Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Dental- and nursing care collaborations in Sweden – A way to support nursing staff in oral hygiene care for older people
Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.ORCID iD: 0000-0002-2148-5225
2019 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Background: Oral health is an integral part of the general health and quality of life. Yet oral health among older people requiring nursing care is often poor. Despite this group’s frequent contact with health care services, they tend to lose contact with dental care. In nursing care, nursing staff are tasked to assist with oral hygiene care, but this has become more demanding as many older people retain more teeth or have advanced prosthetic constructions. Previous research in the field emphasised the need of collaboration between dental- and nursing care to support the nursing staff in this task. However, there is a lack of evidence regarding the effects of these collaborations.

Aim: The overall aim of the thesis is to examine two oral health programmes used within nursing care with different design regarding support from and collaboration with dental care.

Methods: Quantitative research methods was used. The data in Study I comes from an oral health assessments guide (ROAG-J) performed by nursing staff in a national health register. Oral health, assessed at two occasions from older people with nursing care, were used. Study II was a controlled intervention study performed at a nursing home. The intervention involved individual coaching of nursing staff in oral hygiene care by dental hygienist for four hours per week at the ward for a period of three months. Oral assessments of older people were performed by dental hygienists and questionnaires to nursing home staff were used.

Result: In Study I, 667 individuals aged 65 years or older, receiving nursing care services and assessed using ROAG-J between November 2011 and March 2014 were included. No statistically significant difference in any of the oral health variables was found between the first and subsequent assessments. At the first assessments, less than one third of participants had oral health problems. At the first assessment, status of the tongue differed in men and women (p < .01); at the subsequent assessment, gender differences were found in voice (p < .05), mucous membranes (p < .003), tongue (p < .01), and saliva (p < .006).

In Study II, 33 nursing staff and 48 residents participated at the baseline measurement and 22 and 32 respectively at the 9-month follow-up. The nursing staff changed in knowledge and attitudes related to gum disease, approximal cleaning, usage of fluoride and the likelihood that older persons would express the need for oral health support. The most frequently reported oral health problems among the residents pertained to teeth and gums. The residents relatively high level of oral health was stable during the study period.

Conclusions: The participants in the oral health programmes were able to maintain an acceptable level of oral health during the study periods although health was likely to decline. The nursing staff maintained a high level of knowledge and attitudes about oral health. However, there seems to be a discrepancy regarding the prevalence of oral health problems among older people. A collaboration between dental- and nursing care providers indicates a positive influence on providing oral hygiene care.

Place, publisher, year, edition, pages
Jönköping: Jönköping University, School of Health and Welfare , 2019. , p. 62
Series
Hälsohögskolans avhandlingsserie, ISSN 1654-3602 ; 099
Keywords [en]
oral health, older people, oral hygiene, nursing care, nursing staff, interprofessional collaboration
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hj:diva-43631ISBN: 978-91-85835-98-0 (print)OAI: oai:DiVA.org:hj-43631DiVA, id: diva2:1314804
Presentation
2019-06-11, Forum Humanum, School of Health and Welfare, Jönköping, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2019-05-09 Created: 2019-05-09 Last updated: 2019-09-13Bibliographically approved
List of papers
1. Oral health status of older adults in Sweden receiving elder care: Findings from nursing assessments
Open this publication in new window or tab >>Oral health status of older adults in Sweden receiving elder care: Findings from nursing assessments
2016 (English)In: Nursing Research, ISSN 0029-6562, E-ISSN 1538-9847, Vol. 65, no 3, p. 215-223Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Frail elderly people often have poor oral hygiene, contributing to oral health problems that can detract significantly from quality of life.

OBJECTIVE: The aim of this study was to describe oral health status of frail elderly individuals using the Revised Oral Assessment Guide-Jönköping (ROAG-J), a mouth assessment instrument that can be used in daily nursing care.

METHODS: Data were obtained from the Swedish Senior Alert quality registry in one Swedish municipality. ROAG-J assessments on admission to elder care and one subsequent occasion were used. ROAG-J measurements documented oral health in nine areas: voice, lips, oral mucosa, tongue, gums, teeth, saliva, swallowing, and presence of any prostheses or implants. Assessments were made by nursing staff during the course of daily nursing care.

RESULTS: Individuals 65 years of age or older and receiving elder care services (N = 667) were involved; 1,904 assessments made between November 2011 and March 2014 were used for the analysis. On the basis of both assessments, less than one third of participants had oral health problems. No significant difference in any of the oral health variables was found between first and subsequent assessments. At first assessment, men and women differed in tongue health (p < .01); at the subsequent assessment, gender differences in voice (p < .05), mucous membranes (p < .003), tongue (p < .01), and saliva (p < .006) were observed.

DISCUSSION: Most participants had good oral health. Assessments made by nursing staff using the ROAG-J demonstrate that this tool can be used in daily nursing care, where different, important oral conditions may be encountered. However, knowledge about oral health conditions and the ROAG-J instrument is important to ensure high validity. The ROAG-J enables nursing staff to detect problems in the mouth and to guide decisions related to oral health interventions.

Keywords
dental care for aged, frail elderly, geriatric nursing, oral health, quality improvement, Sweden
National Category
Dentistry
Identifiers
urn:nbn:se:hj:diva-29877 (URN)10.1097/NNR.0000000000000158 (DOI)000375612200006 ()27124257 (PubMedID)2-s2.0-84968763977 (Scopus ID)
Note

Point-of-Care Research Series

Available from: 2016-05-10 Created: 2016-05-10 Last updated: 2019-05-09Bibliographically approved
2. Is an oral health coaching programme a way to sustain oral health for elderly people in nursing homes: A feasibility study
Open this publication in new window or tab >>Is an oral health coaching programme a way to sustain oral health for elderly people in nursing homes: A feasibility study
(English)Manuscript (preprint) (Other academic)
National Category
Dentistry
Identifiers
urn:nbn:se:hj:diva-43630 (URN)
Note

Submitted to journal.

Available from: 2019-05-09 Created: 2019-05-09 Last updated: 2019-05-09

Open Access in DiVA

Kappa(3291 kB)23 downloads
File information
File name FULLTEXT01.pdfFile size 3291 kBChecksum SHA-512
c750d60d3fc2dc1e6be9a1f8bdee3b4c34ea01e8a8662e9632a92a8c3e26eb0282217aad168445fd3c18a57076c173e6b9b17b70cab53f5e3fef94ee293f8a1a
Type fulltextMimetype application/pdf

Authority records BETA

Johansson, Isabelle

Search in DiVA

By author/editor
Johansson, Isabelle
By organisation
HHJ. ARN-J (Aging Research Network - Jönköping)HHJ. Centre for Oral Health
Dentistry

Search outside of DiVA

GoogleGoogle Scholar
Total: 23 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 379 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf