Nurses' oral health assessments of nursing home residents pre‐ and post‐training: A pilot study

Arvidson-Bufano, Ulla Britt; Blank, Lawrence W.; Yellowitz, Janet A.

doi:10.1111/j.1754-4505.1996.tb00835.x

Cited by 41 publications

(32 citation statements)

References 9 publications

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“…A brief educational intervention among nurses resulted in short-term improved performance of oral health assessments. However, this, associated with increased invisibility of dental staff in the facility, is also a contributory factor (14, 15). …”

Section: Discussionmentioning

confidence: 99%

Oral Assessment and Nursing Interventions among Nigerian Nurses-Knowledge, Practices and Educational Needs

Azodo¹,

Ezeja²,

Ehizele³

et al. 2013

Ethiop J Health Sci

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BackgroundAssessment of oral condition, oral care, and informing the attending doctor of unusual oral findings for possible consultation or referral to a dentist are the advocated roles of hospital nurses. The objective of the study was thus to assess the roles of Nigerian nurses in the assessment of oral conditions of hospitalized patients.MethodsThis questionnaire-based cross-sectional survey of all nurses caring for hospitalized patients in the University of Benin Teaching Hospital was conducted in the first half of 2010.ResultsOf the 384 studied participants, 94.3% considered oral care as an important aspect of nursing care and 73.4% had oral health component in their nursing school curriculum. A total of 80.7% reported suspicious and abnormal findings in hospitalized patients to the attending doctor. Amongst the respondents, 38.0% reported ability to conduct good oral tissue examination. Only 28.1% demonstrated good knowledge of common oral diseases. Three-quarters (73.4%) thought that it is compulsory for nurses to assess the oral condition of hospitalized patients. The 67.7% and 21.9% of the respondents did the assessment on admission and discharge respectively. The majority (90.1%) desired training on oral care of hospitalized patients.ConclusionThere is a need to improve the skill and competence of nurses in the assessment of oral condition to make them a substantive partner in the oral care of hospitalized patients.

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Section: Discussionmentioning

confidence: 99%

Oral Assessment and Nursing Interventions among Nigerian Nurses-Knowledge, Practices and Educational Needs

Azodo¹,

Ezeja²,

Ehizele³

et al. 2013

Ethiop J Health Sci

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show abstract

“…For example, attending training programs, such as smoking cessation programs, and time spent with a nurse practitioner specializing in ears, nose, and throat could be extremely valuable in bridging theory into practice. Training programs have been effective in changing nurses' accuracy with oral health assessment (Arvidson-Bufano, Blank, & Yellowitz, 1996).…”

Section: Implications For Practicementioning

confidence: 99%

Knowledge, Attitudes, and Practices of Baccalaureate Nursing Students Regarding Oral Health Assessment

Clemmens¹,

Rodriguez²,

Leef³

2012

J Nurs Educ

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Good oral health is important to overall health. Oral and pharyngeal cancers account for 2% of all cancers, yet no significant improvement in mortality has been demonstrated over the past 30 years. Nurses are in a unique position to integrate and conduct oral health assessments across a wide range of practice settings. Although nursing programs include health assessment and promotion in their curricula, there is poor integration of oral health as a focus. This study aimed to identify the knowledge, attitudes, and practices of baccalaureate nursing students about oral health assessment. A convenience sample of 163 students in two undergraduate courses within a baccalaureate nursing education program was surveyed. Findings indicated that these nursing students felt that oral health was essential to their nursing practice; however, they did not have a full understanding of the key components of an oral health examination or about effective smoking cessation strategies.

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“…The adequate detection of oral health‐related treatment needs is impeded by shortcomings of the instrument and a lack of clear guidelines and training. It has been reported in the literature that even a short training enhanced the ability of caregivers to assess the oral health of clients . The training should not be limited to the acquisition of skills, but also raise awareness of the interrelation between oral health, other health aspects and quality of life.…”

Section: Discussionmentioning

confidence: 99%

The oral health‐related section of the interRAI: Evaluation of test content validity by expert rating and assessment of potential reasons for inaccurate assessments based on focus group discussions with caregivers

et al. 2019

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Objectives To explore the failure of the oral health‐related section of the interRAI (ohr‐interRAI), this study investigated test content validity (A.) and reasons for inaccurate assessments (B.). Background Poor oral health negatively affects quality of life and is associated with a number of systemic diseases. The interRAI instruments, internationally used for geriatric assessment, should accurately detect oral conditions that require care. Previous research showed that the ohr‐interRAI and related precursor versions do not achieve this goal. Materials and Methods (A.) A group of 12 experts rated completeness, relevance, clarity of wording and feasibility of the ohr‐interRAI. Content validity indices were calculated per item (threshold 0.78). (B.) Focus group discussions with 23 caregivers were organized. A semi‐structured question guide made sure that all topics of interest were covered. Qualitative content structuring analysis was applied after transcription. Results (A.) Experts agreed on the relevance of the items on chewing, pain, gingival inflammation and damaged teeth. They regarded none of the items as worded clearly and only prosthesis use and pain were considered to be assessable by untrained caregivers. All experts agreed that the ohr‐interRAI was incomplete. (B.) Focus group discussions revealed that in the care environment oral health had low priority. Aspects related to the ohr‐interRAI itself and aspects related to the assessment situation impeded the oral health assessment. The approach of the caregivers to complete the ohr‐interRAI was inappropriate to accurately detect oral care needs. Conclusions Findings challenge test content validity of the ohr‐interRAI and reveal reasons for inaccurate assessments.

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Nurses' oral health assessments of nursing home residents pre‐ and post‐training: A pilot study

Cited by 41 publications

References 9 publications

Oral Assessment and Nursing Interventions among Nigerian Nurses-Knowledge, Practices and Educational Needs

Oral Assessment and Nursing Interventions among Nigerian Nurses-Knowledge, Practices and Educational Needs

Knowledge, Attitudes, and Practices of Baccalaureate Nursing Students Regarding Oral Health Assessment

The oral health‐related section of the interRAI: Evaluation of test content validity by expert rating and assessment of potential reasons for inaccurate assessments based on focus group discussions with caregivers

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