Integrated oral care for patients with spinal cord injuries: perceptions of non-dental professionals.

Autor:	Bagdesar M; Sydney Dental School, Faculty of Medicine and Health, University of Sydney, Surry Hills, Sydney, NSW, Australia., Samuel R; Sydney Dental School, Faculty of Medicine and Health, University of Sydney, Surry Hills, Sydney, NSW, Australia., Brown TDG; Sydney Dental School, Faculty of Medicine and Health, University of Sydney, Surry Hills, Sydney, NSW, Australia.; Faculty of Science, University of Alberta, Edmonton, AB, Canada., Shetty S; Spinal Injuries Unit, Prince of Wales Hospital, Sydney, NSW, Australia.; Medicine and Health, The University of New South Wales, Sydney, NSW, Australia., Kaur J; Spinal Cord Injury Unit, Royal North Shore Hospital, Sydney, NSW, Australia., Kong AC; Australian Centre for Integration of Oral Health (ACIOH), School of Nursing & Midwifery, Western Sydney University, Liverpool, NSW, Australia.; ACIOH, Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia., George A; Sydney Dental School, Faculty of Medicine and Health, University of Sydney, Surry Hills, Sydney, NSW, Australia.; Australian Centre for Integration of Oral Health (ACIOH), School of Nursing & Midwifery, Western Sydney University, Liverpool, NSW, Australia.; ACIOH, Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia., Ajwani S; Sydney Dental School, Faculty of Medicine and Health, University of Sydney, Surry Hills, Sydney, NSW, Australia.; Australian Centre for Integration of Oral Health (ACIOH), School of Nursing & Midwifery, Western Sydney University, Liverpool, NSW, Australia.; Oral Health Services, Sydney Dental Hospital, Surry Hills, NSW, Australia.
Jazyk:	angličtina
Zdroj:	Disability and rehabilitation [Disabil Rehabil] 2024 Jun 24, pp. 1-10. Date of Electronic Publication: 2024 Jun 24.
DOI:	10.1080/09638288.2024.2367599
Abstrakt:	Purpose: To understand the oral health attitudes, knowledge, and practices among non-dental professionals caring for patients with spinal cord injuries, as well as the barriers and facilitators to oral care across acute and rehabilitation hospital settings. Materials and Methods: This study was a descriptive qualitative study. Nine focus groups with spinal cord injury clinicians from two Sydney hospitals were conducted ( n  = 35). A thematic analysis was undertaken. Results: Four themes were constructed: understanding the impact of spinal cord injuries on oral health and wellbeing; limited support in the spinal cord injury unit to promote oral care; strategies that enable oral care promotion; and recommendations to expand scope in oral care and education. Although most clinicians considered oral health to be important there was a lack of guidelines to support standardised oral care practices. Barriers included lack of time, limited oral care resources, low priority and difficulty in accessing treatment. Staff were receptive to an integrated, multidisciplinary approach to oral care. Conclusion: This Australian first study provides insight into spinal cord injury clinicians' knowledge and practices of oral care. The findings will help guide future research in developing appropriate models of care to promote oral health among patients with spinal cord injuries.
Databáze:	MEDLINE
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