

confidence: 99%

Gender difference of tooth brushing motion and force on self-brushing and caregivers' brushing in dental professionals

Hanasaki¹,

Nakakura-Ohshima²,

Nakajima³

et al. 2018

Dent Oral Craniofac Res

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While the need for caregivers' brushing have increased, the appropriate brushing motion is still unclear. The aim of this study was to clarify the gender difference of brushing motions between self-brushing and caregivers' brushing.Tooth brushing motions of 15 male and 20 female dental professionals were analyzed using a three-dimensional accelerometer and a strain tension gage. They brushed the buccal surfaces of the right lower molars using two brushing situations. Multilevel model analysis was applied in this study.Concerning self-brushing, gender difference was significant in cycle duration, buccal-lingual motion and brushing force, whereas for caregivers' brushing, a significant difference was observed only in the brushing force. In addition, the brushing force during caregivers' brushing was significantly greater than that of self-brushing on both genders.This study clearly demonstrated gender difference of brushing motion and force. Furthermore, a significant difference between self-brushing and caregivers' brushing was also evident. These results might contribute to improving the caregivers' brushing.

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Academic-practice partnerships to promote evidence-based practice in long-term care: Oral hygiene care practices as an exemplar

Cited by 31 publications

References 29 publications

Academic-Service Partnerships in Nursing: An Integrative Review

Academic-Service Partnerships in Nursing: An Integrative Review

Nursing Home Staff Adherence to Evidence-Based Pain Management Practices

Gender difference of tooth brushing motion and force on self-brushing and caregivers' brushing in dental professionals

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