Oral care perspectives of professionals in nursing homes for the elderly
Oral care perspectives of professionals in nursing homes for the elderly
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DOI：
10.1111/idh.12016
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发表时间：
2013-11-01
影响因子：
2.4
通讯作者：
von Bultzingslowen, I.
中科院分区：
文献类型：
--
作者：
Lindqvist, L.;Seleskog, B.;von Bultzingslowen, I.
目的良好的口腔健康是生活质量的一个重要方面。然而，一些研究表明，口腔护理的依赖老年人是不令人满意的。目的是探索在养老院中，不同职责的专业人员可能认为哪些是日常口腔护理的重要方面。方法对来自瑞典Varmland地区3个市镇的23名举报者进行访谈。使用了一份访谈指南，其中包含一些人口统计和根据研究目的关于个人对问题的看法的开放式问题。采访被录音并逐字抄写。结果在显性和隐性分析中，出现了6个类别和3个主题。分类为关键过程、沟通、优先事项、能力、良好口腔健康和自主性。主题是组织、员工方法和员工对居民需要的看法。一个整体的画面出现，口腔护理，而不是占据一个整体的地位，在护理中发挥外围作用。结论要提高口腔护理水平，有机会与现有机构合作，明确职责和关键流程。口腔护理应作为一项更加优先的工作纳入护理工作，护士的知识有待提高。要在护理中实施口腔护理，需要在各个层面建立一个活动网络。
ObjectivesGood oral health is an important aspect of quality of life. However, a number of studies have shown that oral care for the dependent elderly is unsatisfactory. The aim was to explore in nursing homes for the elderly what professionals with different responsibilities may consider as being important aspects of well-functioning daily oral care.MethodsA total of 23 informants from three municipalities in the region of Varmland, Sweden, were interviewed. An interview guide was used, containing some demographic and open-ended questions about individual perceptions of issues according to the study aim. The interviews were tape-recorded and transcribed verbatim.ResultsIn the manifest and latent analyses, six categories and three themes emerged. The categories were Key Processes, Communication, Priorities, Competence, Good Oral Health and Autonomy. The themes were Organization, Staff Approach and Staff's Views on Residents' Needs. An overall picture emerged that oral care, rather than occupying an integral position, played a peripheral role in nursing care.ConclusionsTo improve oral care, there are opportunities to work with existing structures and clarify responsibilities and key processes. Oral care should be included in nursing work as a more highly prioritized task, and nurses' knowledge needs to be enhanced. A network of activities at all levels is needed to implement oral care in nursing care.