This study was conducted to determine the attitudes and practices of nurses working in intensive care units of four different hospitals regarding oral care.
Methods
One hundred eighty-five nurses who worked in adult intensive care units comprised the sample of this cross-sectional descriptive study.
Conclusion
It can be said that intensive care nurses perform oral care without an oral care protocol and assessment guideline, and that the methods and frequency of oral care and solutions and tools used for oral care differ from one institution to another.
Implications for Nursing Practice
The results emphasized the need for continuing training in this area.
Amaç
Bu araştırma, dört farklı hastanede yoğun bakım ünitelerinde çalışan hemşirelerin ağız bakımına ilişkin tutum ve uygulamalarını saptamak amacıyla yapılmıştır.
Yöntem
Kesitsel tanımlayıcı tipteki bu çalışmanın örneklemini yetişkin yoğun bakım ünitelerinde çalışan 185 hemşire oluşturmuştur. Verilerin değerlendirilmesinde yüzdelik dağılım ve ki-kare testi kullanılmıştır.
Sonuç
Yoğun bakım hemşirelerinin değerlendirme rehberi ve protokolü olmadan ağız bakımı yaptığı, ağız bakım yöntem, sıklık, solüsyon ve araçlarının kurumlara göre farklılık gösterdiği söylenebilir.
Hemşirelik uygulamalari için öneriler
Sonuçlar bu alanda sürekli eğitime ihtiyaç olduğunu vurgulamaktadır.
AbidiaR. (2007). Oral care in the intensive care unit: A review. Journal of Contemporary Dental Practice, 8, 1–8.
2.
AdamsR. (1996). Qualified nurses lack adequate knowledge related to oral health, resulting in inadequate oral care of patients on medical wards. Journal of Advanced Nursing, 24, 552–560.
3.
AugustynB. (2007). Ventilator-associated pneumonia. Critical Care Nurse, 4, 32–39.
4.
BerryA.DavidsonP.RollsK.MastersJ. (2007). Systematic literature review of oral hygiene practices for intensive care patients receiving mechanical ventilation. American Journal of Critical Care, 16, 552–562.
5.
BinkleyC.FurrE.CarricoR.McCurrenC. (2004). Survey of oral care practices in us intensive care units. American Journal of Infection Control, 32, 161–169.
6.
ÇelikS. (2006). Mechanical ventilation of the patient care. Journal of Intensive Care Nursing, 10, 19–25.
7.
ChanE. Y.NgH. L. I. (2012). Oral care practices among critical care nurses in Singapore: A questionnaire survey. Applied Nursing Research, 25, 197–204.
8.
CostelloT.CoyneI. (2008). Nurses' knowledge of mouth care practices. British Journal of Nursing, 17, 264–268.
9.
CutlerC.DavisN. (2005). Improving oral care in patients receiving mechanical ventilation. American Journal of Critical Care, 14, 389–394.
10.
FeiderL. L.MitchellP.BridgesE. (2010). Oral care practices for orally intubated critically ill adults. American Journal of Critical Care, 19, 175–183.
11.
FitchJ.MunroC.GlassC.PellegriniJ. (1999). Oral care in the adult intensive care unit. American Journal of Critical Care, 8, 314–318.
12.
FurrL. A.BinkleyC. J.McCurrenC.CarricoR. (2004). Factors affecting quality of oral care in intensive care units. Journal of Advanced Nursing, 48, 454–462.
13.
GanzF. D.FinkN. F.RaananO.AsherM.BruttinM.BenbinishtyJ. (2009). ICU nurses' oral-care practices and current best evidence. Journal of Nursing Scholarship, 41, 132–138.
14.
GrapM.MunroC.AshtianiB.BryantS. (2003). Oral care interventions in critical care: Frequency and documentation. American Journal of Nursing, 12, 113–119.
JohnstoneL.SpenceD.McClainJ. K. (2010). Oral hygiene care in the pediatric intensive care unit: Practice recommendations. Pediatric Nursing, 36, 85–97.
17.
JonesH.NewtonJ. T.BowerE. J. (2004). A survey of the oral care practices of intensive care nurses. Intensive and Critical Care Nursing, 20, 69–76.
18.
KatherasonS. G.NaingL.JaalamK.MusaK. I.Nik AbdullahN. M.AiyarS., … IsmailA. (2009). Ventilator associated nosocomial pneumonia in intensive care units in Malaysia. Journal of Infection in Developing Countries, 3, 704–710.
19.
KiteK.PearsonL. (1995). A rationale for mouth care: The integration of theory with practice. Intensive and Critical Care Nursing, 11, 71–76.
20.
KozierB.BermanA.SnyderS.ErbG. (2008). Fundamentals of nursing concepts, process and practice (8th ed.). Upper Saddle River, NJ: Prentice Hall.
21.
LinY. S.ChangJ. C.ChangT. H.LouM. F. (2011). Critical care nurses' knowledge, attitudes and practices of oral care for patients with oral endotracheal intubation: A questionnaire survey. Journal of Clinical Nursing, 20, 3204–3214.
22.
McNeillH. (2000). Biting back of poor oral hygiene. Intensive and Critical Care Nursing, 16, 362–367.
23.
MillerM.KearneyN. (2001). Oral care for patients with cancer: A review of the literature. Cancer Nursing, 24, 241–254.
24.
MunroC. L.GrapM. J. (2004). Oral health and care in the intensive care unit: State of science. American Journal of Critical Care, 13, 25–33.
25.
O'ReillyM. (2003). Oral care of the critically ill: A review of the literature and guidelines for practice. Australian Critical Care, 16, 101–110.
26.
ÖzverenH. (2010). Oral care in patients receiving mechanical ventilator. Hacettepe University Faculty of Health Sciences Nursing Journal, 17, 92–99.
27.
PearsonL.HuttonJ. (2002). A controlled trial to compare the ability of foam swabs and toothbrushes to remove dental plaque. Journal of Advanced Nursing, 39, 480–489.
28.
RelloJ.KoulentiD.BlotS.SierraR.DiazE.WaelaJ., … RodriguezA. (2007). Oral care practices in intensive care units: A survey of 59 European ICUs. Intensive Care Medicine, 33, 1066–1070.
29.
SafdarN.DezfulianC.CollardH.SaintS. (2005). Clinical and economic consequences of ventilator-associated pneumonia: A systematic review. Critical Care Medicine, 33, 2184–2193.
30.
SchlederB.StottK.LloydR. C. (2002). The effect of a comprehensive oral care protocol on patients at risk for ventilators-associated pneumonia. Journal of Advocate Health Care, 4, 27–30.
31.
SohK. L.SohK. G.JaparS.RamanR. A.DavidsonP. M. (2012). A cross-sectional study on nurses' oral care practice for mechanically ventilated patients in Malaysia. Journal of Clinical Nursing, 20, 733–742.
32.
StoutM.GouldingO.PowellA. (2009). Developing and implementing an oral care policy and assessment tool. Nursing Standard, 23, 42–48.
33.
ThurgoodG. (1994). Nurse maintenance of oral hygiene. British Journal of Nursing, 3, 332–334.
34.
TürkG.GülerK. E.EserI.KhorshidL. (2012). Oral care practices of intensive care nurses: A descriptive study. International Journal of Nursing Practice, 18, 347–353.
35.
WhiteR. (2000). Nurse assessment of oral health: A review of practice and education. British Journal of Nursing, 9, 260–266.
36.
YeungK. Y.ChuiY. Y. (2010). An exploration of factors affecting Hong Kong ICU nurses in providing oral care. Journal of Clinical Nursing, 19, 3063–3072.
