The Bedside Oral Exam and the Barrow Oral Care Protocol: Translating evidence-based oral care into practice.
Aim: To introduce the Bedside Oral Exam (BOE) and the Barrow Oral Care Protocol (BOCP) to guide oral care for intensive care unit patients. Secondary aim: To explore quality improvement data for incidence of ventilator associated pneumonia (VAP), cost effectiveness of oral hygiene supplies and staff...
| Publicado en: | Intensive & Critical Care Nursing Vol. 29; no. 5; pp. 282 - 291 |
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| Autores principales: | , , |
| Formato: | forms pictorial protocol research Journal Article |
| Publicado: |
Elsevier B.V.
2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104223750&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104223750 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09643397 DOI jtl: Intensive & Critical Care Nursing issn: 09643397 maglogo: N pubinfo: dt: 2013 vid: 29 iid: 5 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 104223750 90126230 10.1016/j.iccn.2013.04.001 NLM23702324 104223750 ppf: 282 ppct: 9 formats: fmt: @attributes: type: P tig: atl: The Bedside Oral Exam and the Barrow Oral Care Protocol: Translating evidence-based oral care into practice. aug: au: Prendergast, Virginia Kleiman, Cindy King, Mary affil: Division of Advanced Practice Nursing, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, United States sug: subj: Nursing Practice, Evidence-Based Critical Care Nursing Oral Hygiene Pneumonia, Ventilator-Associated Prevention and Control Nursing Assessment Methods Protocols Utilization Inspection (Clinical) Critically Ill Patients Human Program Implementation Program Evaluation Descriptive Research Case Studies Cost Savings Toothbrushing Intensive Care Units Arizona Quality of Care Research Mouth Care Equipment and Supplies Pneumonia, Ventilator-Associated Epidemiology Mouth Care Economics ab: Aim: To introduce the Bedside Oral Exam (BOE) and the Barrow Oral Care Protocol (BOCP) to guide oral care for intensive care unit patients. Secondary aim: To explore quality improvement data for incidence of ventilator associated pneumonia (VAP), cost effectiveness of oral hygiene supplies and staff response to change in practice. Methods: Descriptive case design for implementation and evaluation of oral assessments and oral hygiene. Incidence of VAP and the cost of oral care supplies before and after implementation was compared. Staff responses were elicited both pre- and post-implementation. Results: Incidence of VAP fell significantly from 4.21 to 2.1 per 1000 ventilator days (p = .04). A cost savings of 65% was noted on a monthly basis for oral hygiene supplies. Staff reported increased satisfaction in providing oral hygiene with a combination of oral care products. Conclusions: A significant reduction in VAP was noted using the BOCP. The BOE guided individualised oral care with contemporary supplies, including a tongue scraper, electric toothbrush, non-foaming toothpaste and oral moisturisers. Cost-effective, comprehensive oral care appears to be effective in reducing VAP. Further studies are needed to assess impact of oral hygiene on oral health and patient comfort. pubtype: Academic Journal doctype: forms pictorial protocol research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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