Oral health and cancer screening in long‐term care nursing facilities: Motivation and opportunity as intervention targets

Maramaldi, Peter; Cadet, Tamara; Burke, Shanna L.; LeCloux, Mary; White, Erina; Kalenderian, Elsbeth; Kinnunen, Taru

doi:10.1111/ger.12365

Cited by 9 publications

(14 citation statements)

References 25 publications

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“…However, the fixed mind set of the nursing assistants, which leads them to resist training and behaviour change, is a major obstacle. Studies have confirmed the importance of motivation to behaviour change and shown that the mentee’s and mentor’s degrees of proactivity are of primary importance to the establishment of positive mentoring relationships [ 37 ]. [ 38 ] The head of an organization can set up a reward mechanism to help improve the proactivity of the participants [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Enablers and barriers to implementing care quality improvement program in nursing homes in China

et al. 2021

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Objective To explore the perspectives of key stakeholders on necessary factors to implement care quality improvement program. Methods We conducted qualitative descriptive research in eight nursing homes in four major prefecture-level cities of Changsha, Xiangtan, Zhuzhou, and Yueyang. Data of 50 clinical nurses and 64 nurse assistants were included and analyzed. Ethical approval was given by the medical ethics committee of Chinese Clinical Trial Registry (No. ChiCTR-IOC-17013109, https://www.chictr.org.cn/index.aspx). One-to-one interviews were used with the nursing managers, and separate focus group discussions were used with the clinical nurses and nurse assistants. All of the interviews were audio recorded and later transcribed verbatim. In addition, the first author documented the responses of every participant in the field notes during the interviews and focus groups. Results The participants’ perspectives were characterized by two main themes: (1) enablers, with four subthemes of “organizational support”, “the evidence-based practice ability”, “proactivity”, “nursing supervision and feedback;” and (2) barriers, with five sub-themes of “low educational background”, “the limitations of self-role orientation”, “resistance to change”, “lack of job motivation”, and “organizational constraints”. Conclusion These findings recognize factors at the organizational level, staff level and societal level that are necessary to implement effective mentoring. The results of this study can provide reference for nursing home in improving nursing management quality, formulating, implementing and revising training policies.

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Section: Discussionmentioning

confidence: 99%

Enablers and barriers to implementing care quality improvement program in nursing homes in China

et al. 2021

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“…Some TDF domains were excluded on the authors’ judgement 23 . For the qualitative studies included in the review, the type of analysis was not always reported or elaborated upon 20 . However, details of saturation and rigour (eg second coding) were generally well‐reported.…”

Section: Resultsmentioning

confidence: 99%

“…29 For COM-B, there has recently been an attempt to offer researchers clarity in operationalising its components by using a standardized questionnaire to assess each component which may increase the modelʼs use. 30 In terms of recommendations for future research, in which self-report tools are used, we would advise that for the COM-B, researchers use the recently published brief, validated measure for quantitative work 20 and adapt it for their study, rather than designing their own tools. For the TDF, we propose researchers consider using the tool in its entirety or that they clearly outline the rationale and process for including only some domains.…”

Section: Discussionmentioning

confidence: 99%

Adopting the COM‐B model and TDF framework in oral and dental research: A narrative review

Buchanan

Newton

Baker

et al. 2021

Comm Dent Oral Epid

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Background Recent advances in the psychological understanding of health‐related behaviour have focused on producing a comprehensive framework to model such behaviour. The Capability‐Opportunity‐Motivation‐Behaviour (COM‐B) and its associated Theoretical Domains Framework (TDF) allow researchers to classify psychological and behavioural constructs in a consistent and transferable manner across studies. Aim To identify oral and dental health‐related studies that have used the TDF and/or COM‐B as frameworks to guide research and examine the ways in which these concepts have been practically used in such research. Method Narrative review of published literature. To be included, the paper had to (1) state that the TDF or COM‐B had been used and to have targeted at least one construct identified in either framework, (2) include primary empirical data, (3) focus on a behaviour directly related to oral or dental‐related health (eg brushing, applying fluoride varnish, flossing) and/or attitudes, intentions and beliefs related to the behaviour. Studies could include any research design, and participants of any age or gender and include patients, parents or dental health professionals. Findings Nine studies were identified that had drawn on the COM‐B and/or TDF as the framework for their research. Seven of the studies were based on the TDF only, with one employing both the COM‐B and Health Belief Model, and one using the TDF with COM‐B. The nine studies covered a broad range of oral health‐related behaviours including child tooth brushing, fluoride varnish application and non‐ or micro‐invasive management of proximal caries lesions. The populations in the studies included dentists, dental teams and parents of children. All studies adopted only a subset of the constructs within the TDF, often without justification. Conclusions It is encouraging that oral health researchers are adopting standardized psychological frameworks to develop their research and oral health interventions. Future work should build on the small number of studies identified in this review and consider using standardized tools to do so.

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“…However, the same study suggests that only 39.3% of public health nurses believed nurses have overall sufficient oral cancer education and 46.7% of these nurses believed that sufficient training would increase oral cancer screening by nurses (Li et al, 2020). Furthermore, only 36.1% of these nurses believe that there is sufficient oral cancer screening training currently available (Li et al, 2020) Research suggests that additional training improves nurses' knowledge on oral health care, and oral cancer awareness (Maramaldi et al, 2018). In a recent study, 85% of nurses were aware of risk factors of oral cancer, though only 38% regularly informed patients of oral cancer risk factors during hospital admissions (Priyadharshni & Sivakumar, 2019).…”

Section: Early Detection and Role Of Nursesmentioning

confidence: 99%

Role of Nurses in the Prevention and Early Detection of Oral Cavity and Pharynx Cancers

Rosa

Koenecke

Gudgeon

et al. 2021

OJRNHC

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Oral health and cancer screening in long‐term care nursing facilities: Motivation and opportunity as intervention targets

Abstract: Our findings suggest that the intervention likely to increase OHC and consequently oral cancer screening include: training certified nurses' aides using dental students and volunteers; educating family members about OHC and oral cancer screening, and increasing oral cancer awareness.

Cited by 9 publications

References 25 publications

Enablers and barriers to implementing care quality improvement program in nursing homes in China

Enablers and barriers to implementing care quality improvement program in nursing homes in China

Adopting the COM‐B model and TDF framework in oral and dental research: A narrative review

Role of Nurses in the Prevention and Early Detection of Oral Cavity and Pharynx Cancers

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