Mouth Care in Assisted Living: Potential Areas for Improvement.
Oral care
assisted living communities
educational training
intervention
mouth care
Journal
Journal of the American Medical Directors Association
ISSN: 1538-9375
Titre abrégé: J Am Med Dir Assoc
Pays: United States
ID NLM: 100893243
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
received:
18
07
2020
revised:
19
11
2020
accepted:
23
11
2020
pubmed:
2
1
2021
medline:
2
7
2021
entrez:
1
1
2021
Statut:
ppublish
Résumé
Poor oral care may lead to systemic disease, and there is evidence that assisted living (AL) residents lack quality oral care; in AL, poor care may be due to staff knowledge and attitudes, as well as organizational barriers to providing care. Determine AL staff knowledge and attitudes regarding mouth care and barriers to changing care. Self-administered repeated-measures questionnaires completed before and after oral care training. A total of 2012 direct care staff and administrators from 180 AL communities. Nine knowledge questions and 8 attitude and practice intention questions, and open-ended questions regarding training and obstacles to providing oral care. Overall, 2012 participants completed pretraining questionnaires, and 1977 completed posttraining questionnaires. Baseline knowledge was high, but staff were not uniformly aware of the systemic-oral link whereby mouth care affects pneumonia and diabetes. Almost all staff reported learning a new technique (96%), including for residents who resist care (95%). Suggested areas to improve mouth care included having more hands-on experience. The primary perceived obstacles to care centered around residents who resist care and a lack of time. Based on reports of having benefitted from training, AL staff overwhelmingly noted that new knowledge was helpful, suggesting the benefit of skills-based training, especially in dementia care. Mouth care in AL has been sorely understudied, and merits additional attention.
Sections du résumé
BACKGROUND
Poor oral care may lead to systemic disease, and there is evidence that assisted living (AL) residents lack quality oral care; in AL, poor care may be due to staff knowledge and attitudes, as well as organizational barriers to providing care.
OBJECTIVES
Determine AL staff knowledge and attitudes regarding mouth care and barriers to changing care.
DESIGN
Self-administered repeated-measures questionnaires completed before and after oral care training.
SETTING AND PARTICIPANTS
A total of 2012 direct care staff and administrators from 180 AL communities.
METHODS
Nine knowledge questions and 8 attitude and practice intention questions, and open-ended questions regarding training and obstacles to providing oral care.
RESULTS
Overall, 2012 participants completed pretraining questionnaires, and 1977 completed posttraining questionnaires. Baseline knowledge was high, but staff were not uniformly aware of the systemic-oral link whereby mouth care affects pneumonia and diabetes. Almost all staff reported learning a new technique (96%), including for residents who resist care (95%). Suggested areas to improve mouth care included having more hands-on experience. The primary perceived obstacles to care centered around residents who resist care and a lack of time.
CONCLUSIONS AND IMPLICATIONS
Based on reports of having benefitted from training, AL staff overwhelmingly noted that new knowledge was helpful, suggesting the benefit of skills-based training, especially in dementia care. Mouth care in AL has been sorely understudied, and merits additional attention.
Identifiants
pubmed: 33385333
pii: S1525-8610(20)31024-0
doi: 10.1016/j.jamda.2020.11.038
pmc: PMC8180494
mid: NIHMS1693419
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
1190-1193.e2Subventions
Organisme : NIA NIH HHS
ID : R01 AG061966
Pays : United States
Informations de copyright
Copyright © 2021. Published by Elsevier Inc.
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