Department of Health Science, Karlstad University, Faculty of Health, Science and Technology, Karlstad, Sweden.
Department of Health Science, Karlstad University, Faculty of Health, Science and Technology, Karlstad, Sweden; Faculty of Public Health Studies, Inland Norway University of Applied Sciences, Elverum, Norway.
Intensive Crit Care Nurs. 2019 Jun;52:51-60. doi: 10.1016/j.iccn.2018.09.006. Epub 2018 Oct 5.
To identify intensive care nurses' perceptions of oral care according to Coker et al.'s (2013) conceptual framework and to contribute to the knowledge base of oral care in intensive care.
DESIGN/METHODS: This was a concurrent embedded mixed-methods design, with more weight given to the quantitative part. Participants responded to the Nursing Care related to Oral Health questionnaire, including perceptions of oral care antecedents (18 items), defining attributes (17 items), and consequences (6 items) and two open-ended questions. The data were analysed with descriptive and correlation statistics and qualitative content analysis.
Intensive care nurses (n = 88) in six general intensive care units.
Intensive care nurses perceived that an important part of nursing care was oral care, especially to intubated patients. They perceived that the nursing staff was competent in oral care skills and had access to different kinds of equipment and supplies to provide oral care. The oral cavity was inspected on a daily basis, mostly without the use of any assessment instruments. Oral care seemed to be task-oriented, and documentation of the patients' experiences of the oral care process was rare.
The antecedents, knowledge and skills are available to provide quality oral care, but intensive care nurses seem to have difficulties translating these components into practice. Thus they might have to shift their task-oriented approach towards oral care to a more person-centred approach in order to be able to meet patients' needs.
根据 Coker 等人（2013 年）的概念框架，确定重症监护护士对口腔护理的看法，并为重症监护口腔护理知识体系做出贡献。
设计/方法：这是一个同时进行的嵌入式混合方法设计，更侧重于定量部分。参与者回答了与口腔健康护理相关的问卷，包括对口腔护理前因（18 项）、定义属性（17 项）和后果（6 项）的看法，以及两个开放性问题。使用描述性和相关性统计以及定性内容分析对数据进行分析。
六家普通重症监护病房的重症监护护士（n=88）。
重症监护护士认为口腔护理是护理工作的重要组成部分，特别是对插管患者。他们认为护理人员在口腔护理技能方面有能力，并且可以获得不同种类的设备和用品来提供口腔护理。口腔每天都要进行检查，主要是不使用任何评估工具。口腔护理似乎是任务导向的，很少记录患者对口腔护理过程的体验。
提供优质口腔护理的前因、知识和技能是可用的，但重症监护护士似乎难以将这些要素转化为实践。因此，他们可能需要将其口腔护理的任务导向方法转变为更以患者为中心的方法，以便能够满足患者的需求。
