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Published in: BMC Oral Health 1/2020

01-12-2020 | Denture | Research article

Factors associated with nurses’ performance of oral assessments and dental referrals for hospital inpatients

Authors: Satoru Haresaku, Souhei Uchida, Hisae Aoki, Kazuyuki Akinaga, Rie Yoshida, Keiko Kubota, Toru Naito

Published in: BMC Oral Health | Issue 1/2020

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Abstract

Background

Nurses’ oral assessment and dental referral performance for inpatients are important to provide appropriate oral care services in hospitals. The purpose of this study was to investigate the knowledge, attitudes, and performance of oral assessments and dental referrals for their inpatients among nurses and to identify factors associated with that performance to promote oral health care in hospitals.

Methods

All nurses (n = 919) who worked at five hospitals in Japan were recruited as responders. A questionnaire regarding their performance of oral assessments and dental referrals was distributed to the subjects in each hospital. The data were collected from August 2018 to September 2018.

Results

A total of 757 (82.4%) nurses (82 males and 675 females) responded to the questionnaire. With respect to each of the 8 oral assessment categories, 16.2–41.2% of the nurses performed oral assessments for more than 50% of their inpatients, and 20.3–29.9% had encouraged more than one inpatient to see a dentist within the previous 3 months. Significant differences were found by ward and hospital in their performance of oral assessments for inpatients. Additionally, their oral assessment performance, knowledge of the usage of oral assessment tools, wards, and hospitals were significantly associated with their dental referral performance.

Conclusions

The performance of oral assessment and dental referral was not developed sufficiently in the hospitals. Thus, oral health professionals should support oral assessment education for nurses, including usage of assessment tools, to promote dental referral by nurses. These results may contribute to promotion of dental referral performance by nurses and provision of oral health care by oral health professionals for hospital inpatients.
Literature
1.
go back to reference van der Maarel-Wierink CD, Vanobbergen JN, Bronkhorst EM, Schols JM, de Baat C. Oral health care and aspiration pneumonia in frail older people: a systematic literature review. Gerodontology. 2013;30:3–9.CrossRef van der Maarel-Wierink CD, Vanobbergen JN, Bronkhorst EM, Schols JM, de Baat C. Oral health care and aspiration pneumonia in frail older people: a systematic literature review. Gerodontology. 2013;30:3–9.CrossRef
2.
go back to reference Soutome S, Yanamoto S, Funahara M, Hasegawa T, Komori T, Yamada SI, et al. Effect of perioperative oral care on prevention of postoperative pneumonia associated with esophageal cancer surgery: A multicenter case-control study with propensity score matching analysis. Medicine (Baltimore). 2017. https://doi.org/10.1097/MD.0000000000007436. Soutome S, Yanamoto S, Funahara M, Hasegawa T, Komori T, Yamada SI, et al. Effect of perioperative oral care on prevention of postoperative pneumonia associated with esophageal cancer surgery: A multicenter case-control study with propensity score matching analysis. Medicine (Baltimore). 2017. https://​doi.​org/​10.​1097/​MD.​0000000000007436​.
3.
go back to reference Hua F, Xie H, Worthington HV, Furness S, Zhang Q, Li C. Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia. Cochrane Database Syst Rev. 2016;10:CD008367.PubMed Hua F, Xie H, Worthington HV, Furness S, Zhang Q, Li C. Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia. Cochrane Database Syst Rev. 2016;10:CD008367.PubMed
4.
go back to reference Kubota K, Kobayashi W, Sakaki H, Nakagawa H, Kon T, Mimura M, et al. Professional oral health care reduces oral mucositis pain in patients treated by superselective intra-arterial chemotherapy concurrent with radiotherapy for oral cancer. Support Care Cancer. 2017;23:3323–9.CrossRef Kubota K, Kobayashi W, Sakaki H, Nakagawa H, Kon T, Mimura M, et al. Professional oral health care reduces oral mucositis pain in patients treated by superselective intra-arterial chemotherapy concurrent with radiotherapy for oral cancer. Support Care Cancer. 2017;23:3323–9.CrossRef
5.
go back to reference Japanese Dental Association, Japanese Agency for Dental Research. Survey on dental involvement in team approach at hospital (in Japanese). http://www.jda.or.jp/text/teamiryo_h2303.pdf. Accessed 10 Jan 2019. Japanese Dental Association, Japanese Agency for Dental Research. Survey on dental involvement in team approach at hospital (in Japanese). http://​www.​jda.​or.​jp/​text/​teamiryo_​h2303.​pdf.​ Accessed 10 Jan 2019.
6.
go back to reference Nitschke I, Müller F, Hopfenmüller W. The uptake of dental care by elderly Germans. Gerodontology. 2001;18:114–20.CrossRef Nitschke I, Müller F, Hopfenmüller W. The uptake of dental care by elderly Germans. Gerodontology. 2001;18:114–20.CrossRef
7.
go back to reference Eilers J, Berger AM, Petersen MC. Development, testing, and application of the oral assessment guide. Oncol Nurs Forum. 1988;15:325–30.PubMed Eilers J, Berger AM, Petersen MC. Development, testing, and application of the oral assessment guide. Oncol Nurs Forum. 1988;15:325–30.PubMed
8.
go back to reference Andersson P, Hallberg IR, Renvert S. Inter-rater reliability of an oral assessment guide for elderly patients residing in a rehabilitation ward. Spec Care Dentist. 2002;22:181–6.CrossRef Andersson P, Hallberg IR, Renvert S. Inter-rater reliability of an oral assessment guide for elderly patients residing in a rehabilitation ward. Spec Care Dentist. 2002;22:181–6.CrossRef
9.
go back to reference Chalmers JM, King PL, Spencer AJ, Wright FA, Carter KD. The oral health assessment tool--validity and reliability. Aust Dent J. 2005;50:191–9.CrossRef Chalmers JM, King PL, Spencer AJ, Wright FA, Carter KD. The oral health assessment tool--validity and reliability. Aust Dent J. 2005;50:191–9.CrossRef
10.
go back to reference Tsukada S, Ito K, Stegaroiu R, Shibata S, Ohuchi A. An oral health and function screening tool for nursing personnel of long-term care facilities to identify the need for dentist referral without preliminary training. Gerodontology. 2017;34:232–9.CrossRef Tsukada S, Ito K, Stegaroiu R, Shibata S, Ohuchi A. An oral health and function screening tool for nursing personnel of long-term care facilities to identify the need for dentist referral without preliminary training. Gerodontology. 2017;34:232–9.CrossRef
11.
go back to reference Aoki T, Kudo M, Endo M, Nakayama Y, Amano A, Naito M, Ota Y. Inter-rater reliability of the oral assessment guide for oral cancer patients between nurses and dental hygienists: the difficulties in objectively assessing oral health. Support Care Cancer. 2018. https://doi.org/10.1007/s00520-018-4412-x. Aoki T, Kudo M, Endo M, Nakayama Y, Amano A, Naito M, Ota Y. Inter-rater reliability of the oral assessment guide for oral cancer patients between nurses and dental hygienists: the difficulties in objectively assessing oral health. Support Care Cancer. 2018. https://​doi.​org/​10.​1007/​s00520-018-4412-x.
12.
go back to reference Haresaku S, Aoki H, Makino M, Monji M, Kansui A, Kubota K, et al. Practices, attitudes, and confidence of nurses in the performance of Oral health checkups for elderly patients in a Japanese hospital. Oral Health Prev Dent. 2018;16:517–24.PubMed Haresaku S, Aoki H, Makino M, Monji M, Kansui A, Kubota K, et al. Practices, attitudes, and confidence of nurses in the performance of Oral health checkups for elderly patients in a Japanese hospital. Oral Health Prev Dent. 2018;16:517–24.PubMed
13.
14.
go back to reference Shimoda A, Soh J, Ashiba T, Murata N, Fukuda T, Kobayashi M, et al. Cross-sectoral approach of a perioperative management center for general thoracic surgery. Kyobu Geka. 2016;69:20–4 (In Japanese).PubMed Shimoda A, Soh J, Ashiba T, Murata N, Fukuda T, Kobayashi M, et al. Cross-sectoral approach of a perioperative management center for general thoracic surgery. Kyobu Geka. 2016;69:20–4 (In Japanese).PubMed
15.
go back to reference Akamatsu J, Kishi M, Abe A, Kumagai Y, Takahashi N, Aoki R, et al. Role and challenges of oral health care clinic cooperation between medical and dental departments in Iwate Medical University Hospital. J Iwate Med Un. 2015;40:85–92 (In Japanese). Akamatsu J, Kishi M, Abe A, Kumagai Y, Takahashi N, Aoki R, et al. Role and challenges of oral health care clinic cooperation between medical and dental departments in Iwate Medical University Hospital. J Iwate Med Un. 2015;40:85–92 (In Japanese).
16.
go back to reference Mori T, Koshinuma S, Yamada S, Watanabe Y, Murakami S, Noi M, et al. Characteristics of oral care system in Shiga University of Medical Science Hospital. J Shiga Univ Med Sci. 2017;30:33–7 (In Japanese). Mori T, Koshinuma S, Yamada S, Watanabe Y, Murakami S, Noi M, et al. Characteristics of oral care system in Shiga University of Medical Science Hospital. J Shiga Univ Med Sci. 2017;30:33–7 (In Japanese).
17.
go back to reference Ministry of Health, Labour and Welfare. Report on the survey of dental diseases 2016. http://www.mhlw.go.jp/toukei/list/62–28.html. Accessed 10 Jan 2019. Ministry of Health, Labour and Welfare. Report on the survey of dental diseases 2016. http://​www.​mhlw.​go.​jp/​toukei/​list/​62–28.html. Accessed 10 Jan 2019.
19.
go back to reference Carrizales-Sepúlveda EF, Ordaz-Farías A, Vera-Pineda R, Flores-Ramírez R. Periodontal disease, systemic inflammation and the risk of cardiovascular disease. Heart Lung Circ. 2018;27:1327–34.CrossRef Carrizales-Sepúlveda EF, Ordaz-Farías A, Vera-Pineda R, Flores-Ramírez R. Periodontal disease, systemic inflammation and the risk of cardiovascular disease. Heart Lung Circ. 2018;27:1327–34.CrossRef
20.
go back to reference Scannapieco FA. Role of oral bacteria in respiratory infection. J Periodontol. 1999;70:793–802.CrossRef Scannapieco FA. Role of oral bacteria in respiratory infection. J Periodontol. 1999;70:793–802.CrossRef
21.
go back to reference Bostanci N, Selevsek N, Wolski W, Grossmann J, Bao K, Wahlander A, et al. Targeted proteomics guided by label-free quantitative proteome analysis in saliva reveal transition signatures from health to periodontal disease. Mol Cell Proteomics. 2018;17:1392–409.CrossRef Bostanci N, Selevsek N, Wolski W, Grossmann J, Bao K, Wahlander A, et al. Targeted proteomics guided by label-free quantitative proteome analysis in saliva reveal transition signatures from health to periodontal disease. Mol Cell Proteomics. 2018;17:1392–409.CrossRef
22.
go back to reference LeHew CW, Epstein JB, Kaste LM, Choi YK. Assessing oral cancer early detection: clarifying dentists’ practices. J Public Health Dent. 2010;70:93–100.PubMed LeHew CW, Epstein JB, Kaste LM, Choi YK. Assessing oral cancer early detection: clarifying dentists’ practices. J Public Health Dent. 2010;70:93–100.PubMed
23.
go back to reference McBeth CL, Montes RS, Powne A, North SE, Natale JE. Interprofessional approach to the sustained reduction in ventilator-associated pneumonia in a pediatric intensive care unit. Crit Care Nurse. 2018;38:36–45.CrossRef McBeth CL, Montes RS, Powne A, North SE, Natale JE. Interprofessional approach to the sustained reduction in ventilator-associated pneumonia in a pediatric intensive care unit. Crit Care Nurse. 2018;38:36–45.CrossRef
25.
go back to reference Lambert R, Sauvaget C, de Camargo Cancela M, Sankaranarayanan R. Epidemiology of cancer from the oral cavity and oropharynx. Eur J Gastroenterol Hepatol. 2011;23:633–41.CrossRef Lambert R, Sauvaget C, de Camargo Cancela M, Sankaranarayanan R. Epidemiology of cancer from the oral cavity and oropharynx. Eur J Gastroenterol Hepatol. 2011;23:633–41.CrossRef
26.
go back to reference Cohen J, Wakefield CE, Laing DG. Smell and taste disorders resulting from Cancer and chemotherapy. Curr Pharm Des. 2016;22:2253–63.CrossRef Cohen J, Wakefield CE, Laing DG. Smell and taste disorders resulting from Cancer and chemotherapy. Curr Pharm Des. 2016;22:2253–63.CrossRef
27.
go back to reference Kossioni AE, Hajto-Bryk J, Janssens B, Maggi S, Marchini L, McKenna G, et al. Practical guidelines for physicians in promoting Oral health in frail older adults. J Am Med Dir Assoc. 2018;19:1039–46.CrossRef Kossioni AE, Hajto-Bryk J, Janssens B, Maggi S, Marchini L, McKenna G, et al. Practical guidelines for physicians in promoting Oral health in frail older adults. J Am Med Dir Assoc. 2018;19:1039–46.CrossRef
28.
go back to reference Ogawa N, Teraoka K, Shougoroue O. A survey of oral area training in nursing education institutions. Japanese J Gerodontol. 1993;8:29–36. Ogawa N, Teraoka K, Shougoroue O. A survey of oral area training in nursing education institutions. Japanese J Gerodontol. 1993;8:29–36.
29.
go back to reference Miyatake Y, Kazama M, Isoda M, Nejima J. Internal medicine education in dentistry: knowledge required varies according to dental specialty. Eur J Dent Educ. 2004;8:18–23.CrossRef Miyatake Y, Kazama M, Isoda M, Nejima J. Internal medicine education in dentistry: knowledge required varies according to dental specialty. Eur J Dent Educ. 2004;8:18–23.CrossRef
Metadata
Title
Factors associated with nurses’ performance of oral assessments and dental referrals for hospital inpatients
Authors
Satoru Haresaku
Souhei Uchida
Hisae Aoki
Kazuyuki Akinaga
Rie Yoshida
Keiko Kubota
Toru Naito
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
Denture
Published in
BMC Oral Health / Issue 1/2020
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-020-1058-0

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