Factors associated with the practice of periodontal management by diabetes educator nurses for outpatients with diabetes: A nationwide survey in Japan

Oral symptoms and oral hygiene behaviours among patients with type 2 diabetes at a hospital in Japan: A cross‐sectional study

“…37 However, more than 70% of the nurses did not practice adequate oral management at an outpatient department specialized in diabetes care in hospitals. 38 The nurses could increase patients' interest in their oral conditions as part of diabetes management during diabetes consultations. Therefore, enhancing the process of care by nurses may contribute to the facilitation of oral management for patients with diabetes in hospitals, improve nursing quality in oral care and promote medical-dental collaboration.…”

“…A recent study reported the effect of patient education on oral management 37 . However, more than 70% of the nurses did not practice adequate oral management at an outpatient department specialized in diabetes care in hospitals 38 . The nurses could increase patients' interest in their oral conditions as part of diabetes management during diabetes consultations.…”

Feasibility of a nursing guide for the oral management of outpatients with diabetes mellitus

“…Certified diabetes educator nurses (CDENs) who practice patient education for outpatient self-management in medical facilities [ 15 , 16 ] can play a crucial role in the oral management of outpatients with diabetes by providing advanced and broad expertise. However, they often need more knowledge, skills, and confidence to perform oral assessments [ 17 ]. Additionally, oral management is not a standardized part of their duties, and they may need to perceive its importance [ 18 ].…”

“…A diabetes oral health assessment tool for nurses to assess patients’ oral health conditions and behaviors was previously developed [ 19 ]. However, it is difficult to link the assessment tool to patient education due to the need for nurses' knowledge about specific instruction methods of oral management [ 17 , 20 ].…”

“…First, we created a draft guide that organizes the needs of nurses regarding oral management and established evidence regarding the effectiveness and safety of support for them. Second, we revised a draft to enhance feasibility based on a nationwide survey regarding oral management targeting CDENs of 1277 medical facilities with diabetologists [ 17 , 20 ]. Third, the content validity of the guide, appropriateness of the expressions, and contents of the composition were confirmed via supervision by four medical professionals: a dentist, a diabetologist, a certified nurse in diabetes, and a CDEN.…”