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Clinical Oral Investigations

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03.04.2017 | Original Article

Effect of an oral healthcare programme on care staff knowledge and attitude regarding oral health: a non-randomised intervention trial

verfasst von: B. Janssens, J. Vanobbergen, M. Lambert, J. M. G. A. Schols, L. De Visschere

Erschienen in: Clinical Oral Investigations | Ausgabe 1/2018

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Abstract

Objectives

The objective of the study was to evaluate the effect of an oral healthcare programme in nursing homes on care staff knowledge and attitude regarding oral health.

Methods

The study sample consisted of the nurses and nurses’ aides from 63 nursing homes, which either received an oral healthcare programme including mobile dental care or were on a waiting list to receive this programme. A validated questionnaire completed at baseline and again after the study period assessed the care staff knowledge and attitude. Paired t test, independent t test, general linear and linear mixed models were used to examine the changes in attitude and knowledge scores.

Results

In total, 546 questionnaires were completed by the same people from 36 nursing homes at baseline and on completion of the study. After the intervention period, knowledge significantly improved in both study groups (I p < 0.001; C p < 0.001), the intervention group significantly showing the largest increase (p < 0.001). The outcome variable attitude only showed a significant improvement in the intervention group (p < 0.001). The mixed models confirmed the impact of some aspects of the intervention on the attitude and the knowledge of the caregivers.

Conclusions

The oral healthcare programme including a mobile dental team resulted in a significant increase of the care staff knowledge and attitude regarding oral health.

Clinical relevance

The integration of a dental professional team in nursing home organisations should be encouraged because it could be valuable to tackle barriers for the provision of daily oral hygiene and to support the continuous integration of oral health care into general care.

De Visschere LM, Grooten L, Theuniers G, Vanobbergen JN (2006) Oral hygiene of elderly people in long-term care institutions—a cross-sectional study. Gerodontology 23:195–204. doi:10.1111/j.1741-2358.2006.00139.x CrossRefPubMed

Zuluaga DJM, Ferreira J, Montoya JAG, Willumsen T (2012) Oral health in institutionalised elderly people in Oslo, Norway and its relationship with dependence and cognitive impairment. Gerodontology 29:e420–e426. doi:10.1111/j.1741-2358.2011.00490.x CrossRefPubMed

Syrjälä A-MH, Ylöstalo P, Ruoppi P et al (2012) Dementia and oral health among subjects aged 75 years or older. Gerodontology 29:36–42. doi:10.1111/j.1741-2358.2010.00396.x CrossRefPubMed

Gluhak C, Arnetzl GV, Kirmeier R et al (2010) Oral status among seniors in nine nursing homes in Styria, Austria. Gerodontology 27:47–52. doi:10.1111/j.1741-2358.2009.00281.x CrossRefPubMed

Christensen LB, Hede B, Nielsen E (2012) A cross-sectional study of oral health and oral health-related quality of life among frail elderly persons on admission to a special oral health care programme in Copenhagen City, Denmark. Gerodontology 29:e392–e400. doi:10.1111/j.1741-2358.2011.00486.x CrossRefPubMed

Chalmers JM, Levy SM, Buckwalter KC et al (1996) Factors influencing nurses’ aides’ provision of oral care for nursing facility residents. Spec Care Dent 16:71–79CrossRef

Hardy DL, Darby ML, Leinbach RM, Welliver MR (1995) Self-report of oral health services provided by nurses’ aides in nursing homes. J Dent Hyg 69:75–82PubMed

Jablonski RA, Munro CL, Grap MJ et al (2009) Mouth care in nursing homes: knowledge, beliefs, and practices of nursing assistants. Geriatr Nurs 30:99–107. doi:10.1016/j.gerinurse.2008.06.010 CrossRefPubMed

Frenkel HF (1999) Behind the screens: care staff observations on delivery of oral health care in nursing homes. Gerodontology 16:75–80CrossRefPubMed

10.

Coleman P, Watson NM (2006) Oral care provided by certified nursing assistants in nursing homes. J Am Geriatr Soc 54:138–143. doi:10.1111/j.1532-5415.2005.00565.x CrossRefPubMed

11.

Sonde L, Emami A, Kiljunen H, Nordenram G (2011) Care providers’ perceptions of the importance of oral care and its performance within everyday caregiving for nursing home residents with dementia. Scand J Caring Sci 25:92–99. doi:10.1111/j.1471-6712.2010.00795.x CrossRefPubMed

12.

Willumsen T, Karlsen L, Næss R, Bjørntvedt S (2012) Are the barriers to good oral hygiene in nursing homes within the nurses or the patients? Gerodontology 29:748–755. doi:10.1111/j.1741-2358.2011.00554.x CrossRef

13.

Unfer B, Braun KO, De Oliveira Ferreira AC et al (2012) Challenges and barriers to quality oral care as perceived by caregivers in long-stay institutions in Brazil. Gerodontology 29:324–330. doi:10.1111/j.1741-2358.2011.00475.x CrossRef

14.

Vanobbergen JN, De Visschere LM (2005) Factors contributing to the variation in oral hygiene practices and facilities in long-term care institutions for the elderly. Community Dent Health 22:260–265PubMed

15.

De Visschere L, de Baat C, De Meyer L et al (2013) The integration of oral health care into day-to-day care in nursing homes: a qualitative study. Gerodontology:10–13. doi:10.1111/ger.12062

16.

Forsell M, Kullberg E, Hoogstraate J et al (2010) A survey of attitudes and perceptions toward oral hygiene among staff at a geriatric nursing home. Geriatr Nurs 31:435–440. doi:10.1016/j.gerinurse.2010.08.011 CrossRefPubMed

17.

Janssens B, De Visschere L, van der Putten G-J et al (2016) Effect of an oral healthcare protocol in nursing homes on care staffs’ knowledge and attitude towards oral health care: a cluster-randomised controlled trial. Gerodontology 33:275–286. doi:10.1111/ger.12164 CrossRefPubMed

18.

Frenkel H, Harvey I, Needs K (2002) Oral health care education and its effect on caregivers’ knowledge and attitudes: a randomised controlled trial. Community Dent Oral Epidemiol 30:91–100. doi:10.1034/j.1600-0528.2002.300202.x CrossRefPubMed

19.

Paulsson G, Söderfeldt B, Nederfors T, Fridlund B (2003) The effect of an oral health education program after three years. Special Care in Dentistry: Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry 23:63–69CrossRef

20.

Simons D, Baker P, Jones B et al (2000) An evaluation of an oral health training programme for carers of the elderly in residential homes. Br Dent J 188:206–210PubMed

21.

Wang T-F, Huang C-M, Chou C, Yu S (2015) Effect of oral health education programs for caregivers on oral hygiene of the elderly: a systemic review and meta-analysis. Int J Nursing Stud 1–7. doi:10.1016/j.ijnurstu.2015.01.015

22.

De Lugt-Lustig KHME, Vanobbergen JNO, Van Der Putten GJ et al (2014) Effect of oral healthcare education on knowledge, attitude and skills of care home nurses: a systematic literature review. Community Dent Oral Epidemiol 42:88–96. doi:10.1111/cdoe.12063 CrossRefPubMed

23.

Zenthöfer A, Dieke R, Dieke A et al (2013) Improving oral hygiene in the long-term care of the elderly—a RCT. Community Dent Oral Epidemiol 41:261–268. doi:10.1111/cdoe.12007 CrossRefPubMed

24.

Hopcraft MS, Morgan MV, Satur JG, FAC W (2008) Dental service provision in Victorian residential aged care facilities. Aust Dent J 53:239–245. doi:10.1111/j.1834-7819.2008.00055.x CrossRefPubMed

25.

Paley GA, Slack-Smith LM, O’Grady MJ (2004) Aged care staff perspectives on oral care for residents: Western Australia. Gerodontology 21:146–154CrossRefPubMed

26.

Smith BJ, Ghezzi EM, Manz MC, Markova CP (2008) Perceptions of oral health adequacy and access in Michigan nursing facilities. Gerodontology 25:89–98. doi:10.1111/j.1741-2358.2007.00202.x CrossRefPubMed

27.

Nitschke I, Ilgner A, Müller F (2005) Barriers to provision of dental care in long-term care facilities: the confrontation with ageing and death. Gerodontology 22:123–129CrossRefPubMed

28.

De Visschere LM, Vanobbergen JN (2006) Oral health care for frail elderly people: actual state and opinions of dentists towards a well-organised community approach. Gerodontology 23:170–176. doi:10.1111/j.1741-2358.2006.00126.x CrossRefPubMed

29.

Webb BC, Whittle T, Schwarz E (2013) Provision of dental care in aged care facilities NSW Australia—part 2 as perceived by the carers (care providers). Gerodontology. doi:10.1111/ger.12103

30.

Webb BC, Whittle T, Schwarz E (2013) Provision of dental care in aged care facilities, NSW, Australia—part 1 as perceived by the directors of nursing (care providers). Gerodontology 30:226–231. doi:10.1111/j.1741-2358.2012.00670.x CrossRefPubMed

31.

Webb BC, Whittle T, Schwarz E (2015) Oral health and dental care in aged care facilities in New South Wales, Australia. Part 3 concordance between residents’ perceptions and a professional dental examination. Gerodontology. doi:10.1111/ger.12170

32.

Wårdh IM, Wikström MB (2014) Long-term effects of using oral care aides at a nursing home for elderly dependent residents-a pilot study. Special Care in Dentistry: Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry 34:64–69. doi:10.1111/scd.12009 CrossRef

33.

Wårdh I, Hallberg LR-M, Berggren U et al (2003) Oral health education for nursing personnel; experiences among specially trained oral care aides: one-year follow-up interviews with oral care aides at a nursing facility. Scand J Caring Sci 17:250–256. doi:10.1046/j.1471-6712.2003.00214.x CrossRefPubMed

34.

Wårdh I, Berggren U, Hallberg LRM et al (2002) Dental auscultation for nursing personnel as a model of oral health care education: development, baseline, and 6-month follow-up assessments. Acta Odontol Scand 60:13–19CrossRefPubMed

35.

Pronych GJ, Brown EJ, Horsch K, Mercer K (2010) Oral health coordinators in long-term care—a pilot study. Special Care in Dentistry: Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry 30:59–65. doi:10.1111/j.1754-4505.2010.00123.x CrossRef

36.

Peltola P, Vehkalahti MM, Simoila R (2007) Effects of 11-month interventions on oral cleanliness among the long-term hospitalised elderly. Gerodontology 24:14–21. doi:10.1111/j.1741-2358.2007.00147.x CrossRefPubMed

37.

Weening-Verbree L, Huisman-de Waal G, van Dusseldorp L et al (2013) Oral health care in older people in long term care facilities: a systematic review of implementation strategies. Int J Nurs Stud 50:569–582. doi:10.1016/j.ijnurstu.2012.12.004 CrossRefPubMed

38.

van der Putten GJ, De Visschere L, Vanobbergen J et al (2008) The guideline oral health care for dependent residents in long term care facilities, 2007: dire necessity! Tijdschr Gerontol Geriatr 39:202–207CrossRefPubMed

39.

De Visschere LMJ, van der Putten G-J, Vanobbergen JNO et al (2011) An oral health care guideline for institutionalised older people. Gerodontology 28:307–310. doi:10.1111/j.1741-2358.2010.00406.x CrossRefPubMed

40.

De Visschere L, Schols J, van der Putten G-J et al (2012) Effect evaluation of a supervised versus non-supervised implementation of an oral health care guideline in nursing homes: a cluster randomised controlled clinical trial. Gerodontology 29:e96–e106. doi:10.1111/j.1741-2358.2010.00418.x CrossRefPubMed

41.

van der Putten G-J, De Visschere L, Schols J et al (2010) Supervised versus non-supervised implementation of an oral health care guideline in (residential) care homes: a cluster randomized controlled clinical trial. BMC oral health 10:17. doi:10.1186/1472-6831-10-17 CrossRefPubMedPubMedCentral

42.

De Visschere L, de Baat C, Schols JMGA et al (2011) Evaluation of the implementation of an “oral hygiene protocol” in nursing homes: a 5-year longitudinal study. Community Dent Oral Epidemiol 39:416–425. doi:10.1111/j.1600-0528.2011.00610.x CrossRefPubMed

43.

Campbell MMKM, Elbourne DRD, Altman DGD (2004) CONSORT statement: extension to cluster randomised trials. BMJ 328:702–708. doi:10.1136/bmj.328.7441.702 CrossRefPubMedPubMedCentral

44.

Kullberg E, Sjögren P, Forsell M et al (2010) Dental hygiene education for nursing staff in a nursing home for older people. J Adv Nurs 66:1273–1279. doi:10.1111/j.1365-2648.2010.05298.x CrossRefPubMed

45.

Le P, Dempster L, Limeback H, Locker D (2012) Improving residents’ oral health through staff education in nursing homes. Spec Care Dent 32:242–250. doi:10.1111/j.1754-4505.2012.00279.x CrossRef

46.

Ford R, Bammer G, Becker N (2009) Improving nurses’ therapeutic attitude to patients who use illicit drugs: workplace drug and alcohol education is not enough. Int J Nurs Pract 15:112–118. doi:10.1111/j.1440-172X.2009.01732.x CrossRefPubMed

47.

Ford R, Bammer G, Becker N (2008) The determinants of nurses’ therapeutic attitude to patients who use illicit drugs and implications for workforce development. J Clin Nurs 17:2452–2462. doi:10.1111/j.1365-2702.2007.02266.x CrossRefPubMed

Titel: Effect of an oral healthcare programme on care staff knowledge and attitude regarding oral health: a non-randomised intervention trial
verfasst von: B. Janssens
J. Vanobbergen
M. Lambert
J. M. G. A. Schols
L. De Visschere
Publikationsdatum: 03.04.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 1/2018
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-017-2110-6

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Effect of an oral healthcare programme on care staff knowledge and attitude regarding oral health: a non-randomised intervention trial

Abstract

Objectives

Methods

Results

Conclusions

Clinical relevance

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Abstract

Objectives

Methods

Results

Conclusions

Clinical relevance

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