The effect of awareness on the outcome of oral health performed by home care service providers

Shimoyama, Kazuhiro; Chiba, Yoshiaki; Suzuki, Yoriko

doi:10.1111/j.1741-2358.2007.00179.x

Cited by 7 publications

(8 citation statements)

References 15 publications

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“…An evaluation of the results of this pilot study showed that the majority of caregivers had received some form of training in oral health care. This is similar to a study of home care service providers 8 where 76.5% had received training in oral care, as well as to another study 3 that reported 57% of managers and 49% of nurses had received oral training. Contrary to these findings, some studies of nurses' aides 7,11,13 have shown that providers were not being adequately didactically or practically trained to provide oral hygiene for individuals with physical and mental disabilities, and they reported many challenges when attempting oral health care.…”

Section: Discussionsupporting

confidence: 88%

“…The current literature lacks information on perceived comfort, behaviors, and barriers encountered by group home staff members who provide daily oral care for individuals with SHCN. There is substantial research with regard to the elderly populations treated in long‐term care facilities, 3 , 7–16 but very little on younger populations. Many of the same perceptions, behaviors, and barriers experienced by nurses’ aides can be paralleled to the caregivers who work with the population of SHCN.…”

Section: Introductionmentioning

confidence: 99%

“…It has also been shown 7 that poor oral hygiene is present in residents of nursing facilities. The results of a study of homecare service providers 8 has shown that only 44% of them felt they could provide appropriate oral care. Possible reasons why caregivers may feel inadequate in providing oral hygiene may include lack of experience, 17 lack of training, 3 being uncomfortable with oral hygiene in general, 13 and the potential barriers they face while providing this care to individuals with SHCN 7 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Caregivers’ perceived comfort regarding oral care delivery in group homes: A pilot study

Jobman

Weber‐Gasparoni

Ettinger

et al. 2012

Special Care in Dentistry

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The purpose of this study was to investigate the perceived comfort, behaviors, and barriers reported by group home caregivers while providing oral health care to individuals with special healthcare needs (SHCN). A 23-item survey was sent to 428 caregivers in two group homes in Iowa. Bivariate and logistic regression models were used to analyze data (p ≤ 0.05). The overall response rate was 32%. An analysis of the bivariate and multivariate logistic regression indicated that caregivers who felt more comfortable providing care for individuals who verbally and physically resisted oral health care had worked more than 2 years at their current location (p = 0.0323), felt "neutral to very comfortable" brushing (p = 0.0020) and flossing (p< 0.0001) the teeth of individuals with SHCN, and reported "sometimes to always" experiencing these individuals not opening their mouths (p = 0.0127). Comfort in providing oral care to individuals with SHCN appears to be linked to experience and length of time working with this population.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Caregivers’ perceived comfort regarding oral care delivery in group homes: A pilot study

Jobman

Weber‐Gasparoni

Ettinger

et al. 2012

Special Care in Dentistry

View full text Add to dashboard Cite

show abstract

“…Also, an evaluation of the bivariate analysis showed that being trained at one's current facility, as well as having had previous oral care training, was significant. In a similar study of home care service providers, 76.5% had received training in oral care, while in another study, 57% of managers and 49% of nurses had received training. Other studies of nurses’ aides have shown that providers who were not adequately trained to provide oral hygiene for consumers with SHCN reported many challenges when attempting to provide oral health care.…”

Section: Discussionmentioning

confidence: 99%

“…However, there is abundant research regarding elderly populations who live in long-term facilities. [7][8][9][10][11][12][13][14][15][16][17][18][19][20] In their study regarding oral care delivery for nursing facility residents, Chalmers et al 7 indicated that 80% of nurses' aides reported residents not opening their mouths, biting the toothbrush, and refusing oral care. Other difficulties included kicking, hitting, spitting, and biting the nurses' aide.…”

Section: A R T I C L Ementioning

confidence: 99%

Group home caregivers' comfort levels regarding physical resistance during oral hygiene care

Risma¹,

Weber‐Gasparoni

Swenson

et al. 2015

Special Care in Dentistry

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The purpose of this study was to investigate perceived comfort levels, behaviors, and barriers reported by group home caregivers who provide oral hygiene measures to consumers with special health care needs (SHCN) who physically resist the care. A 24-item survey was sent to 884 caregivers employed at six care facilities in Iowa. Bivariate analyses and logistic regression models were used to analyze the data (alpha = 0.05). The overall response rate was 52%. An analysis of the data indicated that caregivers who felt more comfortable providing oral hygiene for consumers who physically resisted the care experienced a higher frequency of consumers not opening their mouths (p = 0.0003), pushing the caregiver away (p = 0.0002), moving their heads uncontrollably (p = 0.0004), spitting at (p = 0.0099), hitting and/or kicking the caregiver (p = 0.0011). Furthermore, these caregivers provided weekly direct care for a greater number of consumers (p = 0.0044), received oral care training from their current facility (p = 0.0424), brushed the teeth of uncooperative consumers at least 75% of the time (p < 0.0001), and felt "somewhat comfortable to very comfortable" flossing their teeth (p < 0.0001). The caregivers' comfort level in providing oral hygiene measures to those consumers with SHCN who physically resist the care appears to be significantly associated with their training and experience working with this population.

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An Inter‐ and Intraprofessional Education Program in Which Dental Hygiene Students Instruct Medical and Dental Students

Otsuka

Kondo

Ohara

et al. 2016

Journal of Dental Education

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The aim of this study was to develop, implement, and evaluate an inter-and intraprofessional education program with a peer support joint practice in which dental hygiene students teach medical and dental students about oral health care for older people requiring long-term care. In 2015 at Tokyo Medical and Dental University, 22 dental hygiene students in their third year at the School of Oral Health Care Sciences (OH3), 110 students in their third year at the School of Medicine (M3), and 52 students in their third year at the School of Dentistry (D3) participated in this program. The OH3 students practiced with a whole-bodytype simulator to learn oral health care for older people and then taught the methods to the M3 and D3 students according to their self-designed teaching plan. All M3 and D3 students experienced being both practitioner and patient. The number of respondents and response rates on the questionnaires after the training were 22 (100%), 102 (92.7%), and 52 (100%) for the OH3, M3, and D3 students, respectively. Self-assessment by the OH3 students indicated that they could supervise other students sufficiently (77-86%), and 91% of them found the preclinical practice with the simulator efficient for the peer support joint practice. Almost all the M3 and D3 students reported that they gained understanding of the methods (99%), significance (100%), and important points of oral health care for older people (97%) in addition to the jobs and roles of dental hygienists (93%) because of this program. The M3 students understood the methods and significance of oral health care more deeply than did the D3 students (p<0.05). This study found that an interprofessional program with a peer support joint practice to cultivate practical clinical ability aided in increasing understanding and cooperation between medicine and dentistry.

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The effect of awareness on the outcome of oral health performed by home care service providers

Cited by 7 publications

References 15 publications

Caregivers’ perceived comfort regarding oral care delivery in group homes: A pilot study

Caregivers’ perceived comfort regarding oral care delivery in group homes: A pilot study

Group home caregivers' comfort levels regarding physical resistance during oral hygiene care

An Inter‐ and Intraprofessional Education Program in Which Dental Hygiene Students Instruct Medical and Dental Students

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