Dr Kate Browne1, Dr Peta Tehan2, Ms. Georgia Matterson1, Prof Helen Rawson2, Dr Sonja Dawson1, Prof Brett Mitchell1
1Avondale University, Sydney, Australia, 2Monash University, Clayton, Australia
Biography:
Kate is a Postdoctoral Research Fellow and Clinical Trial Coordinator with a robust background in infection prevention. As an early career researcher, Kate has established a strong publication record, contributing significantly to the field with her work published in several high-impact scientific journals.
Abstract:
Introduction
Poor oral health is a major risk factor for hospital-acquired pneumonia (HAP). Despite this, oral care is not performed optimally, if at all, in the hospital environment. To address this, we sought to gain an understanding of current practices, barriers and facilitators, knowledge, and educational preferences for nurses performing oral care in the hospital setting.
Methods
We undertook an online cross-sectional survey and focus groups with registered nurses employed in a patient facing role in Australian hospitals. Participants were recruited through professional networks and social media. The survey and focus group design was based on the results of a literature review, engagement with consumers and an existing survey on oral care practice.
Results
The survey was completed by 179 participants and seven participated in a focus group. Oral care was considered a ‘very important’ strategy to prevent pneumonia. Barriers for providing oral care included: an uncooperative patient; inadequate staffing; and a lack of oral hygiene requisite. Empowering patients through education, reminders, prompts and the provision of toothbrushes were common ways proposed to help facilitate improvements in oral care.
Conclusion
The findings underscore the need for targeted interventions to enhance oral care practices, such as improving access to oral hygiene supplies, comprehensive oral care protocols, continuous education, and fostering patient cooperation through reminders. By prioritizing these areas, healthcare facilities may improve patient outcomes and reduce pneumonia incidence. Evidence from this study was used to design the multicentre randomised controlled clinical trial for the prevention of hospital-acquired pneumonia (HAPPEN study).