La infraestructura escolar y los recursos en la educación primaria
MAL ESTADO
Nurse focus group meetings were held by the research assistant and the transcript of nurse focus group is provided in Appendix 23. Both the dentist/lead investigator and OHT involved in training the nurses did not attend the nurse focus group meetings.
Unexpectedly, the study generated considerable interest among the untrained nurses looking after the care of participants. Untrained nurses were sufficiently motivated to request a training session in their own free time. Four untrained nurses involved in the general care of the participants in the nursing home attended a 45 minute training session at about 5 weeks into the study during a lunch time / changeover period.
In summary, trained and untrained nurses reported that:-
Care plans are easy to implement, effective and can be followed by untrained nurses.
Nurses could see improvement in the oral health of residents.
Nurses received positive reinforcement from being able to deliver effective oral care.
Nurses became “incentivised” and participated actively in delivering oral care. No changes to the study protocols were required after feedback from the nurse discussion group. Both trained and untrained nurses reported that they found care plans easy to implement.
Both untrained nurses (N2, N3) reported they had some confusion with the different preventive products and felt this was due to not having the benefit of the training. The same nurses reported that despite not understanding the purpose of the product they stated:-
Answer: N3: yeah it’s not that hard to follow the chart. At first I was like whoah! But it’s not that hard just to follow it. Even though we don’t know what the idea is behind that-it’s kind of common sense as well to brush your teeth.
135 Summary of nurse responses during the focus group
Q: Have you found that there are any difficulties in implementing the interventions so far?
Ans: All three nurses said they had no problems implementing interventions. Nurse 2 volunteered ‘It’s easy’.
Q: So feel that generally everyone is on board and following the plans Ans:N2: yes. N1: oh yes, every one of us
Q: So it sounds like you found the education sessions interesting …how has it affected your skills or knowledge about oral health and oral care?
Ans: : Well a lot-as I have said, when you do that you feel like you are a dentist or a hygienist. All the technical side-learning about acidity and the saliva made it more interesting and exciting to do the procedures on the residents. You think at first that it will probably be yucky but after you do it and go along its quite exciting actually.
Q: And do you think that this is something that you would be likely to use again and implement after the study was finished for other residents?
Ans: Yeah, cos it also helps us because when you are giving care
In summary nurses responded that they:-
Were adequately trained to create care plans. Had enough support to create care plans.
Understood the use of different preventive products for different purposes. Would have liked more training. Although nurses gave very positive answers
to all questionnaires, all three nurses answered that they could have spent more time in training, despite effectively having 12 hours of education, training on saliva testing and OHAT assessments before creating NCOCPs. On further enquiry, this had more to do with enjoying the education and testing sessions and wanting to know more about oral health than feeling inadequate about their training.
136 Table 25 Nurse answers to NSCOCP questionnaires
100% signifies 3 out 3 nurses agree, 67% signifies 2 out of 3 nurses agree
Comprehensive Oral Care Plans (AOCP) Strongly Disagree
Disagree Agree Strongly Agree
1
I feel knowledgeable and prepared to formulate an Comprehensive Oral Care Plan (AOCP) by myself
0 0 100 0
2
Using the AOCP improves my ability to manage problems in residents’ mouths
0 0 100 0
3
I had enough time to learn about the AOCP before it was implemented
0 0 100 0
4
I feel supported in my efforts to implement the AOCP for residents
0 0 100 0
5
I need more help to use all the different preventive interventions in the AOCP for oral health
0 0 100 0
6
I understand the effects of Food Management in the care of Residents in an Aged Care Facility
0 0 100 0
7
I understand why it is important to re-mineralise teeth to prevent decay using high fluoride and GC Tooth Mousse Plus toothpastes
0 0 100 0
8
I feel confident how and when to use re-mineralising agents in an AOCP
0 0 100 0
9
I understand why it is important to maintain adequate hydration
0 0 100 0
10
I feel confident how to maintain adequate hydration of Residents using an AOCP
0 33 67 0
11
I understand the importance and use artificial saliva 0 0 100 0
12
I feel confident how and when to use artificial saliva in an AOCP
0 0 100 0
13
I understand the importance and use of Xylitol gum to stimulate salivary glands.
0 0 100 0
14
I feel confident how and when to use Xylitol gum in an AOCP
0 0 100 0
15
I understand the importance and use of sodium bicarbonate toothpaste to neutralise mouth acids after meals
0 0 100 0
16
I feel confident how and when to use sodium bicarbonate toothpaste in an Comprehensive Oral Care Plan
0 0 100 0
17
I understand the importance and use Chlorhexidene
toothpaste to reduce pathogenic micro-organisms in the mouth
0 0 100 0
18
I feel confident how and when to use Chlorhexidene toothpaste in an AOCP
0 0 100 0
19
I understand the importance and use of assisted brushing of teeth and dentures
0 0 100 0
20 I feel confident in being able to brush Residents teeth and dentures 0 0 100 0
137