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

(2015) GERODONTOLOGY. 32(2). p.115-122
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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
nursing homes, oral health care, barriers and enabling factors, RANDOMIZED CONTROLLED TRIAL, CONTROLLED CLINICAL-TRIAL, NONSUPERVISED IMPLEMENTATION, SYSTEMIC-DISEASE, RESIDENTS, KNOWLEDGE, PROFESSIONALS, INFECTIONS, FACILITIES, CAREGIVERS

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Citation

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Chicago
De Visschere, Luc, Cees de Baat, Lize De Meyer, Gert-Jan van der Putten, Bart Peeters, Bjorn Söderfelt, and Jacques Vanobbergen. 2015. “The Integration of Oral Health Care into Day-to-day Care in Nursing Homes: a Qualitative Study.” Gerodontology 32 (2): 115–122.
APA
De Visschere, L., de Baat, C., De Meyer, L., van der Putten, G.-J., Peeters, B., Söderfelt, B., & Vanobbergen, J. (2015). The integration of oral health care into day-to-day care in nursing homes: a qualitative study. GERODONTOLOGY, 32(2), 115–122.
Vancouver
1.
De Visschere L, de Baat C, De Meyer L, van der Putten G-J, Peeters B, Söderfelt B, et al. The integration of oral health care into day-to-day care in nursing homes: a qualitative study. GERODONTOLOGY. 2015;32(2):115–22.
MLA
De Visschere, Luc, Cees de Baat, Lize De Meyer, et al. “The Integration of Oral Health Care into Day-to-day Care in Nursing Homes: a Qualitative Study.” GERODONTOLOGY 32.2 (2015): 115–122. Print.
@article{4248398,
  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.},
  author       = {De Visschere, Luc and de Baat, Cees and De Meyer, Lize and van der Putten, Gert-Jan and Peeters, Bart and S{\"o}derfelt, Bjorn and Vanobbergen, Jacques},
  issn         = {0734-0664},
  journal      = {GERODONTOLOGY},
  keyword      = {nursing homes,oral health care,barriers and enabling factors,RANDOMIZED CONTROLLED TRIAL,CONTROLLED CLINICAL-TRIAL,NONSUPERVISED IMPLEMENTATION,SYSTEMIC-DISEASE,RESIDENTS,KNOWLEDGE,PROFESSIONALS,INFECTIONS,FACILITIES,CAREGIVERS},
  language     = {eng},
  number       = {2},
  pages        = {115--122},
  title        = {The integration of oral health care into day-to-day care in nursing homes: a qualitative study},
  url          = {http://dx.doi.org/10.1111/ger.12062},
  volume       = {32},
  year         = {2015},
}

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