Lee Hannah Haewon, Melbye Elisabeth Lind
Oral Health Centre of Expertise - Rogaland, Stavanger, Norway.
Gerodontology. 2024 Mar;41(1):68-82. doi: 10.1111/ger.12695. Epub 2023 Jun 9.
The objectives of the present study were to qualitatively investigate nursing home caregivers' acceptance of, and experiences with, a new digital intervention for oral healthcare after a period of real-life testing in three nursing homes located in Rogaland county, Norway.
Nursing home caregivers report numerous barriers when it comes to provision of adequate oral care for care-dependent older adults. Among the reported barriers are lack of knowledge and skills, care-resistant behaviours, lack of adequate routines and documentation systems for oral health, a high workload, and unclear responsibilities. To overcome these barriers, a digital tool named SmartJournal was developed to assist caregivers in preserving nursing home residents' oral health.
Semistructured interviews were performed with selected caregivers (n = 12) taking part in SmartJournal testing. A theory-driven thematic analysis based on technology acceptance model was conducted.
SmartJournal was generally described as a userfriendly and useful tool. The initial reaction of the participants was mixed; some were positive, some had concerns, but many seemed to have a neutral stance to the intervention. Both barriers and facilitating factors for SmartJournal usage were revealed. Interestingly, the usage gradually changed from norm-based to routine-based behaviour during the test period. Although the tool was well-accepted, as demonstrated with study participants' willingness to use it in the future, they had several suggestions for improvements to further adapt it to a nursing home setting.
Results from the present study provide valuable information on questions about SmartJournal acceptance and intervention delivery, thereby preparing the ground for a larger scale evaluation study assessing measurable effects of SmartJournal usage in nursing homes.
本研究的目的是对挪威罗加兰郡三家养老院进行为期一段时间的实际测试后，定性调查养老院护理人员对一种新的口腔保健数字干预措施的接受程度和使用体验。
养老院护理人员在为依赖他人护理的老年人提供充分口腔护理方面报告了诸多障碍。报告的障碍包括知识和技能缺乏、护理抵抗行为、缺乏适当的口腔健康常规和记录系统、工作量大以及职责不明确。为克服这些障碍，开发了一种名为SmartJournal的数字工具，以协助护理人员维护养老院居民的口腔健康。
对参与SmartJournal测试的选定护理人员（n = 12）进行半结构化访谈。基于技术接受模型进行了理论驱动的主题分析。
SmartJournal总体上被描述为一个用户友好且有用的工具。参与者的最初反应不一；一些人持积极态度，一些人有所担忧，但许多人似乎对该干预措施持中立立场。揭示了SmartJournal使用的障碍和促进因素。有趣的是，在测试期间，使用方式逐渐从基于规范的行为转变为基于常规的行为。尽管该工具被广泛接受，研究参与者表示愿意在未来使用它，但他们提出了一些改进建议，以使其更适应养老院环境。
本研究结果为有关SmartJournal接受度和干预实施的问题提供了有价值的信息，从而为评估SmartJournal在养老院使用的可测量效果的大规模评估研究奠定了基础。
