Challenges and barriers to quality oral care as perceived by caregivers in long-stay institutions in Brazil
doi: 10.1111/j.1741‐2358.2011.00475.x Challenges and barriers to quality oral care as perceived by caregivers in long‐stay institutions in Brazil Objective: To describe how caregivers perceive the oral health status in the elderly they care for; the routines for oral hygiene in nursing homes; car...
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| Published in | Gerodontology Vol. 29; no. 2; pp. e324 - e330 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford, UK
Blackwell Publishing Ltd
01.06.2012
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0734-0664 1741-2358 1741-2358 |
| DOI | 10.1111/j.1741-2358.2011.00475.x |
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| Abstract | doi: 10.1111/j.1741‐2358.2011.00475.x
Challenges and barriers to quality oral care as perceived by caregivers in long‐stay institutions in Brazil
Objective: To describe how caregivers perceive the oral health status in the elderly they care for; the routines for oral hygiene in nursing homes; caregivers perceived barriers for quality oral care; and the caregivers competence and need for training in this area.
Background: The phenomena surrounding ageing has been the subject of worldwide interest, particularly concerning issues related to institutionalised elderly, where several studies have shown the precarious oral health status of such individuals.
Materials and methods: A qualitative interview study was held in a city in southern Brazil. Study participants were 26 caregivers of elderly people, belonging to seven institutions. Statements were collected through interviews, whose results were interpreted by phenomenological analysis.
Results: Caregivers of institutionalised elderly reveal contradictions in knowledge and practices of oral health. Although it could be expected that the perception and attitudes of caregivers of their own oral health could influence the care they offer to the elderly, barriers to the implementation of such activities appear to refer to situations outside of their responsibility, especially in the absence of time and staff.
Conclusions: The oral care of older people in geriatric institutions requires multidisciplinary and interinstitutional actions capable of reversing the continuing framework of neglect, requiring interventions for health promotion and disease prevention that can and should be implemented in institutions. |
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| AbstractList | To describe how caregivers perceive the oral health status in the elderly they care for; the routines for oral hygiene in nursing homes; caregivers perceived barriers for quality oral care; and the caregivers competence and need for training in this area.OBJECTIVETo describe how caregivers perceive the oral health status in the elderly they care for; the routines for oral hygiene in nursing homes; caregivers perceived barriers for quality oral care; and the caregivers competence and need for training in this area.The phenomena surrounding ageing has been the subject of worldwide interest, particularly concerning issues related to institutionalised elderly, where several studies have shown the precarious oral health status of such individuals.BACKGROUNDThe phenomena surrounding ageing has been the subject of worldwide interest, particularly concerning issues related to institutionalised elderly, where several studies have shown the precarious oral health status of such individuals.A qualitative interview study was held in a city in southern Brazil. Study participants were 26 caregivers of elderly people, belonging to seven institutions. Statements were collected through interviews, whose results were interpreted by phenomenological analysis.MATERIALS AND METHODSA qualitative interview study was held in a city in southern Brazil. Study participants were 26 caregivers of elderly people, belonging to seven institutions. Statements were collected through interviews, whose results were interpreted by phenomenological analysis.Caregivers of institutionalised elderly reveal contradictions in knowledge and practices of oral health. Although it could be expected that the perception and attitudes of caregivers of their own oral health could influence the care they offer to the elderly, barriers to the implementation of such activities appear to refer to situations outside of their responsibility, especially in the absence of time and staff.RESULTSCaregivers of institutionalised elderly reveal contradictions in knowledge and practices of oral health. Although it could be expected that the perception and attitudes of caregivers of their own oral health could influence the care they offer to the elderly, barriers to the implementation of such activities appear to refer to situations outside of their responsibility, especially in the absence of time and staff.The oral care of older people in geriatric institutions requires multidisciplinary and interinstitutional actions capable of reversing the continuing framework of neglect, requiring interventions for health promotion and disease prevention that can and should be implemented in institutions.CONCLUSIONSThe oral care of older people in geriatric institutions requires multidisciplinary and interinstitutional actions capable of reversing the continuing framework of neglect, requiring interventions for health promotion and disease prevention that can and should be implemented in institutions. doi: 10.1111/j.1741‐2358.2011.00475.x Challenges and barriers to quality oral care as perceived by caregivers in long‐stay institutions in Brazil Objective: To describe how caregivers perceive the oral health status in the elderly they care for; the routines for oral hygiene in nursing homes; caregivers perceived barriers for quality oral care; and the caregivers competence and need for training in this area. Background: The phenomena surrounding ageing has been the subject of worldwide interest, particularly concerning issues related to institutionalised elderly, where several studies have shown the precarious oral health status of such individuals. Materials and methods: A qualitative interview study was held in a city in southern Brazil. Study participants were 26 caregivers of elderly people, belonging to seven institutions. Statements were collected through interviews, whose results were interpreted by phenomenological analysis. Results: Caregivers of institutionalised elderly reveal contradictions in knowledge and practices of oral health. Although it could be expected that the perception and attitudes of caregivers of their own oral health could influence the care they offer to the elderly, barriers to the implementation of such activities appear to refer to situations outside of their responsibility, especially in the absence of time and staff. Conclusions: The oral care of older people in geriatric institutions requires multidisciplinary and interinstitutional actions capable of reversing the continuing framework of neglect, requiring interventions for health promotion and disease prevention that can and should be implemented in institutions. doi: 10.1111/j.1741‐2358.2011.00475.x Challenges and barriers to quality oral care as perceived by caregivers in long‐stay institutions in Brazil Objective: To describe how caregivers perceive the oral health status in the elderly they care for; the routines for oral hygiene in nursing homes; caregivers perceived barriers for quality oral care; and the caregivers competence and need for training in this area. Background: The phenomena surrounding ageing has been the subject of worldwide interest, particularly concerning issues related to institutionalised elderly, where several studies have shown the precarious oral health status of such individuals. Materials and methods: A qualitative interview study was held in a city in southern Brazil. Study participants were 26 caregivers of elderly people, belonging to seven institutions. Statements were collected through interviews, whose results were interpreted by phenomenological analysis. Results: Caregivers of institutionalised elderly reveal contradictions in knowledge and practices of oral health. Although it could be expected that the perception and attitudes of caregivers of their own oral health could influence the care they offer to the elderly, barriers to the implementation of such activities appear to refer to situations outside of their responsibility, especially in the absence of time and staff. Conclusions: The oral care of older people in geriatric institutions requires multidisciplinary and interinstitutional actions capable of reversing the continuing framework of neglect, requiring interventions for health promotion and disease prevention that can and should be implemented in institutions. To describe how caregivers perceive the oral health status in the elderly they care for; the routines for oral hygiene in nursing homes; caregivers perceived barriers for quality oral care; and the caregivers competence and need for training in this area. The phenomena surrounding ageing has been the subject of worldwide interest, particularly concerning issues related to institutionalised elderly, where several studies have shown the precarious oral health status of such individuals. A qualitative interview study was held in a city in southern Brazil. Study participants were 26 caregivers of elderly people, belonging to seven institutions. Statements were collected through interviews, whose results were interpreted by phenomenological analysis. Caregivers of institutionalised elderly reveal contradictions in knowledge and practices of oral health. Although it could be expected that the perception and attitudes of caregivers of their own oral health could influence the care they offer to the elderly, barriers to the implementation of such activities appear to refer to situations outside of their responsibility, especially in the absence of time and staff. The oral care of older people in geriatric institutions requires multidisciplinary and interinstitutional actions capable of reversing the continuing framework of neglect, requiring interventions for health promotion and disease prevention that can and should be implemented in institutions. |
| Author | de Oliveira Ferreira, Ana C. Ruat, Gabrielle R. Batista, Aline K. Unfer, Beatriz Braun, Katia O. |
| Author_xml | – sequence: 1 givenname: Beatriz surname: Unfer fullname: Unfer, Beatriz organization: Department of Stomatology, Federal University of Santa Maria, Rio Grande do Sul, Brazil – sequence: 2 givenname: Katia O. surname: Braun fullname: Braun, Katia O. organization: Department of Restorative Dentistry, Federal University of Santa Maria, Rio Grande do Sul, Brazil – sequence: 3 givenname: Ana C. surname: de Oliveira Ferreira fullname: de Oliveira Ferreira, Ana C. organization: Post-Graduate Program in Dental Sciences, Federal University of Santa Maria, Rio Grande do Sul, Brazil – sequence: 4 givenname: Gabrielle R. surname: Ruat fullname: Ruat, Gabrielle R. organization: Post-Gradute Program in Dental Sciences, Federal University of Santa Maria, Rio Grande do Sul, Brazil – sequence: 5 givenname: Aline K. surname: Batista fullname: Batista, Aline K. organization: Post-Graduate Program in Dental Sciences, Federal University of Santa Maria, Rio Grande do Sul, Brazil |
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| References | Guay AH. The oral health status of nursing home residents: what do we need to know? J Dent Educ 2005; 69: 1015-1017. Mello ALSF, Padilha DMP. Oral health care in private and small long-term care facilities: a qualitative study. Gerodontology 2009; 26: 53-57. Veras RP, Ramos LR, Kalache A. Crescimento da população idosa do Brasil: transformações e conseqüências na sociedade. Rev Saúde Públ 1987; 21: 225-233. Blank LW, Bufano-Arvidson UB, Yellowitz JA. The effect of nurses' background on performance of nursing home resident oral health assessments pre- and post-training. Spec Care Dentist 1996; 16: 65-70. Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2005; 33: 81-92. KraljevićŠimunković S, Vučićević Boras V, Pandurić J, Alajbeg Žilić I. Oral health among institutionalised elderly in Zagreb, Croatia. Gerodontology 2005; 22: 238-241. Brunetti R, Montenegro FLB. Geriatric Dentistry: Notions of Clinical Interest. São Paulo: Artes Médicas, 2002. Nicol R, Sweeney MP, McHugh S, Bagg J. Effectiveness of health care worker training on the oral health of elderly residents of nursing homes. Community Dent Oral Epidemiol 2005; 33: 115-124. Starr JM, Hall RJ, Macintyre S, Deary IJ, Whalley LJ. Predictors and correlates of edentulism in the healthy old people in Edinburgh (HOPE) study. Gerodontology 2008; 25: 199-204. Moreira RS, Nico LS, Tomita NE, Ruiz T. The Brazilian senior's buccal health: systematic review on epidemiology and access to oral health services. Reports in Public Health 2005; 21: 1665-1675. Minayo MCS. The Challenge of the Knowledge. Qualitative Research in Health, 9th edn. São Paulo: Hucitec, 2006. Ferreira RC, Magalhães CS, Moreira AN. Tooth loss, denture wearing and associated factors among an elderly institutionalised Brazilian population. Gerodontology 2008; 25: 168-178. Schembri A, Fiske J. Oral health and dental care facilities in Maltese residential homes. Gerodontology 2005; 22: 143-150. Frenckel HF, Harvey I, Needs KM. Oral health care education and its effect on caregivers' knowledge and attitudes: a randomized controlled trial. Community Dent Oral Epidemiol 2002; 30: 91-100. Ministry of Health. SB Brazil Project 2003: Oral Health Conditions of the Brazilian Population 2002-2003: resultados principais. Brazil: Ministério da Saúde, 2004. Gaião LR, Almeida MEL, Heukelbach J. Epidemiological profile of dental caries, periodontal disease, need and use of prosthesis in elderly nursing home residents in a city of Fortaleza, Ceará. J Braz Epidemiol 2005; 8: 316-323. Frenckel HF, Harvey I, Newcombe RG. Improving oral health in institutionalized elderly people by educating caregivers: a randomized controlled trial. Community Dent Oral Epidemiol 2001; 29: 289-297. 1987; 21 2002; 30 2005; 8 2008; 25 2008 2006 2005; 21 2004 2002 2001; 29 1996; 16 2005; 33 2005; 22 2009; 26 2005; 69 e_1_2_7_5_2 e_1_2_7_3_2 Gaião LR (e_1_2_7_9_2) 2005; 8 e_1_2_7_8_2 e_1_2_7_7_2 e_1_2_7_6_2 e_1_2_7_19_2 e_1_2_7_18_2 e_1_2_7_17_2 e_1_2_7_16_2 Ministry of Health (e_1_2_7_4_2) 2004 Guay AH (e_1_2_7_12_2) 2005; 69 e_1_2_7_14_2 Moreira RS (e_1_2_7_15_2) 2005; 21 e_1_2_7_11_2 e_1_2_7_10_2 Minayo MCS (e_1_2_7_13_2) 2006 Brunetti R (e_1_2_7_2_2) 2002 |
| References_xml | – reference: Starr JM, Hall RJ, Macintyre S, Deary IJ, Whalley LJ. Predictors and correlates of edentulism in the healthy old people in Edinburgh (HOPE) study. Gerodontology 2008; 25: 199-204. – reference: Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2005; 33: 81-92. – reference: Frenckel HF, Harvey I, Newcombe RG. Improving oral health in institutionalized elderly people by educating caregivers: a randomized controlled trial. Community Dent Oral Epidemiol 2001; 29: 289-297. – reference: Brunetti R, Montenegro FLB. Geriatric Dentistry: Notions of Clinical Interest. São Paulo: Artes Médicas, 2002. – reference: Nicol R, Sweeney MP, McHugh S, Bagg J. Effectiveness of health care worker training on the oral health of elderly residents of nursing homes. Community Dent Oral Epidemiol 2005; 33: 115-124. – reference: Guay AH. The oral health status of nursing home residents: what do we need to know? J Dent Educ 2005; 69: 1015-1017. – reference: Mello ALSF, Padilha DMP. Oral health care in private and small long-term care facilities: a qualitative study. Gerodontology 2009; 26: 53-57. – reference: Schembri A, Fiske J. Oral health and dental care facilities in Maltese residential homes. Gerodontology 2005; 22: 143-150. – reference: Minayo MCS. The Challenge of the Knowledge. Qualitative Research in Health, 9th edn. São Paulo: Hucitec, 2006. – reference: Veras RP, Ramos LR, Kalache A. Crescimento da população idosa do Brasil: transformações e conseqüências na sociedade. Rev Saúde Públ 1987; 21: 225-233. – reference: Gaião LR, Almeida MEL, Heukelbach J. Epidemiological profile of dental caries, periodontal disease, need and use of prosthesis in elderly nursing home residents in a city of Fortaleza, Ceará. J Braz Epidemiol 2005; 8: 316-323. – reference: Ferreira RC, Magalhães CS, Moreira AN. Tooth loss, denture wearing and associated factors among an elderly institutionalised Brazilian population. Gerodontology 2008; 25: 168-178. – reference: Frenckel HF, Harvey I, Needs KM. Oral health care education and its effect on caregivers' knowledge and attitudes: a randomized controlled trial. Community Dent Oral Epidemiol 2002; 30: 91-100. – reference: Blank LW, Bufano-Arvidson UB, Yellowitz JA. The effect of nurses' background on performance of nursing home resident oral health assessments pre- and post-training. Spec Care Dentist 1996; 16: 65-70. – reference: Moreira RS, Nico LS, Tomita NE, Ruiz T. The Brazilian senior's buccal health: systematic review on epidemiology and access to oral health services. Reports in Public Health 2005; 21: 1665-1675. – reference: Ministry of Health. SB Brazil Project 2003: Oral Health Conditions of the Brazilian Population 2002-2003: resultados principais. Brazil: Ministério da Saúde, 2004. – reference: KraljevićŠimunković S, Vučićević Boras V, Pandurić J, Alajbeg Žilić I. Oral health among institutionalised elderly in Zagreb, Croatia. 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Challenges and barriers to quality oral care as perceived by caregivers in long‐stay institutions in Brazil
Objective: ... To describe how caregivers perceive the oral health status in the elderly they care for; the routines for oral hygiene in nursing homes; caregivers perceived... |
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| SubjectTerms | Adult Aged Attitude of Health Personnel Attitude to Health Brazil Caregivers - education Caregivers - psychology Clinical Competence Education, Nursing elderly Female Health Behavior Health Knowledge, Attitudes, Practice Health Services Accessibility Health Status Homes for the Aged Humans institutionalised elderly Long-Term Care Male Middle Aged Mouthwashes - therapeutic use Nurses - psychology Nurses' Aides - education Nursing Homes Nursing Staff - psychology Oral Health Oral Hygiene - education Oral Hygiene - standards Quality of Health Care Toothbrushing Young Adult |
| Title | Challenges and barriers to quality oral care as perceived by caregivers in long-stay institutions in Brazil |
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