Incorporating oral health care education in undergraduate nursing curricula - a systematic review

Bhagat, Vandana; Hoang, Ha; Crocombe, Leonard; Goldberg, Lynette R.

doi:10.1186/s12912-020-00454-6

Cited by 37 publications

(40 citation statements)

References 55 publications

(103 reference statements)

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“…In this study, the educational needs of nurses in oral and dental health of hospitalized patients were identified. According to some studies, nurses are not satisfied with the health of the mouth and there is a need for training [ 30 , 31 ]. Therefore, there is a need for training and education.…”

Section: Discussionmentioning

confidence: 99%

Nurses’ educational needs in the oral health of inpatients at Yazd Province in Iran: a Delphi study

et al. 2020

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Background Oral hygiene is an integral part of general health of a person. Nurses qualified about oral care can play an important role in improving the quality of oral health in hospitalized patients. This study investigated the educational needs of nurses in the field of oral health of hospitalized patients. Methods The study used the modified Delphi method in three rounds. Fifty faculty members of the School of Dentistry and Nursing were selected via purposive sampling. The data collection tool was a demographic form and an open-ended questionnaire in the first round and a structured questionnaire in the next rounds. The analysis was performed using both content and descriptive analysis techniques. Results The top ten oral health education priorities for nurses were greater than 75% with a consensus level: oral anatomy and physiology, learning the signs and symptoms of common oral diseases, learning of oral medications and administration, learning the drugs that cause damage to the mouth and teeth, training in managing dental emergencies, patient education for tooth brushing and taking care of the mouth, especially in the elderly patient, providing oral and dental care, training for unconscious and fasting patients, undergoing chemotherapy and radiotherapy, and hospitalization in intensive care unit. Conclusion The findings of the study emphasized the need for interdisciplinary cooperation between nursing and dental professionals for the development of an oral health curriculum for nurses to promote and improve oral health and prevent dental diseases in hospitalized patients and the community.

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Section: Discussionmentioning

confidence: 99%

Nurses’ educational needs in the oral health of inpatients at Yazd Province in Iran: a Delphi study

et al. 2020

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“…Haghighi et al reported a remarkable improvement in the plaque index along with effective reduction of VAP occurrence with oral hygiene management while controlling the cuff pressure of the respiratory tract [41]. However, considering that little oral health education is included in the curriculum and that interprofessional education using materials studied by dental hygienists or dentists is poorly performed [63], it is difficult to achieve effective intervention results solely by nurses, and it is necessary to approach this oral management from a dental perspective.…”

Section: Tooth Brushing Methodsmentioning

confidence: 99%

Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review

Jun

Kim

et al. 2021

JCM

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This study aimed to review the oral hygiene status, oral care guidelines, and outcomes of oral care in intensive care unit (ICU) patients from a dental perspective for effective oral care. A literature search using the keywords “Hospital dentistry” OR “Oral care” OR “Intensive care unit” OR “Hospital inpatient” OR “Hospitalization” OR “Emergency service” AND “Oral health” OR “Oral hygiene” OR “Dental plaque” was conducted in PubMed, Medline, and Google Scholar to identify publications reporting on the oral care of the patients admitted to ICUs. A total of 17,400 articles were initially identified. Of these, 58 were selected and classified into three categories for critical review. Seven of these studies evaluated the oral status of ICU patients, and most of the studies indicated that ICU patients had poor oral hygiene or required active dental treatment. Thirty-three of these studies evaluated oral care methods for ICU patients, and in general, oral care methods using chlorhexidine as adjuncts along with tooth brushing were recommended. However, there were insufficient studies to evaluate oral hygiene through effective assessment tools from a dental perspective. In 36 studies on the outcomes of oral care in ICU patients, interventions by dental professionals showed effective results in preventing hospital-acquired infection. This review highlights the importance of establishing guidelines for the evaluation of oral status in ICU patients and summarizes data that may be useful for future studies. Further studies on maintaining good oral hygiene among ICU patients are needed.

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“…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. Current curricula of nursing students often cover the topic insufficiently, but it was repeatedly shown that particularly inter-professional education is suited to improve oral health-related knowledge, competence, and confidence among nursing students [54][55][56][57].…”

Section: Interpretation Of the Results And Future Prospectsmentioning

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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Incorporating oral health care education in undergraduate nursing curricula - a systematic review

Cited by 37 publications

References 55 publications

Nurses’ educational needs in the oral health of inpatients at Yazd Province in Iran: a Delphi study

Nurses’ educational needs in the oral health of inpatients at Yazd Province in Iran: a Delphi study

Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review

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

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