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Open Access 01-12-2023 | Care | Research

Factors associated with nurses’ attitudes for providing oral care in geriatric care facilities: a cross-sectional study

Authors: Mengxia Chen, Yanqiu Weng, Jingwen Zhang, Liyan Gu, Wenyao Chen, Mengting Qiao, Mengdi Wang, Xiaorong Huang, Lan Chen, Lingjuan Zhang

Published in: BMC Oral Health | Issue 1/2023

Abstract

Background

The world’s population is getting older. This issue is accompanied by a rise in the number of older people suffering from dementia and disability, for whom oral hygiene care is challenging. Nurses’ attitudes toward providing oral care (POC) are critical for the elderly, while few studies have investigated the determinant factors of nurses’ attitudes by identifying the current work pressure, resilience and self-efficacy in geriatric care facilities (GCFs). It is of great significance to explore the nurses’ attitudes toward POC and associated influencing factors related to psychological aspects including resilience, self-efficacy, and stress from the workplace.

Methods

Attitudes for Providing Mouth Care (A-PMC) in Chinese version were used in this cross-sectional study with 160 nurses in 2 GCFs. Data were collected using online questionnaires and analyzed by multiple linear regression analysis. Statistically significant values were considered at p < 0.05.

Results

A total of 160 nurses participated in this study, with an average age of 32.86 ± 7.43. The mean score for the A-PMC was 2.81 ± 0.47. The score of A-PMC was negatively correlated with work pressure (r=-0.332, p < 0.01), and positively correlated with resilience (r = 0.735, p < 0.01) and self-efficacy (r = 0.425, p < 0.01) respectively. Multiple linear regression analyses identified that the potential influencing factors of A-PMC were education background, work hours every shift, self-efficacy, work pressure and resilience.

Conclusions

The study results indicate nurses’ attitudes regarding PMC were at a low level, which is influenced by many factors. To improve nurses’ attitudes toward PMC and the oral hygiene (OH) of the elderly in GCFs, it is necessary to increase nurses’ education and training, establish a reasonable and effective incentive mechanism to improve nurses’ work motivation and other intervention measures to reduce work pressure.

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World Population Prospects—Population Division—United Nations. (n.d.). Retrieved September 7, 2023, from https://population.un.org/wpp/Download/Standard/Population/.

Total Population Declines Slightly, Urbanization Levels Continue to Increase - National Bureau of Statistics. (n.d.). Retrieved September 7., 2023, from http://www.stats.gov.cn/sj/sjjd/202302/t20230202_1896742.html.

Klotz A-L, Hassel AJ, Schröder J, Rammelsberg P, Zenthöfer A. Is compromised oral health associated with a greater risk of mortality among nursing home residents? A controlled clinical study. Aging Clin Exp Res. 2018;30(6):581–8. https://doi.org/10.1007/s40520-017-0811-y.CrossRefPubMed

Global., Regional, and National Prevalence, Incidence, and Disability-Adjusted Life Years for Oral Conditions for 195 Countries, 1990–2015: A Systematic Analysis for the Global Burden of Diseases, Injuries, and Risk Factors. (n.d.). https://doi.org/10.1177/0022034517693566.

Janssens B, De Visschere L, Van Der Putten G-J, De Lugt-Lustig K, Schols JMGA, Vanobbergen J. Effect of an oral healthcare protocol in nursing homes on care staffs’ knowledge and attitude towards oral health care: a cluster-randomised controlled trial. Gerodontology. 2016;33(2):275–86. https://doi.org/10.1111/ger.12164.CrossRefPubMed

Red A, O’Neal PV. (2020). Implementation of an evidence-based oral care protocol to improve the delivery of Mouth Care in nursing home residents. J Gerontol Nurs, 46(5).

Tarrant T, Sabo CE. Role conflict, role ambiguity, and job satisfaction in nurse executives. Nurs Adm Q. 2010;34(1):72–82. https://doi.org/10.1097/NAQ.0b013e3181c95eb5.CrossRefPubMed

De Lugt-Lustig KHME, Vanobbergen JNO, Van Der Putten G-J, De Visschere LMJ, Schols JMGA, De Baat C. Effect of oral healthcare education on knowledge, attitude and skills of care home nurses: a systematic literature review. Commun Dent Oral Epidemiol. 2014;42(1):88–96. https://doi.org/10.1111/cdoe.12063.CrossRef

Weening-Verbree L, Huisman-de Waal G, Van Dusseldorp L, Van Achterberg T, Schoonhoven L. Oral health care in older people in long term care facilities: a systematic review of implementation strategies. Int J Nurs Stud. 2013;50(4):569–82. https://doi.org/10.1016/j.ijnurstu.2012.12.004.CrossRefPubMed

10.

Gu L, Chen L, Li X, Chen W, Zhang L. Self-efficacy and attitudes of nurses providing oral care in geriatric care facilities: a cross‐sectional study in Shanghai. Nurs Open. 2022;10(1):202–7. https://doi.org/10.1002/nop2.1295.CrossRefPubMedPubMedCentral

11.

Hoben M, Clarke A, Huynh KT, Kobagi N, Kent A, Hu H, Pereira RAC, Xiong T, Yu K, Xiang H, Yoon MN. Barriers and facilitators in providing oral care to nursing home residents, from the perspective of care aides: a systematic review and meta-analysis. Int J Nurs Stud. 2017;73:34–51. https://doi.org/10.1016/j.ijnurstu.2017.05.003.CrossRefPubMed

12.

Göstemeyer G, Baker SR, Schwendicke F. Barriers and facilitators for provision of oral health care in dependent older people:a systematic review. Clin Oral Invest. 2019;23(3):979–93. https://doi.org/10.1007/s00784-019-02812-4.CrossRef

13.

Lauritano D, Moreo G, Della Vella F, Di Stasio D, Carinci F, Lucchese A, Petruzzi M. Oral Health Status and need for oral care in an Aging Population: a systematic review. Int J Environ Res Public Health. 2019;16(22):4558. https://doi.org/10.3390/ijerph16224558.CrossRefPubMedPubMedCentral

14.

Willumsen T, Karlsen L, Naess R, Bjørntvedt S. Are the barriers to good oral hygiene in nursing homes within the nurses or the patients? Barriers to oral hygiene in nursing. Gerodontology. 2012;29(2):e748–55. https://doi.org/10.1111/j.1741-2358.2011.00554.x.CrossRefPubMed

15.

Unfer B, Braun KO, De Oliveira Ferreira AC, Ruat GR, Batista AK. Challenges and barriers to quality oral care as perceived by caregivers in long-stay institutions in Brazil: challenges and barriers to quality oral care. Gerodontology. 2012;29(2):e324–30. https://doi.org/10.1111/j.1741-2358.2011.00475.x.CrossRefPubMed

16.

Tabakakis C (Kosta), McAllister M, Bradshaw J, To QG, editors. (2019). Psychological resilience in New Zealand registered nurses: The role of workplace characteristics. Journal of Nursing Management, 27(7), 1351–1358. https://doi.org/10.1111/jonm.12815.

17.

Orgambídez A, Borrego Y, Vázquez-Aguado O. Self‐efficacy and organizational commitment among Spanish nurses: the role of work engagement. Int Nurs Rev. 2019;66(3):381–8. https://doi.org/10.1111/inr.12526.CrossRefPubMed

18.

Wretman CJ, Zimmerman S, Ward K, Sloane PD. Measuring self-efficacy and attitudes for providing Mouth Care in nursing homes. J Am Med Dir Assoc. 2020;21(9):1316–21. https://doi.org/10.1016/j.jamda.2020.02.007.CrossRefPubMed

19.

Yang C, Xia M, Han M, Liang Y. Social Support and Resilience as mediators between stress and life satisfaction among people with Substance Use Disorder in China. Front Psychiatry. 2018;9:436. https://doi.org/10.3389/fpsyt.2018.00436.CrossRefPubMedPubMedCentral

20.

Connor KM, Davidson JRT. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003;18(2):76–82. https://doi.org/10.1002/da.10113.CrossRefPubMed

21.

Deng M, Pan Y, Zhou L, Chen X, Liu C, Huang X, Tao H, Pu W, Wu G, Hu X, He Z, Xue Z, Liu Z, Rosenheck R. Resilience and cognitive function in patients with Schizophrenia and Bipolar Disorder, and Healthy Controls. Front Psychiatry. 2018;9:279. https://doi.org/10.3389/fpsyt.2018.00279.CrossRefPubMedPubMedCentral

22.

Li X, Liu Y. A study of work stressors and work fatigue among nurses. Chin J Nurs. 2000;11:4–8. https://kns.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD. &dbname=CJFD2000&filename=ZHHL200011000&v=.

23.

Gray-Toft P, Anderson JG. Stress among hospital nursing staff: its causes and effects. Social Sci Med Part A: Med Psychol Med Sociol. 1981;15(5):639–47. https://doi.org/10.1016/0271-7123(81)90087-0.CrossRef

24.

Michalak P, Polak-Szlósarczyk P, Dyduch-Dudek W, Zarzecka-Francica E, Styrna M, Czekaj Ł, Zarzecka J. Oral health of Elderly people in Institutionalized Care and three-Month Rehabilitation Programme in Southern Poland: a case-control study. Int J Environ Res Public Health. 2022;19(9):4994. https://doi.org/10.3390/ijerph19094994.CrossRefPubMedPubMedCentral

25.

Aiken LH, Sermeus W, Van den Heede K, Sloane DM, Busse R, McKee M, Bruyneel L, Rafferty AM, Griffiths P, Moreno-Casbas MT, Tishelman C, Scott A, Brzostek T, Kinnunen J, Schwendimann R, Heinen M, Zikos D, Sjetne IS, Smith HL, Kutney-Lee A. Patient safety, satisfaction, and quality of hospital care: Cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. The BMJ. 2012;344:e1717. https://doi.org/10.1136/bmj.e1717.CrossRefPubMedPubMedCentral

26.

Weening-Verbree LF, Schuller DAA, Cheung S-L, Zuidema, Prof. Dr. S. U., Schans, Prof. Dr. C. P. V. D., Hobbelen DJS. M. (2021). Barriers and facilitators of oral health care experienced by nursing home staff. Geriatric Nursing, 42(4), 799–805. https://doi.org/10.1016/j.gerinurse.2021.04.012.

27.

Gopalakrishnan A, Kahu E, Jones L, Brunton P. Access and barriers to oral health care for dependent elderly people living in rest homes. Gerodontology. 2019;36(2):149–55. https://doi.org/10.1111/ger.12392.CrossRefPubMed

28.

Chen L, Gu L, Li X, Chen W, Zhang L. Translation, cross-cultural adaptation, and validation of the Chinese version of self-efficacy and attitudes for providing Mouth Care scale. PLoS ONE. 2022;17(7):e0271800. https://doi.org/10.1371/journal.pone.0271800.CrossRefPubMedPubMedCentral

29.

Ibrahim NK, Alwafi HA, Sangoof SO, Turkistani AK, Alattas BM. Cross-infection and Infection control in dentistry: knowledge, attitude and practice of patients attended dental clinics in King Abdulaziz University Hospital, Jeddah, Saudi Arabia. J Infect Public Health. 2017;10(4):438–45. https://doi.org/10.1016/j.jiph.2016.06.002.CrossRefPubMed

30.

Spinler K, Kofahl C, Ungoreit E, Heydecke G, Dingoyan D, Aarabi G. Access barriers to Dental Treatment and Prevention for Turkish migrants in Germany – A qualitative survey. Front Public Health. 2022;10:862832. https://doi.org/10.3389/fpubh.2022.862832.CrossRefPubMedPubMedCentral

31.

Wang H, Xu G, Liang C, Li Z. Coping with job stress for hospital nurses during the COVID-19 crisis: the joint roles of micro‐breaks and psychological detachment. J Nurs Adm Manag. 2022;30(7):2116–25. https://doi.org/10.1111/jonm.13431.CrossRef

32.

Wang L, Chen H, Wan Q, Cao T, Dong X, Huang X, Lu H, Shang S. Effects of self-rated workload and nurse staffing on work engagement among nurses: a cross‐sectional survey. J Nurs Adm Manag. 2021;29(5):1329–37. https://doi.org/10.1111/jonm.13274.CrossRef

33.

Iwanow L, Jaworski M, Gotlib J, Panczyk M. A model of factors determining nurses’ attitudes towards learning communicative competences. Int J Environ Res Public Health. 2021;18(4):1544. https://doi.org/10.3390/ijerph18041544.CrossRefPubMedPubMedCentral

34.

Yang Z, Liu S, Dai M, Zhang H. Knowledge, attitude and practice of advance care planning among nursing interns: a mixed-methods approach. Nurse Educ Pract. 2021;56:103183. https://doi.org/10.1016/j.nepr.2021.103183.CrossRefPubMed

35.

Lisbona A, Palaci F, Salanova M. The effects of work engagement and self-efficacy on personal initiative and performance. Psicothema. 2018;301:89–96. https://doi.org/10.7334/psicothema2016.245.CrossRef

36.

Wuttke-Linnemann A, Palm S, Scholz L, Geschke K, Fellgiebel A. Introduction and psychometric validation of the resilience and strain questionnaire (ResQ-Care)—A scale on the ratio of Informal caregivers’ resilience and stress factors. Front Psychiatry. 2021;12:778633. https://doi.org/10.3389/fpsyt.2021.778633.CrossRefPubMedPubMedCentral

37.

Sinvani R-T, Fogel-Grinvald H, Afek A, Ben-Avraham R, Davidov A, Cohen NB, Yehuda B, Nahum A, M., Gilboa Y. Ecological momentary Mood, Resilience, and Mental Health Status as predictors of Quality of Life among Young adults under stress: a structural equation modeling analysis. Front Psychiatry. 2021;12:672397. https://doi.org/10.3389/fpsyt.2021.672397.CrossRefPubMedPubMedCentral

38.

Cho E, Sloane DM, Kim E-Y, Kim S, Choi M, Yoo IY, Lee HS, Aiken LH. Effects of nurse staffing, work environments, and education on patient mortality: an observational study. Int J Nurs Stud. 2015;52(2):535–42. https://doi.org/10.1016/j.ijnurstu.2014.08.006.CrossRefPubMed

Title: Factors associated with nurses’ attitudes for providing oral care in geriatric care facilities: a cross-sectional study
Authors: Mengxia Chen
Yanqiu Weng
Jingwen Zhang
Liyan Gu
Wenyao Chen
Mengting Qiao
Mengdi Wang
Xiaorong Huang
Lan Chen
Lingjuan Zhang
Publication date: 01-12-2023
Publisher: BioMed Central
Keyword: Care
Published in: BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI: https://doi.org/10.1186/s12903-023-03517-7

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Factors associated with nurses’ attitudes for providing oral care in geriatric care facilities: a cross-sectional study

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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