The antecedents of oral care in nursing facilities – a qualitative interview study among supervisor nurses
DOI:
https://doi.org/10.2340/aos.v83.40686Keywords:
Supervisor nurse, qualitative study, older people, nursing home, antecedentAbstract
Objectives: This qualitative study describes the views of supervisor nurses related to antecedents of oral care in Finnish nursing facilities.
Methods: In the six largest cities in Finland, 19 supervisor nurses were interviewed and asked five semi-structured questions related to the antecedents of oral care in the units. The interviews were analyzed using inductive content analysis.
Results: Qualitative content analysis revealed five main categories: awareness of nurses (3 categories, 9 subcategories), attitude and motivation (3 categories, 10 subcategories), supporting quality of life and health (4 categories, 11 subcategories), the meaning of oral health in the unit (3 categories, 10 subcategories), and the role of the supervisor nurse in oral health care (4 categories, 14 subcategories). The awareness of nurses regarding oral health was in most cases good. Nurses’ attitudes towards oral health and their motivation to oral care vary but were mostly good. Nurses were aware that oral care enhances the quality of life. The role of the supervisor nurse in organizing oral care was crucial.
Conclusions: The performed analysis identified five main categories to describe antecedents for oral care in Finnish nursing facilities. The categories that needed to be improved were knowledge and attitude, and motivation related to oral care.
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References
Ageing and health. WHO; 2022. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health [cited 8 April 2024]
Sotkanet; Statistical information on the health and well-being of the population. Finnish institute for health and welfare; 2023. Available from: https://sotkanet.fi/sotkanet/fi/index [cited 8 April 2024]
Saarela RKT, Hiltunen K, Kautiainen H, et al. Oral hygiene and health-related quality of life in institutionalized older people. Eur Geriatr Med. 2022;13:213–220. https://doi.org/10.1007/s41999-021-00547-8 DOI: https://doi.org/10.1007/s41999-021-00547-8
Chalmers JM, Carter KD, Spencer AJ. Caries incidence and increments in Adelaide nursing home residents. Spec Care Dentist. 2005;25:96–105. https://doi.org/10.1111/j.1754-4505.2005.tb01418.x DOI: https://doi.org/10.1111/j.1754-4505.2005.tb01418.x
Silva M, Hopcraft M, Morgan M. Dental caries in Victorian nursing homes. Aust Dent J. 2014;59:321–328. https://doi.org/10.1111/adj.12188 DOI: https://doi.org/10.1111/adj.12188
Slots J. Periodontitis: facts, fallacies and the future. Periodontology 2000. 2017;75:7–23. https://doi.org/10.1111/prd.12221 DOI: https://doi.org/10.1111/prd.12221
Moynihan P, Petersen PE. Diet, nutrition and the prevention of dental diseases. Public Health Nutr. 2004;7:201–226. https://doi.org/10.1079/PHN2003589 DOI: https://doi.org/10.1079/PHN2003589
Spanemberg JC, Cardoso JA, Slob EMGB, et al. Quality of life related to oral health and its impact in adults. J Stomatol Oral Maxillofac Surg. 2019;120:234–239. https://doi.org/10.1016/j.jormas.2019.02.004 DOI: https://doi.org/10.1016/j.jormas.2019.02.004
Van de Rijt LJM, Stoop CC, Weijenberg RAF, et al. The influence of oral health factors on the quality of life in older people: a systematic review. Gerontologist. 2020;15:e378–e394. https://doi.org/10.1093/geront/gnz105 DOI: https://doi.org/10.1093/geront/gnz105
Rahman N, Walls A. Chapter 12: nutrient deficiencies and oral health. Monogr Oral Sci. 2020;28:114–124. https://doi.org/10.1159/000455379 DOI: https://doi.org/10.1159/000455379
Tavares M, Lindefjeld Calabi KA, San Martin L. Systemic diseases and oral health. Dent Clin North Am. 2014;58:797–814. https://doi.org/10.1016/j.cden.2014.07.005 DOI: https://doi.org/10.1016/j.cden.2014.07.005
Scannapieco FA, Cantos A. Oral inflammation and infection, and chronic medical diseases: implications for the elderly. Periodontology. 2000. 2016;72:153–175. https://doi.org/10.1111/prd.12129 DOI: https://doi.org/10.1111/prd.12129
Raju K, Taylor GW, Tahir P, et al. Association of tooth loss with morbidity and mortality by diabetes status in older adults: a systematic review. BMC Endocr Disord. 2021;19:205. https://doi.org/10.1186/s12902-021-00830-6 DOI: https://doi.org/10.1186/s12902-021-00830-6
Dibello V, Lobbezoo F, Lozupone M, et al. Oral frailty indicators to target major adverse health-related outcomes in older age: a system-atic review. Geroscience. 2023;45:663–706. https://doi.org/10.1007/s11357-022-00663-8 DOI: https://doi.org/10.1007/s11357-022-00663-8
Coker E, Ploeg J, Kaasalainen S, et al. A concept analysis of oral hygiene care in dependent older adults. J Adv Nurs. 2013;69:2360–2371. https://doi.org/10.1111/jan.12107 DOI: https://doi.org/10.1111/jan.12107
Saarela RKT, Soini H, Hiltunen K, et al. Dentition status, malnutrition and mortality among older service housing residents. J Nutr Health Aging. 2014;18:34–38. https://doi.org/10.1007/s12603-013-0358-3 DOI: https://doi.org/10.1007/s12603-013-0358-3
Weening-Verbree L, Huisman-de Waal G, van Dusseldorp L, et al. Oral health care in older people in long term care facilities: a systematic review of implementation strategies. Int J Nurs Stud. 2013;50:569–582. https://doi.org/10.1016/j.ijnurstu.2012.12.004 DOI: https://doi.org/10.1016/j.ijnurstu.2012.12.004
Hoben M, Clarke A, Huynh KT, et al. Barriers and facilitators in providing oral care to nursing home residents, from the perspective of care aides: a systematic review and meta-analysis. Int J Nurs Stud. 2017;73:34–51. https://doi.org/10.1016/j.ijnurstu.2017.05.003 DOI: https://doi.org/10.1016/j.ijnurstu.2017.05.003
de Lugt-Lustig KH, Vanobbergen JN, van der Putten GJ, et al. Effect of oral healthcare education on knowledge, attitude and skills of care home nurses: a systematic literature review. Community Dent Oral Epidemiol. 2014;42:88–96. https://doi.org/10.1111/cdoe.12063 DOI: https://doi.org/10.1111/cdoe.12063
de Mello ALSF, Padilha DMP. Oral health care in private and small long-term care facilities: a qualitative study. Gerodontology. 2009;26:53–57. https://doi.org/10.1111/j.1741-2358.2008.00238.x DOI: https://doi.org/10.1111/j.1741-2358.2008.00238.x
Siegel E, Mueller C, Anderson K, et al. The pivotal role of the director of nursing in nursing homes. Nurse Admin Q. 2010;34:110–121. https://doi.org/10.1097/NAQ.0b013e3181d91813 DOI: https://doi.org/10.1097/NAQ.0b013e3181d91813
Jämsä H, Laitala ML, Kaakinen P, Ylöstalo P, Syrjälä AM. Implementation of oral hygiene practices in nursing homes – a qualitative ap-proach among supervisor nurses. Acta Odontol Scand. 2024;82:25–32. https://doi.org/10.1080/00016357.2023.2252493 DOI: https://doi.org/10.1080/00016357.2023.2252493
Kyngäs H, Mikkonen K, Kääriäinen M. The application of content analysis in nursing science research. Springer Nature Switzerland, city of Cham AG; 2020, pp. 31–40. DOI: https://doi.org/10.1007/978-3-030-30199-6_4
Baptista A, Gavinha S, Conceição Manso M. Oral health knowledge and attitude among healthcare professionals of long-term care units: a cross – sectional survey. Spec Care Dentist. Epub 2023 Dec 6. https://doi.org/10.1111/scd.12948 DOI: https://doi.org/10.1111/scd.12948
Chen M, Weng Y, Zhang J, et al. Factors associated with nurses’ attitudes for providing oral care in geriatric care facilities: a cross-sectional study. BMC Oral Health. 2023;23:801. https://doi.org/10.1186/s12903-023-03517-7 DOI: https://doi.org/10.1186/s12903-023-03517-7
Thorne S, Kazanjian A, MacEntee M. Oral health in long term care: the implications of organizational culture. J Aging Studies. 2001;3:271–283. https://doi.org/10.1016/S0890-4065(01)00023-8 DOI: https://doi.org/10.1016/S0890-4065(01)00023-8
Metropolia University of Applied Sciences School, Study Guide of Nursing, Bachelor’s degree. Available from: https://www.metropolia.fi/en/academics/bachelors-degrees/nursing [cited 8 April 2024]
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Copyright (c) 2024 Hannaleena Jämsä, Marja-Liisa Laitala, Pirjo Kaakinen, Pekka Ylöstalo, Anna-Maija Syrjälä
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Acta Odontologica Scandinavica publishes original research papers as well as critical reviews relevant to the diagnosis, epidemiology, health service, prevention, aetiology, pathogenesis, pathology, physiology, microbiology, development and treatment of diseases affecting tissues of the oral cavity and associated structures including papers on cause and effect or explanatory/associative relationships for experimental or observational studies.
