Implementing Evidenced Based Oral Care for Critically Ill Patients

Abstract

Purpose: This EBP project determined if an evidence-based oral care program resulted in increased nurses knowledge and improved oral care practices compliance. Design: The project used a counter balanced design to evaluate the impact of an oral care program, using the Iowa Model. Methods: Evidence-based Oral Care (EB OC) critical care nursing education was conducted over a two-week period using the conceptual underpinning of the Iowa Model, the Diffusion of Innovation process, and project specific oral care evidence-based practice instruction. Knowledge evaluations were conducted at three time points: before, immediately after, and 2 months following implementation of the oral care program. Oral care practices were standardized to be conducted every 2 hours and then every 4 hours during 2 six-week sessions. This was followed by a six-week sustainment period and the collection of OC compliance and nurse knowledge data. Two 10-bed trauma surgical critical care units from one Level I trauma military medical center were evaluated.Sample: The sample included nurses (n = 88) and retrospective electronic medical records from 60 patients. Analysis: Two-way ANOVA and Kruskal-Wallis non-parametric tests were used to evaluate the impact of the oral care program. Findings: Oral care education scores significantly improved over time (p = 0.0051). The following comparisons of the evidence based oral care compliance were statistically significant: baseline compliance when OC was provided every 4 hours (p <.0001), Q4 best clinical - baseline (p <.0001), oral care given every 2 hours as compared to every 4 hours (p <.0001), Q4 best clinical - Q2 (p 0.0079), oral care provided every 4 hours during the sustainment period as compared to baseline (p 0.0285). Breaking out just oral care components (no EBP) was significantly higher post compared to pre-test as well (p-value 0.0036).

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Document Details

Document Type
Technical Report
Publication Date
Feb 28, 2016
Accession Number
AD1008151

Entities

People

  • Laura L. Feider

Organizations

  • Geneva Foundation

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Airway Management
  • Department Of Defense
  • Education
  • Electronic Mail
  • Health Services
  • Hospitals
  • Infection Control
  • Intensive Care Units
  • Knowledge Management
  • Medical Personnel
  • Military Medicine
  • Oral Health
  • Patient Care
  • Pneumonia
  • Standards
  • Sustainment
  • Test And Evaluation

Fields of Study

  • Medicine

Readers

  • Aerial Unmanned Vehicle Swarm Micro Periodontal Dentistry.
  • Mathematics or Statistics
  • Medical or Health Care Field.

Technology Areas

  • Microelectronics