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

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dc.contributor.author Berry, Angela en_US
dc.contributor.author Davidson, Patricia en_US
dc.contributor.editor en_US
dc.date.accessioned 2012-02-02T11:01:14Z
dc.date.available 2012-02-02T11:01:14Z
dc.date.issued 2006 en_US
dc.identifier 2010004032 en_US
dc.identifier.citation Berry Angela and Davidson Patricia 2006, 'Beyond comfort: oral hygiene as a critical nursing activity in the intensive care unit', Churchill Livingstone, vol. 22, no. 6, pp. 318-328. en_US
dc.identifier.issn 0964-3397 en_US
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/15623
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. en_US
dc.language en_US
dc.publisher Churchill Livingstone en_US
dc.title Beyond comfort: oral hygiene as a critical nursing activity in the intensive care unit en_US
dc.parent Intensive and Critical Care Nursing en_US
dc.journal.volume 22 en_US
dc.journal.number 6 en_US
dc.publocation United Kingdom en_US
dc.identifier.startpage 318 en_US
dc.identifier.endpage 328 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 111000 en_US
dc.personcode 0000069296 en_US
dc.personcode 110950 en_US
dc.percentage 100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Oral hygiene; Research; Knowledge en_US
dc.staffid 110950 en_US


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