کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2651964 1139560 2013 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The Bedside Oral Exam and the Barrow Oral Care Protocol: Translating evidence-based oral care into practice
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
The Bedside Oral Exam and the Barrow Oral Care Protocol: Translating evidence-based oral care into practice
چکیده انگلیسی

SummaryAimTo introduce the Bedside Oral Exam (BOE) and the Barrow Oral Care Protocol (BOCP) to guide oral care for intensive care unit patients. Secondary aim: To explore quality improvement data for incidence of ventilator associated pneumonia (VAP), cost effectiveness of oral hygiene supplies and staff response to change in practice.MethodsDescriptive case design for implementation and evaluation of oral assessments and oral hygiene. Incidence of VAP and the cost of oral care supplies before and after implementation was compared. Staff responses were elicited both pre- and post-implementation.ResultsIncidence of VAP fell significantly from 4.21 to 2.1 per 1000 ventilator days (p = .04). A cost savings of 65% was noted on a monthly basis for oral hygiene supplies. Staff reported increased satisfaction in providing oral hygiene with a combination of oral care products.ConclusionsA significant reduction in VAP was noted using the BOCP. The BOE guided individualised oral care with contemporary supplies, including a tongue scraper, electric toothbrush, non-foaming toothpaste and oral moisturisers. Cost-effective, comprehensive oral care appears to be effective in reducing VAP. Further studies are needed to assess impact of oral hygiene on oral health and patient comfort.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Intensive and Critical Care Nursing - Volume 29, Issue 5, October 2013, Pages 282–290
نویسندگان
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