Wårdh Inger, Hallberg Lillemor R-M, Berggren Ulf, Andersson Lars, Sörensen Stefan
Department of Oral and Maxillofacial Surgery, Central Hospital, Västerås, Sweden.
Scand J Caring Sci. 2003 Sep;17(3):250-6. doi: 10.1046/j.1471-6712.2003.00214.x.
The improved dental health in most industrialized countries is not apparent among elderly and long-term care patients. Oral healthcare has been found to have low priority in nursing care. To create lasting positive effects in oral healthcare education, a new educational model was tested in an oral healthcare project. After approval from ethical committee, nursing assistant and nurses' aides took part in a dental auscultation period at a dental clinic to serve as oral care aides additional to traditional oral healthcare education. Following this period, the aides were given responsibility for the oral healthcare at their ward. After serving as oral care aides for 1 year, interviews were made and analysed based on the Grounded Theory methodology. The aim was to investigate how the oral care aides had experienced their new duties regarding oral healthcare. The results indicated that, despite several environmental changes, reluctant residents and occasional lack of commitment from colleagues, the oral care aides felt responsible for the oral healthcare provision. The oral care aides expressed courage, the capacity to cope with reality, confirmation and empathy, characteristics that propelled them from novices to oral care aides with an expert competence.
在大多数工业化国家，老年人和长期护理患者的口腔健康改善情况并不明显。口腔保健在护理工作中被认为优先级较低。为了在口腔健康教育中产生持久的积极影响，一种新的教育模式在一个口腔保健项目中进行了测试。经伦理委员会批准后，护理助理和护士助理在一家牙科诊所参加了一段牙科听诊期，作为传统口腔健康教育之外的口腔护理助手。在此期间之后，这些助手负责其病房的口腔保健工作。在担任口腔护理助手1年后，根据扎根理论方法进行了访谈并分析。目的是调查口腔护理助手如何体验他们在口腔保健方面的新职责。结果表明，尽管环境发生了几次变化、有不情愿的居民以及同事偶尔缺乏投入，但口腔护理助手仍对提供口腔保健负责。口腔护理助手表现出勇气、应对现实的能力、认可和同理心，这些特质促使他们从新手转变为具有专业能力的口腔护理助手。
