Barbara Janssens1,2,3, Luc De Visschere1,2,3, Gert-Jan van der Putten1,4,5,6, Kersti de Lugt-Lustig1,6,7, Jos M G A Schols1,8, Jacques Vanobbergen1,2,3. 1. BENECOMO, Flemish-Netherlands Geriatric Oral Research Group, Ghent, Belgium. 2. BENECOMO, Flemish-Netherlands Geriatric Oral Research Group, Nijmegen, The Netherlands. 3. Community Dentistry and Oral Public Health, Dental School, Ghent University, Ghent, Belgium. 4. Birkhoven Zorggoed, Amersfoort, The Netherlands. 5. University of Applied Sciences, Utrecht, The Netherlands. 6. Department of Oral Function and Prosthetic Dentistry, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. 7. Naarderheem, Vivium Zorggroep, Huizen, The Netherlands. 8. Caphri, Departments of Family Medicine and Health Services Research, Maastricht University, Maastricht, The Netherlands.
Abstract
OBJECTIVE: To explore the impact of a supervised implementation of an oral healthcare protocol, in addition to education, on nurses' and nurses' aides' oral health-related knowledge and attitude. MATERIALS AND METHODS: A random sample of 12 nursing homes, accommodating a total of 120-150 residents, was obtained using stratified cluster sampling with replacement. The intervention included the implementation of an oral healthcare protocol and three different educational stages. One of the investigators supervised the implementation process, supported by a dental hygienist. A 34-item questionnaire was developed and validated to evaluate the knowledge and attitude of nurses and nurses' aides at baseline and 6 months after the start of the intervention. Linear mixed-model analyses were performed to explore differences in knowledge and attitude at 6 months after implementation. RESULTS: At baseline, no significant differences were observed between the intervention and the control group for both knowledge (p = 0.42) and attitude (p = 0.37). Six months after the start of the intervention, significant differences were found between the intervention and the control group for the variable knowledge in favour of the intervention group (p < 0.0001) but not for the variable attitude (p = 0.78). Out of the mixed model with attitude as the dependent variable, it can be concluded that age (p = 0.031), educational level (p = 0.009) and ward type (p = 0.014) have a significant effect. The mixed model with knowledge as the dependent variable resulted in a significant effect of the intervention (p = 0.001) and the educational level (p = 0.009). CONCLUSION: The supervised implementation of an oral healthcare protocol significantly increased the knowledge of nurses and nurses' aides. In contrast, no significant improvements could be demonstrated in attitude.
RCT Entities:
OBJECTIVE: To explore the impact of a supervised implementation of an oral healthcare protocol, in addition to education, on nurses' and nurses' aides' oral health-related knowledge and attitude. MATERIALS AND METHODS: A random sample of 12 nursing homes, accommodating a total of 120-150 residents, was obtained using stratified cluster sampling with replacement. The intervention included the implementation of an oral healthcare protocol and three different educational stages. One of the investigators supervised the implementation process, supported by a dental hygienist. A 34-item questionnaire was developed and validated to evaluate the knowledge and attitude of nurses and nurses' aides at baseline and 6 months after the start of the intervention. Linear mixed-model analyses were performed to explore differences in knowledge and attitude at 6 months after implementation. RESULTS: At baseline, no significant differences were observed between the intervention and the control group for both knowledge (p = 0.42) and attitude (p = 0.37). Six months after the start of the intervention, significant differences were found between the intervention and the control group for the variable knowledge in favour of the intervention group (p < 0.0001) but not for the variable attitude (p = 0.78). Out of the mixed model with attitude as the dependent variable, it can be concluded that age (p = 0.031), educational level (p = 0.009) and ward type (p = 0.014) have a significant effect. The mixed model with knowledge as the dependent variable resulted in a significant effect of the intervention (p = 0.001) and the educational level (p = 0.009). CONCLUSION: The supervised implementation of an oral healthcare protocol significantly increased the knowledge of nurses and nurses' aides. In contrast, no significant improvements could be demonstrated in attitude.
Authors: Lina F Weening-Verbree; Annemarie A Schuller; Sytse U Zuidema; Johannes S M Hobbelen Journal: Int J Environ Res Public Health Date: 2022-06-13 Impact factor: 4.614
Authors: Vanessa R Y Hollaar; Gert-Jan van der Putten; Claar D van der Maarel-Wierink; Ewald M Bronkhorst; Bert J M de Swart; Nico H J Creugers Journal: BMC Geriatr Date: 2017-06-19 Impact factor: 3.921
Authors: Barbara Janssens; Jacques Vanobbergen; Mirko Petrovic; Wolfgang Jacquet; Jos Mga Schols; Luc De Visschere Journal: PLoS One Date: 2018-06-12 Impact factor: 3.240