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Nurses' oral hygiene care for patients with stroke: a best practice implementation project
Liliana Escada Ribeiro1,2, Berta Augusto3, Maribel Pinto3
1Nursing Research Group, Coimbra Local Health Unit, Coimbra, Portugal.
JBI Evidence Implementation
|June 19, 2026
Summary
Nurses significantly improved compliance with oral hygiene protocols for stroke patients. This initiative enhanced patient care through better training, daily brushing assistance, and dysphagia precautions, improving outcomes.
Area of Science:
- Nursing Practice
- Evidence-Based Implementation
- Patient Safety
Background:
- Poor oral hygiene is common in stroke patients due to self-care limitations, increasing adverse events.
- Clinical guidelines for oral hygiene in stroke patients exist but have suboptimal compliance in hospitals.
Purpose of the Study:
- To enhance nurses' adherence to recommended oral hygiene practices for stroke patients.
- To address barriers and implement strategies for improving oral care in stroke patient populations.
Main Methods:
- Utilized the Joanna Briggs Institute (JBI) Evidence Implementation Framework.
- Conducted baseline and follow-up audits via interviews, observations, and record reviews.
- Employed the JBI Getting Research into Practice method to identify implementation barriers and facilitators.
Main Results:
- Achieved 100% compliance with staff training on oral hygiene assessment and management.
- Increased daily teeth brushing assistance for patients from 8.51% to 76.6%.
- Improved dysphagia caution compliance from 12.90% to 74.19%.
Conclusions:
- The project successfully boosted nurses' compliance with evidence-based oral hygiene recommendations for stroke patients.
- Sustainability strategies include ongoing education, regular audits, and mentorship programs.
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