Implementing and Evaluating the Impact of a Nurse-Led Oral Care Initiative.

Abstract:

BACKGROUND:Nursing interventions in oral hygiene have been shown to be important for health promotion and illness prevention. This medical center advanced a registered nurse (RN)-led oral health initiative to introduce and standardize oral care practices. PROBLEM:To examine the impact of the oral health initiative, we conducted an evaluation of documentation trends among RNs and the effect of the initiative on patients' oral health during hospitalization. APPROACH:We used a single-group pretest-posttest design and drew a sample of all inpatients who were admitted to the medical center from October 1 through December 31, 2017. OUTCOMES:Of the 13 303 patients admitted, the empirical evidence demonstrates 99.5% compliance in documentation at admission and discharge. Among 13 237 patients, there was improvement in patients' oral health during hospitalization (-0.03, P < .001), especially those initially assessed with moderate or severe dysfunction. CONCLUSIONS:The oral health initiative standardized assessment and care practices that have improved outcomes in patients' oral hygiene.

journal_name

J Nurs Care Qual

authors

Castillo DH,Smith DJ,Rosenfeld P

doi

10.1097/NCQ.0000000000000426

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

123-129

issue

2

eissn

1057-3631

issn

1550-5065

pii

00001786-202004000-00005

journal_volume

35

pub_type

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