Oral care knowledge, attitude and practice: caregivers' survey and observation

Article Article scientifique Article Oral care knowledge, attitude and practice: caregivers' survey and observation eng 2020-10-18 2021-03 author Chebib Najla 0000-0002-4094-6955 858630 author Waldburger Talina Clizia 799254 author Boire Sandrine 932142 author Prendki Virginie 0000-0003-1315-2938 811987 author Maniewicz Wins Sabrina 0000-0002-3343-787X 697227 author Mojon Philippe 26576 author Muller Frauke 0000-0003-3981-0134 135177 95-103 10.1111/ger.12502 33073432 0734-0664 Objectives: This study aims to assess caregivers' knowledge, perception and perceived barriers as well as their daily usual practice concerning oral care provision in a geriatric hospital. Methods: A semi-structured questionnaire was developed and administered to caregivers in a geriatric ward. Furthermore, oral care delivery to dependent and independent patients was clinically observed. Results: One hundred and fifty-two caregivers (60% nurses, 40% nursing aids) completed the survey (78% response rate). Clinical oral care was observed in 97 inpatients. Observations revealed that brushing was done in 94% of opportunities in independent patients but in only 55% of dependent patients. This corresponded to the frequency indicated in the questionnaire for independent elders (97%, n.s.), whereas it was significantly different for dependent elders (89%, P < .001). 95% of caregivers stated in the questionnaire never verifying self-administered oral care, whereas 12.3% were actually observed verifying intraorally its efficiency (P = .07 chi-squared test). 71% of the respondents stated storing the prostheses dry, and 8% stated that they reinserted it after cleaning. Caregivers' observation revealed that 35.1% of prostheses were reinserted in the mouth, indicating a significantly higher rate than in the questionnaire (P < .05). Respondents felt that their training to perform oral hygiene measures was suboptimal (VAS 48 ± 34.4). Patients verbally refusing oral care were stated as a barrier by 14% of respondents and were witnessed in 15.6% of observation opportunities (n.s). Conclusion: Various measures, such as hospital health policy, improved logistics or advanced hands-on training, might help to converge the clinical practice towards the theoretical knowledge. Caregivers Dependent elder Geriatric ward Hospitalised patients Oral care Oral hygiene Aged Caregivers Delivery of Health Care Health Knowledge, Attitudes, Practice Humans Oral Hygiene Surveys and Questionnaires Toothbrushing Dewey 617.6 Dewey 618.97 212 Division de gérodontologie et prothèse adjointe 24Q3 65 Département de réadaptation et gériatrie 22B false 467 Groupe de recherche Frauke Müller 797 Gerodontology 38 1 7e1f2b1e-9e73-4eb3-b497-fc789695287a Article (Published version) Restricted N_Chebib_Oral_care_knowledge_attitu.pdf 856072 application/pdf restrictedAccess Faculté de médecine / Section de médecine dentaire / Département de réhabilitation oro-faciale / Division de gérodontologie et prothèse adjointe Faculté de médecine / Section de médecine clinique / Département de réadaptation et gériatrie

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Oral care knowledge, attitude and practice: caregivers' survey and observation	Gerodontology			2021	161	0

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Waldburger, Talina Clizia