IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v29y2020i17-18p3392-3402.html
   My bibliography  Save this article

Improving oral health in nursing home residents: A process evaluation of a shared oral care intervention

Author

Listed:
  • Karin Aagaard
  • G. J. Meléndez‐Torres
  • Charlotte Overgaard

Abstract

Aims and objectives To evaluate the process of implementing an oral care intervention in nursing homes in a Danish municipality. Background Older people with aged natural dentition require preventive and curative oral health care. An intervention based on principles of situated learning was implemented to establish closer cooperation between dental and nursing staff in nursing homes, leading to improved oral hygiene in nursing home residents. Design An embedded multiple‐case study combined with principles of realist evaluation unfolded in three phases: Formulation of initial programme theory, Testing and Refining the programme theory. The COREQ checklist is followed in reporting. Methods Observations, six group interviews and 22 face‐to‐face interviews with dentists, dental practitioners, nursing home managers, care professionals and residents were conducted in three nursing homes (n = 41). Results Three main outcomes of a programme theory were identified, relating to (a) residents, in the form of new oral care routines; (b) interdisciplinary working, in the form of professional pride in performing sufficient oral care; (c) organisational level changes, in the form of increased interdisciplinary knowledge sharing. The overarching supportive mechanisms were the creation of relationships between residents, dental practitioners and care professionals as well as nursing home management taking responsibility for structure, planning and knowledge sharing. Conclusion The situated learning perspective supported residents and care professionals' competencies in performing sufficient oral care. The shared oral care intervention supports an individual and multidisciplinary assessment of nursing home residents’ ability to self‐care concerning oral care. Contextual factors, supportive and restraining mechanisms influence the intervention's success. Relevance to clinical practice Understanding the complexity within interdisciplinary cooperation in primary nursing and unravelling the necessary properties to enhance nursing home residents’ oral health care are areas of improvement for care service in nursing homes.

Suggested Citation

  • Karin Aagaard & G. J. Meléndez‐Torres & Charlotte Overgaard, 2020. "Improving oral health in nursing home residents: A process evaluation of a shared oral care intervention," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(17-18), pages 3392-3402, September.
    • Handle: RePEc:wly:jocnur:v:29:y:2020:i:17-18:p:3392-3402
    DOI: 10.1111/jocn.15373
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.15373
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.15373?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Griffin, S.O. & Jones, J.A. & Brunson, D. & Griffin, P.M. & Bailey, W.D., 2012. "Burden of oral disease among older adults and implications for public health priorities," American Journal of Public Health, American Public Health Association, vol. 102(3), pages 411-418.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Vanessa De Rubeis & Ying Jiang & Margaret de Groh & Lisette Dufour & Annie Bronsard & Howard Morrison & Fahad Butt & Carol Walker Bassim, 2023. "Oral Health Problems among Canadians Aged 45 to 85: Data from the Canadian Longitudinal Study on Aging Baseline Survey (2011–2015)," IJERPH, MDPI, vol. 20(8), pages 1-8, April.
    2. Jonas Czwikla & Alexandra Herzberg & Sonja Kapp & Stephan Kloep & Heinz Rothgang & Ina Nitschke & Cornelius Haffner & Falk Hoffmann, 2021. "Effectiveness of a Dental Intervention to Improve Oral Health among Home Care Recipients: A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(17), pages 1-13, September.
    3. Se-Yeon Kim & Ji-Eun Kim & Han-Na Kim & Eun-Joo Jun & Jung-Ha Lee & Ji-Soo Kim & Jin-Bom Kim, 2018. "Association of Self-Perceived Oral Health and Function with Clinically Determined Oral Health Status among Adults Aged 35–54 Years: A Cross-Sectional Study," IJERPH, MDPI, vol. 15(8), pages 1-11, August.
    4. Sachiko Takehara & Raksanan Karawekpanyawong & Hikaru Okubo & Tin Zar Tun & Aulia Ramadhani & Fania Chairunisa & Azusa Tanaka & F. A. Clive Wright & Hiroshi Ogawa, 2023. "Oral Health Promotion under the 8020 Campaign in Japan—A Systematic Review," IJERPH, MDPI, vol. 20(3), pages 1-22, January.
    5. Carolina Marques Borges & Meghna Krishnamurthy, 2022. "Are We Getting Any Better? A Critical Analysis of Selected Healthy People 2020 Oral Health Indicators in 1999–2004 and 2013–2016, USA," IJERPH, MDPI, vol. 19(9), pages 1-15, April.
    6. Ye Seol Lee & Juyeong Kim & Yoon Soo Choy & Eunkyong Kim & Jaehyun Yoo, 2021. "Change in Denture Procedures after Implementation of National Health Insurance Coverage for the Elderly in Korea: A Nationwide Database," IJERPH, MDPI, vol. 18(5), pages 1-10, February.
    7. Kyeung-Ae Jang & Yu-Rin Kim, 2022. "Effect of Korean Dental Hygienists’ Experiences Related to the Elderly on Their Perception of Human Rights Violations of the Elderly: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(6), pages 1-12, March.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:29:y:2020:i:17-18:p:3392-3402. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.