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Translation of Oral Care Practice Guidelines Into Clinical Practice by Intensive Care Unit Nurses

Purpose: The purpose of this study was to determine whether there was a change in the oral care practices of intensive care unit (ICU) nurses for ventilated patients after a national effort to increase evidence-based oral care practices. Design: Descriptive comparison of ICU nurses in 2004–2005 and 2012. Method: Two convenience national surveys of ICU nurses were collected in 2004–2005 (n = 218) and 2012 (n = 233). After the results of the initial survey were reported, a national effort to increase awareness of evidence-based oral care practices was conducted that included in-service presentations; publication of an evidence-based protocol in a national nursing journal; publication of the survey findings in an international nursing journal; and reports to the local press. A repeat survey was conducted 7 to 8 years later. The same survey instrument was used for both periods of data collection. This questionnaire included questions about demographic and personal characteristics and a checklist of oral care practices. Nurses rated their perceived priority level concerning oral care on a scale from 0 to 100. An evidence-based practice (EBP)[O4] score was computed representing the sum of 14 items related to equipment, solutions, assessments, and techniques associated with the evidence. The EBP score, priority score, and oral care practices were compared between the two samples. A regression model was built based on those variables that were associated with the EBP score in 2012. Findings: There was a statistically significant increase in the use of EBPs as shown by the EBP score and in the perceived priority level of oral care. Increased EBPs were found in the areas of teeth brushing and oral assessment. Decreases were found in the use of non–evidence-based practices, such as the use of gauze pads, tongue depressors, lemon water, and sodium bicarbonate. No differences were found in the use of chlorhexidine, toothpaste, or the nursing documentation of oral care practices. A multiple regression model was found to be significant with the time of participation (2004–2005 vs. 2012) and priority level of oral care significantly contributing to the regression model.

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Detail Information
Series Title
Journal of Nursing Scholarship, Volume 45, Number 4 2013
Call Number
(05) 610.5 WIL j
Publisher
Malden : Wiley-Blackwell.,
Collation
Hlm. 355-362
Language
English
ISBN/ISSN
1527-6546
Classification
(05) 610.5 WIL j
Content Type
-
Media Type
-
Carrier Type
-
Edition
Volume 45, Number 4
Subject(s)
Oral care
intensive care
translation research
Specific Detail Info
-
Statement of Responsibility
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