Perceptions of nurses towards oral health in palliative care: A qualitative study |
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| Institution: | 1. Centre for Oral Health Outcomes and Research Translation (COHORT), School of Nursing and Midwifery, Western Sydney University/South Western Sydney Local Health District/Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia;2. School of Dentistry, Faculty of Medicine and Health, University of Sydney, Camperdown 2050, Australia;3. Translational Health Research Institute, Campbelltown, NSW, Australia;4. IMPACCT (Improving Palliative, Aged and Chronic Care through Clinical Research and Translation), Faculty of Health, University of Technology Sydney, Sydney, Australia;5. Department of Palliative Care, South Western Sydney Local Health District, Liverpool, NSW, Australia;6. District Palliative Care Service, South Western Sydney Local Health District, Liverpool, NSW, Australia;7. Oral Health Services, South Western Sydney Local Health District, Liverpool, NSW, Australia;1. The Fifth People’s Hospital of Shanghai, Fudan University, 801 Heqing Road, Minhang District, Shanghai Province, China;2. School of Nursing, Shandong University, 44Wenhua Xi, Road, Jinan, Shandong Province, China;1. School of Nursing, Fudan University, Xuhui District, Shanghai Province, China;2. Nursing Study Office, The Fifth People''s Hospital of Shanghai, Fudan University, Minhang District, Shanghai Province, China;1. Department of Emergency Medicine, Gold Coast Hospital and Health Service, Gold Coast University Hospital, Gold Coast, Queensland, Australia;2. Department of Respiratory Medicine, Gold Coast Hospital and Health Service, Gold Coast University Hospital, Gold Coast, Queensland, Australia;3. School of Nursing, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia;4. School of Psychology, Bond University, Gold Coast, Queensland, Australia;5. School of Psychology and Counseling, Queensland University of Technology, Brisbane, Queensland, Australia;6. School of Psychology, The University of Queensland, Brisbane, Queensland, Australia;7. Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA;8. School of Nursing, Midwifery, and Paramedicine, University of the Sunshine Coast, Sippy Downs, Queensland, Australia;9. Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia;10. Mater Medical Research Institute-University of Queensland, Brisbane, Queensland, Australia;1. School of Nursing Midwifery and Indigenous Health Charles Sturt University, Wagga Wagga Campus, NSW, Australia;2. School of Nursing, College of Health and Medicine, University of Tasmania, Australia;1. School of Nursing, Midwifery and Paramedicine, Curtin University, Kent St, Bentley, Perth, Western Australia 6120, Australia;2. School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Kent St, Bentley, Perth, Western Australia 6120, Australia;3. Discipline of Nursing, College of Science, Health, Engineering and Education, Murdoch University, South St, Murdoch, Perth, Western Australia, Australia;4. School of Nursing and Midwifery, Monash University, 47-49 Moorooduc Highway, Frankston 3199, Melbourne, Australia;1. Health Behaviour Research Collaborative, School of Medicine and Public Health, Faculty of Health, University of Newcastle, Callaghan, NSW 2308, Australia;2. Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia;3. Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW 2308, Australia |
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| Abstract: | BackgroundOral health problems among people receiving palliative care are common and can significantly affect quality of life. Nurses are at the frontline of palliative care in Australia. However, how optimal oral health care is addressed in clinical practice by palliative nurses is not known.AimTo explore the perceptions of nurses working in Australian palliative care settings to determine the acceptability, challenges and recommendations that need to be considered to develop and implement an oral health care model in palliative care settings.MethodsTwo focus groups were conducted with community (n = 8) and inpatient nurses (n = 10) working in urban palliative care settings.FindingsFour main themes were developed through consensus: 1) Oral health is important in the palliative care setting; 2) Additional training could enhance what nurses already do; 3) Barriers to receiving oral care: a structural issue; 4) Exploring alternative pathways to dental services.DiscussionNurses recognised the importance of oral health in palliative care; however, the paucity of set protocols based on existing guidelines meant that oral care was often unstructured. Systemic factors reduced the number of available options for people receiving palliative care to access professional dental treatment. Although alternative solutions, including teledentistry services, were explored, there were some constraints.ConclusionA palliative care oral health model of care would need to integrate existing formal guidelines into a comprehensive framework specific for palliative care nurses and develop palliative care oral health training for them taking into consideration existing barriers for people to receive professional dental treatment. |
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| Keywords: | Palliative care Nurses Oral health Dental Model of care |
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