IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v29y2020i11-12p1991-2003.html
   My bibliography  Save this article

A context analysis on how oral care is delivered in hospitalised patients: A mixed‐methods study

Author

Listed:
  • Harm H. J. van Noort
  • Ben J. M. Witteman
  • Ria den Hertog‐Voortman
  • Babette Everaars
  • Hester Vermeulen
  • Getty Huisman‐de Waal

Abstract

Aims and Objectives To analyse oral care delivery in one hospital through exploring experiences from both nurses’ and patients’ perspectives and examining patients’ oral health. Background Oral health problems are associated with undernutrition and other general health outcomes. Although oral care belongs to the essentials of nursing, it is often neglected. Improving oral health may require behaviour change of both nurses and patients. Defining tailored strategies need a clear view on the context. Design A context analysis in one hospital using a convergent parallel mixed‐methods design was reported following the EQUATOR guidelines using two checklists: COnsolidated criteria for REporting Qualitative research (qualitative research) and STROBE (observational research). Methods Semi‐structured interviews were conducted with 19 nurses and 11 patients. The topic list was based on the Integrated Change Model. Prospective oral examination was performed among 91 surgical patients using the Oral Health Assessment Tool (OHAT). Results Nurses acknowledged that they did not prioritise oral care in daily practice. Furthermore, they lacked knowledge and skills to identify and provide care for oral problems. Nurses mentioned helpful resources to perform oral care, like standardised language and instruments. However, they had no access to or were unaware of them. Patients admitted that they did not prioritise oral care due to their sickness during hospitalisation, were unaware of the importance of oral care, but felt responsible for their oral care. The most prominent oral problems identified with the OHAT were unclean mouths (n = 75, 82%), unhealthy gum and tissues (n = 55, 60%) and dry mouth (n = 42, 46%). Conclusions This context analysis identified inadequate oral care due to lack of positive attitude and knowledge in both nurses and patients, skills for nurses, and resources. Relevance to Clinical Practice The behavioural factors indicate strategies for development of a multicomponent intervention to improve oral care in this hospital, nutritional status and general health outcomes.

Suggested Citation

  • Harm H. J. van Noort & Ben J. M. Witteman & Ria den Hertog‐Voortman & Babette Everaars & Hester Vermeulen & Getty Huisman‐de Waal, 2020. "A context analysis on how oral care is delivered in hospitalised patients: A mixed‐methods study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(11-12), pages 1991-2003, June.
    • Handle: RePEc:wly:jocnur:v:29:y:2020:i:11-12:p:1991-2003
    DOI: 10.1111/jocn.15130
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.15130
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.15130?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Konradsen Hanne & Trosborg Ingelise & Christensen Linda & Pedersen P Ulrich, 2012. "Oral status and the need for oral health care among patients hospitalised with acute medical conditions," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(19pt20), pages 2851-2859, October.
    2. Ulrika Lindmark & Henrik Jansson & Christina Lannering & Linda Johansson, 2018. "Oral health matters for the nutritional status of older persons—A population‐based study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 1143-1152, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Stephanie Viebranz & Marco Dederichs & Anja Kwetkat & Ina Manuela Schüler, 2023. "Effectiveness of Individual Oral Health Care Training in Hospitalized Inpatients in Geriatric Wards," IJERPH, MDPI, vol. 20(5), pages 1-17, February.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:29:y:2020:i:11-12:p:1991-2003. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.