Effect of specific training course for competency in professional oral hygiene care in the intensive care unit: a quasi-experimental study for developing a standardized learning curve

Abstract

Background The development of evidence-based training standards can help improve the quality of educational programs for novice intensive care unit (ICU) nurses. This study was conducted to assess the application of a training course on competency development of nurses in relation to oral hygiene care in ICU patients and to develop a checklist for evaluating the competence performance. In addition, to achieve a certain level of oral hygiene competence, as well as to assess the relative importance of predicting factors and learning competency patterns in oral hygiene care, we used standard learning curve. Methods This quasi-experimental study with time series design was conducted on newly registered ICU nurses of a teaching hospital affiliated with Tehran University of Medical Sciences, Iran, between 2016 and 2018. In the first phase of this study, we designed a checklist to assess nurses' professional competence in oral hygiene care in three stages: before, during, and after care. Then, in the second phase, the level of competence of nurses in repeated times of oral hygiene care was determined based on checklist items and recorded in the learning curve. Results The greatest increase of oral hygiene care competency due to repetition was observed in the first and fourth times of repetition in comparison to the subsequent and previous steps. In the linear regression model, demographic variables predicted 12–19% of changes related to skill scores in repetitions. Conclusion According to the learning curve, newly registered ICU nurses can reach an acceptable competency after 6 repetitions of oral hygiene care.

HEALTH SCIENCES AND ORAL HYGIENE IN ICU PATIENTS: Interdisciplinarity between Dentists and Nurses

“…Considering the relationship between oral health and the patient's systemic health, especially in the ICU, some debates point to the importance of an interdisciplinary team to address oral hygiene or systemic and oral pathologies of hospitalized patients with the participation of dentists (dental surgeon) and nurses (CRUZ; ARAUJO; MOREIRA, 2016;SILVEIRA, B. L. et al, 2020;SAMIM, Abbas et al, 2022).…”

Protocolos de higiene bucal adotados em Unidades de Terapia Intensiva (UTI)

“…Portanto, avaliar a função das glândulas salivares regularmente é essencial para prevenir complicações orais, faríngeas e esofágicas decorrentes de disfunções glandulares. Samim, et al, (2022).…”

“…Esses pacientes encontram-se inteiramente dependentes de seus cuidadores para garantir sua saúde e diversos deles não conseguem realizar tarefas simples como a higiene bucal, seja por estarem inconscientes ou pelas limitações estruturais da própria UTI. Sendo assim, a saúde bucal muitas vezes fica em segundo plano diante de outras necessidades urgentes desses pacientes (Samim, et al, 2022). Protocolos preventivos em unidades hospitalares tem como objetivo manter a saúde bucal e são importantes para reduzir possíveis complicações sistêmicas.…”

Oral Hygiene Care of Endotracheal Intubated Patients in Korean Intensive Care Units : A Scoping Review

“…이처럼 기관내관을 적용한 중환자에게 구강간호는 중 요하지만, 기관내관과 같은 기구들로 인한 물리적 장벽, 간호사들의 적절한 도구 사용의 어려움, 간호사의 구강 간호의 중요성에 대한 인식 부족, 기관내관을 적용한 환 자와 간호사 사이의 의사소통의 어려움으로 인한 문제 등으로 구강간호 수행에 어려움이 있다 [10]. 더욱이 구 강건강 문제들은 생명과 직결되는 다른 중요한 문제들 로 인해 가려져 구강간호 수행을 어렵게 한다 [11]. 따 라서, 기관내관을 적용한 중환자의 구강간호에 대한 지속적 연구를 통해 구강간호 중요성에 대한 인식과 구 강간호 수행 향상이 이루어져야 할 필요가 있다.…”