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. 2019 May 23:5:2377960819850975.
doi: 10.1177/2377960819850975. eCollection 2019 Jan-Dec.

The Effectiveness of Oral Care Guideline Implementation on Oral Health Status in Critically Ill Patients

Isti Haniyatun Khasanah  1 , Wipa Sae-Sia  1 , Jintana Damkliang  1
Affiliations

The Effectiveness of Oral Care Guideline Implementation on Oral Health Status in Critically Ill Patients

Isti Haniyatun Khasanah et al. SAGE Open Nurs. .

Abstract

Intubated patients need specific oral care due to the use of endotracheal tubes. An oral nursing care guideline needs to be implemented to guide nurses in oral care in intubated patients. To test the effectiveness of oral nursing care guideline implementation. The Rogers' Diffusion of Innovations Theory was used to introduce an oral nursing care guideline to 28 nurses working in an intensive care unit in a hospital within 2 months, using mass and private communication within a hospital management system. The oral care guideline was introduced to 47 intubated patients. The accuracy of oral care practice was assessed by nurse research assistants, and patients' oral health status was examined by dental nurse research assistants. The accuracy of practice among nurses was found between 88% and 100%. Total 97.47% (n = 46) of patients had an acceptable oral health status after receiving oral care based on the oral nursing care guideline. The oral nursing care guideline was effectively implemented with high accuracy and could increase patient oral integrity after its implementation.

Keywords: application of evidence; intensive care unit; medical or surgical.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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