Partnerships to Improve Oral Hygiene Practices: Two Complementary Approaches.
The omission of oral care is linked to increased nurse workload and may contribute to serious patient infection and growing healthcare costs. Therefore, ineffective oral care comprises a significant patient safety issue across healthcare settings internationally. As studies have demonstrated a positive relationship between Nurs Leadersh (Tor Ont) and improved patient outcomes, it is imperative that leaders seek effective approaches to facilitate contextual exploration of barriers and facilitators for resolution of oral care delivery problems. One approach to improved processes of oral care is the creative engagement of front-line clinicians in the problems they confront in everyday practice. By drawing upon the role and process of facilitation, we outline two projects, located in Australia and Canada, that engaged front-line nurses, health leaders, and researchers as partners to identify a path to improved oral care delivery. In this paper, we summarize key learnings for nursing leaders about strategies to facilitate delivery of fundamental oral care. We found that facilitation, contextual knowledge and academic-clinician partnerships were essential to the detection and evaluation of oral care delivery problems and the identification of priorities for practice improvement. As collaboration is imperative for sustainable innovation, we summarize strategies of effective leadership for improving oral care delivery.
Assistant Professor, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Scientist, University of Toronto Centre for the Study of Pain, Advanced Practice Nurse, Sunnybrook Health Sciences Centre, Toronto, ON.
Craig M
CM
Dale
Director, Centre for Evidence-based Practice South Australia, Senior Lecture School of Nursing, University of Adelaide, Australia, Adelaide, Australia.
Rick
R
Wiechula
PhD candidate, School of Nursing, University of Adelaide, and South Australian Dental Service, Australia, Adelaide, Australia.
Adrienne
A
Lewis
Senior Research Fellow, Joanna Briggs Institute, University of Adelaide, Adelaide, Australia.
Alexa
A
McArthur
Central Adelaide Local Health Network, SA Health, Adelaide, Australia.
Helen
H
Breen
Director of Nursing Primary Health Care & SA Prison Health Service, Director of Nursing Mental Health (professional lead), Central Adelaide Local Health Network - SA Health Government of South Australia, Adelaide, Australia.
Alan
A
Scarborough
Nursing Professor of Critical Care Research, Sunnybrook Health Sciences Centre, Associate Professor, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Research Director, Provincial Centre of Weaning Excellence/Prolonged Ventilation Weaning Centre, Toronto East General Hospital, Adjunct Scientist, Institute of Clinical Evaluative Sciences, Li Ka Shing Knowledge Institute, St. Michael's Hospital, and West Park Healthcare Centre, Toronto, ON.
Louise
L
Rose
D002170:Canada; D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000592:standards*; D006801:Humans; D007857:Leadership; D009732:Nursing Care / Q000592:standards*; D009910:Oral Hygiene; D011787:Quality of Health Care / Q000592:standards*