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牙科卫生师融入跨专业长期护理团队
Nelly Villacorta-Siegal1, Karen Joseph2, Sandra Gardner2
1Department of Dentistry, Alpha Omega Dental Center, Baycrest Hospital, Toronto, Ontario, Canada.
Gerodontology
|December 26, 2023
概括
将牙科卫生师和教育资源整合到长期护理院 (LTCH) 中,改善了口腔健康评估. 虽然护士发现口腔健康评估工具 (OHAT) 很有用,但其应用有限,但牙科卫生师发现了更多问题.
科学领域:
- 老年学是一门学科.
- 牙卫生 牙卫生
- 医疗保健管理的管理
背景情况:
- 在长期护理家庭 (LTCH) 的居民中,口腔健康状况不佳很普遍.
- 解决这个问题需要创新的跨专业护理策略.
- 整合教育资源和牙科专业人员是一个潜在的解决方案.
研究的目的:
- 在LTCH跨专业团队中探索教育资源和牙科卫生师的整合过程.
- 评估口腔健康评估工具 (OHAT) 和电子学习对护士口腔健康知识和实践的影响.
- 评估牙科卫生师参与改善口腔健康识别和报告的有效性.
主要方法:
- 在加拿大多伦多一家472张床位的LTCH中进行了一项融合混合方法研究.
- 护士们参加了关于OHAT的在线电子学习模块,并完成了前/后知识测试.
- 牙科卫生师被整合到护理团队中,通过调查,采访和回顾性图表审查收集的数据比较了护士和牙科卫生师的评估.
主要成果:
- 护士们表现出对OHAT的良好知识,但对转介的实际使用很少.
- 牙科卫生师发现的口腔健康问题 (例如,碎片,失去的牙,牙) 与护士对居民评估仪器-最小数据集 (RAI-MDS) 的评估相比显著更多.
- 定性数据显示,护士重视牙科卫生师的整合,这导致开发了一个新的口腔健康推工具.
结论:
- 一个口腔健康电子学习模块和实践评估工具是可行的和可取的LTCH设置.
- 将牙科卫生师纳入跨专业护理团队有助于改善居民口腔健康.
- 这种综合方法提高了长期护理中口腔健康问题的识别和管理.
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