A pilot study on the feasibility of training nurses to formulate multicomponent oral health interventions in a residential aged care facility

Alan Deutsch, Emma Siegel, Monica Cations, Clive Wright, Vasi Naganathan, Henry Brodaty

    Research output: Contribution to journalArticlepeer-review

    4 Citations (Scopus)

    Abstract

    Objectives: This 10 weeks feasibility study investigated whether residential care nurses with 12 hours advanced oral health training in assessments and saliva testing could formulate, implement and monitor individualised oral care plans of early dementia residents. Method: Four trained lead advocate nurses using SXI-D, OHIP14, oral health assessment tool (OHAT) assessments and a modified saliva test formulated nurse scheduled comprehensive oral care plans (NSCOCPs) by selecting and scheduling preventive products and procedures multiple times throughout the day to alkalise the mouth of 8 residents as an adjunct to assisted brushing and high-fluoride toothpaste. Results: Nurse assessments, saliva tests and care plans were validated against oral health therapist (OHT) findings. Care plan agreement between Nurse and OHT intervention selection and scheduling was high (75%-88%). Untrained nurse compliance was very high, 86%-99% for the 4930 scheduled interventions. Untrained nurses delivered multiple scheduled interventions by following NSCOCPs despite initially not understanding the reason for each of 9 interventions categories. NSCOCPs could track and monitor whether a recommended intervention had been completed by general nursing staff over 3 nursing shifts. Conclusion: The role of nurses may have to be expanded beyond traditional roles to meet the growth and changes in oral health needs in residential facilities. Intensive training of a few lead advocate nurses to assess risk and formulate individualised NSCOCPs provides a method to transfer knowledge to untrained staff and deliver multicomponent preventive interventions soon after entry into residential care where timely visits by dental professionals to examine residents and prescribe preventive interventions are infrequent or unlikely.

    Original languageEnglish
    Pages (from-to)469-478
    Number of pages10
    JournalGerodontology
    Volume34
    Issue number4
    Early online date2017
    DOIs
    Publication statusPublished - Dec 2017

    Keywords

    • dementia
    • multicomponent interventions
    • nurse
    • oral health
    • residential oral care plans

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