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Oral hygiene practices and knowledge among stroke-care nurses: A multicentre cross-sectional study

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dc.FundingDetailsChinese University of Hong Kong National Institutes of Health Foundation for the National Institutes of Health: NMRR-13-1540-18833,�IIR Ministry of Health Ministry of Health
dc.FundingDetailsThe study was funded by The University of Hong Kong.
dc.FundingDetailsIn Malaysia, there are 16 hospitals across the country which provides specialist stroke rehabilitation services led by rehabilitation specialist physicians. Prior to conducting the survey, a letter of invitation was sent to all hospital directors. Permissions to conduct the survey were obtained from the rehabilitation and medical specialist physicians in charge of the stroke centres or the chief nurses at the hospitals. This study was registered with the National Institute of Health, Ministry of Health: NMRR-13-1540-18833(IIR). Ethical approval was obtained from Medical Research and Ethics Committee (MREC) of the National Institutes of Health, Ministry of Health, prior to the commencement of the study. The survey was conducted in late 2014. Visits were made to each centre, and nurses involved in care of stroke patients were informed about the voluntary nature of their participation. Nurses were assured that the data they provided would be kept confidential and only used to inform overall clinical practices of oral hygiene in Malaysia. They were informed that data at individual hospital level or participant level would not be made available.
dc.FundingDetailsThis survey benefits from being a large cross-sectional study across Malaysia, covering a wide geographical area, and with over eight-hundred nurses who provide stroke care participating. The involvement of chief nurses, clinical directors and rehabilitation physicians with support from the Ministry of Health contributed to high participation. It provides a national perspective of the clinical practice of oral hygiene care to stroke practices to address the lack of information of registered practices (Fjeld et al., 2017).
dc.citedby1
dc.contributor.affiliationsFaculty of Dentistry
dc.contributor.affiliationsUniversiti Sains Islam Malaysia (USIM)
dc.contributor.affiliationsThe University of Hong Kong
dc.contributor.affiliationsHospital Serdang
dc.contributor.affiliationsHospital Rehabilitasi Cheras
dc.contributor.affiliationsHospital Tuanku Ja'afar
dc.contributor.authorAb. Malik N.en_US
dc.contributor.authorMohamad Yatim S.en_US
dc.contributor.authorHussein N.en_US
dc.contributor.authorMohamad H.en_US
dc.contributor.authorMcGrath C.en_US
dc.date.accessioned2024-05-28T08:24:30Z
dc.date.available2024-05-28T08:24:30Z
dc.date.issued2018
dc.description.abstractAims and objectives: To investigate oral health knowledge for stroke care and the clinical practices performed for oral hygiene care in Malaysia. Background: Oral hygiene care following stroke is important as the mouth can act as a reservoir for opportunistic infections that can lead to aspirational pneumonia. Design: A national cross-sectional survey was conducted in Malaysia among public hospitals where specialist stroke rehabilitation care is provided. Methods: All (16) hospitals were invited to participate, and site visits were conducted. A standardised questionnaire was employed to determine nurses' oral health knowledge for stroke care and existing clinical practices for oral hygiene care. Variations in oral health knowledge and clinical practices for oral hygiene care were examined. Results: Questionnaires were completed by 806 nurses across 13 hospitals. Oral health knowledge scores varied among the nurses; their mean score was 3.7 (SD 1.1) out of a possible 5.0. Approximately two-thirds (63.6%, n = 513) reported that some form of “mouth cleaning” was performed for stroke patients routinely. However, only a third (38.3%, n = 309) reported to perform or assist with the clinical practice of oral hygiene care daily. Their oral health knowledge of stroke care was associated with clinical practices for oral hygiene care (p <.001). Conclusions: The clinical practice of providing oral hygiene care is less than ideal, and there are deficiencies in oral health knowledge for stroke care. Oral health knowledge was associated with clinical practice of providing oral hygiene care. This has implications for training and integrating oral hygiene care within stroke rehabilitation.en_US
dc.description.natureFinalen_US
dc.identifier.CODENJCCNE
dc.identifier.doi10.1111/jocn.14241
dc.identifier.epage1919
dc.identifier.issn9621067
dc.identifier.issue44113
dc.identifier.pmid29266493
dc.identifier.scopus2-s2.0-85044537173
dc.identifier.spage1913
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85044537173&doi=10.1111%2fjocn.14241&partnerID=40&md5=5a75e583485570da2e27ee07087db119
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/8500
dc.identifier.volume27
dc.languageEnglish
dc.language.isoen_USen_US
dc.publisherBlackwell Publishing Ltden_US
dc.relation.ispartofJournal of Clinical Nursing
dc.sourceScopus
dc.subjectnursing careen_US
dc.subjectoral healthen_US
dc.subjectoral hygieneen_US
dc.subjectrehabilitationen_US
dc.subjectstrokeen_US
dc.titleOral hygiene practices and knowledge among stroke-care nurses: A multicentre cross-sectional studyen_US
dc.title.alternativeJ. Clin. Nurs.en_US
dc.typeArticleen_US
dspace.entity.typePublication

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