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Published on: December 31, 2017
Status of oral health care in hospitalized children
1Somerset Community College, Somerset, KY, USA. jo.blevins@kctcs.edu
Insights
Hospitalized children receive suboptimal oral health care. Pediatric nurses need enhanced training in oral hygiene assessments, education, and referrals to improve pediatric dental health outcomes.
Area of Science:
- Pediatric Healthcare
- Dental Public Health
- Nursing Practice
Background:
- Hospitalized children often experience a decline in oral hygiene.
- Limited research exists on the current provision of oral healthcare in pediatric acute care settings.
- Academic medical centers with dental schools present a unique environment to study oral healthcare delivery.
Purpose of the Study:
- To assess the current level of oral health care provided to children admitted to acute care units.
- To identify gaps in oral hygiene practices and interventions for hospitalized pediatric patients.
- To evaluate the role of pediatric nurses in delivering oral healthcare within a children's hospital.
Main Methods:
- A descriptive research design was employed.
- Data collection involved parent surveys and online nurse surveys.
- A convenience sample included 49 pediatric nurses and 59 parents of hospitalized children.
Main Results:
- Parent-reported toothbrushing frequency decreased significantly during hospitalization compared to home routines.
- Pediatric nurses infrequently performed oral assessments, interventions, and health teaching.
- A majority of nurses reported no documentation of dental issues or referrals, and limited oral hygiene education.
Conclusions:
- There is a clear need to enhance oral health care for hospitalized children.
- Pediatric nurses are crucial in identifying, managing, and preventing oral health issues.
- Implementing standardized oral assessments, hygiene practices, and referrals is essential for improving pediatric oral health outcomes.
Purpose:
The purpose of the study was to determine the level of oral health care provided to hospitalized children on acute care units at a children's hospital in an academic medical center with a dental school.
Study Design And Methods:
The research design was descriptive. Data were collected using a short written survey for parents and a brief online survey for nurses. A convenience sample of 49 pediatric nurses and 59 parents of hospitalized children participated.
Results:
According to the parents, 17% of the hospitalized children brushed their teeth more than once a day, yet 60% of these same children brushed more than once a day when at home. According to the nurse respondents, their assessments, interventions, health teaching, and referrals related to oral care are done infrequently. Over 40% of the nurses responded that they do not educate patients about oral hygiene, and 61.2% provide no nutritional education in relation to oral health. The majority (65.3%) had never entered documentation related to broken teeth or cavities, and 85.7% had never advised patients to see a dentist.
Clinical Implications:
The findings of this study indicate a need for improved oral health care for hospitalized children. Pediatric nurses can contribute to the identification, care, and prevention of oral health problems in children. This begins by performing and documenting oral assessments, ensuring patients brush their teeth, including oral health promotion in parent-child education, and making needed oral health referrals.
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