Beyond comfort: oral hygiene as a critical nursing activity in the intensive care unit.

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Show simple item record Berry, AM Davidson, PM 2012-02-02T11:01:14Z 2006-12
dc.identifier.citation Intensive & critical care nursing : the official journal of the British Association of Critical Care Nurses, 2006, 22 (6), pp. 318 - 328
dc.identifier.issn 0964-3397
dc.identifier.other C1UNSUBMIT en_US
dc.description.abstract BACKGROUND: The role of oral hygiene in maintaining the health and well being of patients in the intensive care unit (ICU) is indisputable. This importance is not reflected in the body of research related to ICU practice. While a number of studies have examined oral hygiene practices in oncological patients there is significantly less attention devoted to these practices in the critically ill. AIM: This paper has two discrete yet interrelated aims. Firstly, in relation to current available evidence and based on a sound knowledge of oral physiology, identify barriers to effective oral hygiene and subsequent effectiveness of the most commonly used and recommended methods of providing oral hygiene in the critically ill population. Secondly, informed by the critical review, identify recommendations for practice and future intervention studies. FINDINGS: To date, there is no definitive evidence to determine the most appropriate method of oral hygiene including the use of beneficial mouth rinses. Barriers identified in this review to providing optimal hygiene include: (1) mechanical barriers and equipment issues, (2) perceptions of the importance of mouth care and empathy with patient discomfort by nurses, (3) altered patient sensory perception and discomfort and (4) difficulties in patient communication. In spite of these challenges opportunities for collaborative research and increasing expertise in nurse researchers creates a climate to derive solutions to these factors. CONCLUSIONS: It is clearly evident from this review of oral hygiene practices in intensive care that the need for ongoing research is of paramount importance. ICU nurses undeniably require rigorous research studies in order to inform their practice in the provision of oral hygiene for critically ill patients.
dc.format Print-Electronic
dc.language eng
dc.relation.isbasedon 10.1016/j.iccn.2006.04.003
dc.title Beyond comfort: oral hygiene as a critical nursing activity in the intensive care unit.
dc.type Journal Article
dc.parent Intensive & critical care nursing : the official journal of the British Association of Critical Care Nurses
dc.journal.volume 6
dc.journal.volume 22
dc.journal.number 6 en_US
dc.publocation United Kingdom en_US
dc.identifier.startpage 318 en_US
dc.identifier.endpage 328 en_US FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1110 Nursing
dc.personcode 110950
dc.percentage 100 en_US Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US en_US
dc.location.activity en_US
dc.description.keywords Humans
dc.description.keywords Dental Plaque
dc.description.keywords Gingivitis
dc.description.keywords Oral Hygiene
dc.description.keywords Critical Care
dc.description.keywords Infection Control
dc.description.keywords Communication
dc.description.keywords Evidence-Based Medicine
dc.description.keywords Nursing Evaluation Research
dc.description.keywords Patient Education as Topic
dc.description.keywords Nurse-Patient Relations
dc.description.keywords Health Services Needs and Demand
dc.description.keywords Nursing Assessment
dc.description.keywords Nurse's Role
dc.description.keywords Stomatitis
dc.description.keywords Pneumonia, Ventilator-Associated
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access 2015-04-15 12:17:09.805752+10
pubs.consider-herdc false
utslib.collection.history Uncategorised (ID: 363)
utslib.collection.history Closed (ID: 3)

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