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Gerodontology. 2015 Jun;32(2):115-22. doi: 10.1111/ger.12062. Epub 2013 Jun 20.

The integration of oral health care into day-to-day care in nursing homes: a qualitative study.

Author information

1
Community Dentistry and Oral Public Health, Dental School, Ghent University, Ghent, Belgium.
2
BENECOMO, Flemish-Netherlands Geriatric Oral Research Group, Ghent, Belgium, Nijmegen, The Netherlands.
3
Department of Oral Function and Prosthetic Dentistry, Radboud University Nijmegen Medical Centre, The Netherlands.
4
University of Applied Sciences, Utrecht, The Netherlands.
5
The Opbouw Foundation Birkhoven Zorggoed Soesterweg 533, Amersfoort, The Netherlands.
6
Pharmaceutical Care Unit, Faculty of Pharmaceutical Sciences, Ghent University, Ghent, Belgium.
7
Department of Oral Public Health Faculty of Odontology, Malmö University, Malmo, Sweden.

Abstract

OBJECTIVE:

This qualitative study explored barriers and enabling factors to the implementation of an oral hygiene protocol in nursing homes.

BACKGROUND:

Oral health care in nursing homes in Flanders (Belgium) is inadequate.

MATERIALS AND METHODS:

Qualitative data were obtained from nurses employed in 13 nursing homes involved in two randomised controlled trials in Flanders-Belgium. Data were collected by focus group and face-to-face interviews during April 2005 and December 2009. All transcripts were analysed with support of NVivo 8 (Version 2008). Transcripts were intuitively analysed in a two-step method.

RESULTS:

Most revealed barriers were consistent with previous findings in the literature. Newly reported barriers were respect for residents' self-determination, experience based oral health care by nurses, residents' oral health status and nurses' inability to notice residents' oral health status. Demand-driven oral health care was found to be a strong enabling factor.

CONCLUSION:

The integration of oral health care into day-to-day care seems to be a major problem due to a multitude of barriers. In future implementation innovations in oral health care an a priori assessment of influencing factors is recommended.

KEYWORDS:

barriers and enabling factors; nursing homes; oral health care

PMID:
23786637
DOI:
10.1111/ger.12062
[Indexed for MEDLINE]

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