Development of an intensive care oral care frequency assessment scale

Kökcü, Özlem Doğu; Terzi̇, Banu

doi:10.1111/nicc.12529

Cited by 8 publications

(13 citation statements)

References 38 publications

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“…Currently, there is no criterion standard assessment tool for evaluating the patient-specific oral mucosa and determining how often oral care should be applied among ICU patients. 31,42 Although the frequency of oral care is specific to the patient, it should be determined by considering the diagnosis and treatment methods. 43 Cutler and Davis 34 applied a standard protocol for oral hygiene practices and noted that the frequency of oral care ranged from 2 to 4 hours in practice compared with the recommended frequency of every 2 hours.…”

Section: Investigation Of the Factors Affecting The Oag Score Of Pati...mentioning

confidence: 99%

Assessment of the Oral Health Status of Patients Admitted to Pediatric Intensive Care Units

Bozkurt,

Eşer

2024

Dimens Crit Care Nurs

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Background It is important to detect oral health problems early among patients admitted to pediatric intensive care units to establish the diagnosis and consequently allow nurses to plan appropriate oral care practices. Objectives The study aimed to assess the oral health status of patients admitted to pediatric intensive care units. Methods This descriptive cross-sectional study was conducted from June to September 2021 in the pediatric intensive care units of 3 hospitals. A total of 88 children were included in the study. An intraoral assessment was performed using a tongue depressor and a flashlight, and data were collected using a patient information form and the Oral Assessment Guide (OAG). Results The mean OAG score was 8.45 ± 2.876 points. A significant difference was found in the OAG score between the patients 60 months or younger and those 61 months or older (P < .05). The OAG score was significantly associated with the use of diuretics (P < .05) and the frequency of oral care (P < .05). A negative relationship was found between the OAG score and the Glasgow Coma Scale score (P < .05). Conclusions The oral health status of the patients worsened as their age increased, and their state of consciousness decreased. Oral care was more frequently applied to the patients who received artificial respiration. The study provides evidence-based data regarding the early detection of the factors threatening oral health and the necessary precautions.

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Section: Investigation Of the Factors Affecting The Oag Score Of Pati...mentioning

confidence: 99%

Assessment of the Oral Health Status of Patients Admitted to Pediatric Intensive Care Units

Bozkurt,

Eşer

2024

Dimens Crit Care Nurs

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“…In addition, critical care nurses have reported that the priorities of their interventions were given to the management of life-threatening situations of critically ill patients and upcoming critical problems. 30,31 The dilemma of improving the quality of oral care in the healthcare sector is worldwide. [8][9][10][11] The present study attempted to identify the perceived oral care practices and obstacles to oral care quality among ICU nurses.…”

Section: Introductionmentioning

confidence: 99%

“…Many obstacles to oral care quality have been identified in limited generalized studies that targeted nurses in ICUs, including insufficient nurses' knowledge, unsatisfactory skills, lack of oral care equipment, and lack of evidence‐based oral care recommendations. In addition, critical care nurses have reported that the priorities of their interventions were given to the management of life‐threatening situations of critically ill patients and upcoming critical problems 30,31 . The dilemma of improving the quality of oral care in the healthcare sector is worldwide 8‐11 .…”

Section: Introductionmentioning

confidence: 99%

Nurses' practices and obstacles to oral care quality in intensive care units in Upper Egypt

Abdelhafez

Tolba

2021

Nursing in Critical Care

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Background: Oral care is one of the fundamental nursing care procedures used to decrease oral colonization, dental plaque, respiratory infections, and patient stay and cost.Aims: This study aimed to identify intensive care unit (ICU) nurses' self-assessment of oral care frequency, skill competency, documentation, oral care tools, and obstacles to oral care quality. In addition, it proposed exploring associations between nurses' attitudes about the importance of oral care and the priority of other interventions. Study design and setting:A cross-sectional descriptive study was conducted in two ICUs (trauma and general) in the main teaching hospital in Upper Egypt. Of 105 nurses selected using convenience sampling, 91 completed the questionnaire.Results: About 60.4% of ICU nurses did not attend any oral care training programme, 40.7% reported performing oral care four times per shift in intubated patients, 62.6% reported that their skills needed improvement, 37.4% saw themselves as competent, and 86.8% documented oral care in patients' records. Significant positive correlations were found, indicating that nurses' attitudes towards the importance of oral care showed the same tendency as the priority given to other interventions, such as eye care, bowel care, documentation, hygiene, catheters, feeding, and wound care (correlation coefficient [r] = 0.290, 0.511, 0.333, 0.425, 0.431, 0.345, and 0.337, respectively). Furthermore, a toothbrush (84.6%) was often used, while chlorhexidine was not used (90.1%). The major obstacles to the provision of oral care as perceived by the nurses were the fear of aspiration and life-threatening interventions (95.6%), inadequate nurse-patient ratios (94.5%), irregular competency evaluations (92.3%), unavailability of oral care guidelines (92.3%), and shortage of time (84.6%). Conclusion:The participating nurses were mindful of the importance and priority of oral care. Many of them did not attend oral care training programmes and considered that their skills needed improvement. Moreover, ICU nurses reported many obstacles hindering oral care quality.Relevance to clinical practice: This research identifies the importance of developing in-service oral care training programmes to improve ICU nurses' skill competency.High-quality oral care can be provided by focusing on and overcoming obstacles that hinder nurses' oral care practice.

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“…The other papers in this issue focus on pain intensity during treatment and care procedures 11 and after discharge from ICU 12 ; enteral nutrition practices by ICU nurses 13 ; medication administration through enteral feeding tubes 14 ; the development of an oral care frequency assessment scale 15 ; and ICU nurses' knowledge and practice regarding maintaining arterial catheter patency 16 …”

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confidence: 99%

“…Guner and Kutluturkan's randomized controlled trial adds to the growing body of evidence about the optimum angle of the head of bed elevation that is safe and effective in the prevention of ventilator-associated pneumonia, 9 while Burey et al investigated the feasibility of alveolar collapse analysis by measuring lung impedance distribution by nurses caring for patients with acute respiratory distress syndrome. 10 The other papers in this issue focus on pain intensity during treatment and care procedures 11 and after discharge from ICU 12 ; enteral nutrition practices by ICU nurses 13 ; medication administration through enteral feeding tubes 14 ; the development of an oral care frequency assessment scale 15 ; and ICU nurses' knowledge and practice regarding maintaining arterial catheter patency. 16 The authors of these papers employed various quantitative and qualitative methodologies, varying from randomized controlled trials and prospective observational studies to cross-sectional studies and survey design, and from document analysis and retrospective service evaluation to narrative inquiry.…”

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confidence: 99%