Implementing Oral Care Practices and Policy Into Long-Term Care: The Brushing up on Mouth Care Project

McNally, Mary; Martin-Misener, Ruth; McNeil, Karen; Brillant, Martha; Moorhouse, Paige; Crowell, Sandra; Matthews, David; Clovis, Joanne

doi:10.1016/j.jamda.2014.08.018

Cited by 18 publications

(21 citation statements)

References 37 publications

(25 reference statements)

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“…Products at the bedside seemed to help nurses decide on the oral care interventions they would provide in the moment and how they would provide them, but supplies were not always available in close proximity to the patient. A few studies have reported on the merits of placing oral hygiene care supplies by the bedside (Dyck et al ., ; McNally et al ., ).…”

Section: Discussionmentioning

confidence: 97%

Nurses' oral hygiene care practices with hospitalised older adults in postacute settings

Coker

Ploeg

Kaasalainen

et al. 2016

Int J Older People Nursing

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Section: Discussionmentioning

confidence: 97%

Nurses' oral hygiene care practices with hospitalised older adults in postacute settings

Coker

Ploeg

Kaasalainen

et al. 2016

Int J Older People Nursing

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“…This made it difficult to meet the needs of some team members and MT Champions during especially challenging times in the implementation process. Modifications to the CHOICE Program should acknowledge the face-time needed by the Coach [ 38 ] in order to empower team members, specifically MT Champions [ 39 ], so that they feel confident in applying change management approaches when tailoring principles in their home areas [ 40 , 41 ]. Table 6 outlines key learnings and outcomes based on findings from this study, in addition to planned improvements for the future development of the CHOICE Program.…”

Section: Discussionmentioning

confidence: 99%

Mixed methods developmental evaluation of the CHOICE program: a relationship-centred mealtime intervention for long-term care

Morrison

Dunn-Ridgeway

et al. 2018

BMC Geriatr

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BackgroundMealtimes are important to quality of life for residents in long-term care (LTC). CHOICE (which stands for Connecting, Honouring dignity, Offering support, supporting Identity, Creating opportunities, and Enjoyment) is a multi-component intervention to improve relationship-centred care (RCC) and overall mealtime experience for residents. The objective of this developmental evaluation was to determine: a) if the dining experience (e.g. physical, social and RCC practices) could be modified with the CHOICE Program, and b) how program components needed to be adapted and/or if new components were required.MethodsA mixed methods study conducted between April–November 2016 included two home areas (64 residents; 25 care staff/home management) within a single LTC home in Ontario. Mealtime Scan (MTS), which measures mealtime experience at the level of the dining room, was used to evaluate the effectiveness of CHOICE implementation at four time points. Change in physical, social, RCC dining environment ratings and overall quality of the mealtime experience over time was determined with linear mixed-effects analyses (i.e., repeated measures). Semi-structured interviews (n = 9) were conducted with home staff to identify what components of the intervention worked well and what improvements could be made.ResultsPhysical and overall mealtime environment ratings showed improvement over time in both areas; one home area also improved social ratings (p < 0.05). Interviews revealed in-depth insights into the program and implementation process: i) Knowing the context and culture to meet staff and resident needs; ii) Getting everyone on board, including management; iii) Keeping communication lines open throughout the process; iv) Sharing responsibility and accountability for mealtime goals and challenges; v) Empowering and supporting staff’s creative mealtime initiatives.ConclusionsThis developmental evaluation demonstrated the potential value of CHOICE. Findings suggest a need to: extend the time to tailor program components; empower home staff in change management; and provide increased coaching.Electronic supplementary materialThe online version of this article (10.1186/s12877-018-0964-3) contains supplementary material, which is available to authorized users.

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“…One of these programs has a Seniors Foundation Professor in Geriatric and Outreach Dentistry and the other a Certified Specialist in Gerodontology from another country. Scholarly work and publications from these groups are diverse and address the biopsychosocial impact of aging on oral health and ways to include dental geriatrics within undergraduate education, including books chapters, and theses or dissertations in the last 10 years …”

Section: Scholarship/research In Geriatric Dentistrymentioning

confidence: 99%

Geriatric dentistry education and context in a selection of countries in 5 continents

Marchini

Ettinger

Chen

et al. 2018

Special Care in Dentistry

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(1) There is great variation in the size of elderly population; (2) duration of training and content of dental education curriculum varies; (3) geriatric dentistry has not been established as a standalone course in dental schools in the majority of the countries, (4) most countries, with the exception of Japan, lack adequate number of dentists trained in geriatric dentistry as well as training programs, and (5) geriatric dentistry-related research has increased in recent years in scope and content, although the majority of these papers are not in English.

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Implementing Oral Care Practices and Policy Into Long-Term Care: The Brushing up on Mouth Care Project

Cited by 18 publications

References 37 publications

Nurses' oral hygiene care practices with hospitalised older adults in postacute settings

Nurses' oral hygiene care practices with hospitalised older adults in postacute settings

Mixed methods developmental evaluation of the CHOICE program: a relationship-centred mealtime intervention for long-term care

Geriatric dentistry education and context in a selection of countries in 5 continents

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