Provision of Oral Care in the Cardiothoracic Intensive Care Unit: Survey of Nursing Staff Training, Confidence, Methods, Attitudes, and Perceived Barriers

Poor oral health is associated with adverse outcomes in critical care settings. Although provision of oral care is a fundamental aspect of nursing practice, both formal training and practice among nursing staff remain unclear. Cardiothoracic intensive care unit nurses were recruited to complete a 16...

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Bibliographic Details
Published in:The Journal of continuing education in nursing 2023-07, Vol.54 (7), p.313-321
Main Authors: Croft, Kayla, Dallal-York, Justine, Miller, Sarah, Anderson, Amber, Donohue, Cara, Jeng, Eric, Plowman, Emily K
Format: Article
Language:English
Subjects:
Aspiration
Attitude
Barriers
Beliefs, opinions and attitudes
Clinical medicine
Construct Validity
Critical Care
Curriculum
Data Analysis
Dysphagia
Educational Background
Employee training
Employees
Evidence-based medicine
Feedback (Response)
Heart surgery
Humans
Intensive care
Intensive Care Units
Methods
Nurses
Nursing
Nursing care
Nursing education
Nursing Staff
Patients
Perceptions
Pneumonia
Recruitment
Review boards
Speech Language Pathology
Surgeons
Surgery
Teaching Methods
Thoracic surgery
Toothbrushing
Validity
Ventilation
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Summary:Poor oral health is associated with adverse outcomes in critical care settings. Although provision of oral care is a fundamental aspect of nursing practice, both formal training and practice among nursing staff remain unclear. Cardiothoracic intensive care unit nurses were recruited to complete a 16-item survey regarding training, confidence, methods, prioritization, and barriers to provision of oral care. A total of 108 nurses participated (70% response rate). Formal training in oral care was reported by 38%, most frequently reported as less than 1 hour (53%) in duration. Of the respondents, 70% reported confidence in providing oral care. Nine methods and 16 products were identified, with variability in the frequency of provision. Prioritization of oral care was rated most frequently as moderate (53%), with 28% reporting barriers. Despite limited formal training, surveyed nurses reported confidence in providing oral care. Methods, frequency, and prioritization were variable. Both development of formal curricula and evaluation of adherence to standardized protocols for oral care are warranted. .
ISSN:0022-0124
1938-2472
DOI:10.3928/00220124-20230620-02