title: Dental hygiene education for nursing staff in a nursing home for older people.
abstract: OBJECTIVE
  This paper is a report of a study evaluating the effect of a repeated education programme for nursing staff in a home for older people.
  
  
  BACKGROUND
  A strong relationship exists between oral infections and general health complications (especially aspiration pneumonia) among nursing home residents and hospitalized older people. Thus, nursing staff need to be educated in oral hygiene measures.
  
  
  METHODS
  Forty-three nursing home resident older people (12 men, 31 women, age range 69-99 years) were included in a dental hygiene and gingivitis evaluation using gingival bleeding scores and modified plaque scores. Evaluation was conducted before and 3 weeks after a repeated dental hygiene education for nursing staff at a nursing home in Sweden in 2008. Dental hygiene education had been given 1.5 years previously.
  
  
  RESULTS
  Forty-one residents (12 men and 29 women) were available for evaluation after the repeated dental hygiene education (one died, one had had teeth extracted). There was a reduction in gingival bleeding scores (P < 0.001), and in plaque scores (P < 0.001).
  
  
  CONCLUSIONS
  Repeated dental hygiene education improves the dental hygiene among nursing home resident older people. In order to succeed it may be necessary to address attitudes and perceptions towards oral care in such a dental hygiene education programme for nursing staff. Improved oral hygiene contributes to reducing the incidence of healthcare-associated pneumonia among nursing home resident older people, and thus to reduced healthcare costs.
authors.affiliation: Oral Care AB, Stockholm, Sweden.
authors.forename: Erika
authors.initials: E
authors.lastname: Kullberg
authors.forename: Petteri
authors.initials: P
authors.lastname: Sjögren
authors.forename: Marianne
authors.initials: M
authors.lastname: Forsell
authors.forename: Janet
authors.initials: J
authors.lastname: Hoogstraate
authors.forename: Bertil
authors.initials: B
authors.lastname: Herbst
authors.forename: Olle
authors.initials: O
authors.lastname: Johansson
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003753:Dental Health Surveys; D003773:Dental Plaque / Q000175:diagnosis; D005260:Female; D005891:Gingivitis / Q000175:diagnosis; D006707:Homes for the Aged; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009735:Nursing Homes; D009740:Nursing Staff / Q000193:education*; D009910:Oral Hygiene / Q000193:education*; D010043:Outcome and Process Assessment, Health Care; D013548:Sweden