Clinical Nursing Practice Guideline: Oral Care for Patients With an Artificial Airway Intubation

2.50
Hdl Handle:
http://hdl.handle.net/10755/335412
Category:
Full-text
Type:
Presentation
Title:
Clinical Nursing Practice Guideline: Oral Care for Patients With an Artificial Airway Intubation
Author(s):
Phanjam, Nongnapas; Kasedluksame, Suthathip; Rudyung, Thanat
Lead Author STTI Affiliation:
Non-member
Author Details:
Nongnapas Phanjam, RN, MNS, kphanjam@hotmail.com; Suthathip Kasedluksame, RN, MNS; Thanat Rudyung, RN, MNS
Abstract:
Session presented on Saturday, July 26, 2014: Purpose: Patients with an artificial airway intubation cannot be cleaned orally manually. Complications with the mouth can be caused easily, especially regarding the high risk of pneumonia. Evidence-based practice (EBP) provides nurses with a method of using critically-appraised and scientifically-proven evidence for delivering quality oral care. The primary purpose of this updated guideline was to improve the oral assessment and care for patients with an artificial airway intubation. Methods: The method of this EBP guideline was as follows: 1) the PICO format for finding specific questions; P (Populations) - adult patients, critical-ill patients, ventialted patients, neurocritical care; I (Interventions) - oral care intervention, tooth brushing; O (Outcomes) - oral health hygiene, ventilator associated pneumonia; 2) evaluating the appropriate evidence using the work of Melnyk & Fineout-Overholt (2013); 3) an oral care guideline from a synthesis of the best practice presented at a public hearing in a hospital; and 4) all steps of this guideline were discussed with experts in the area of nursing. Results: A computerized literature search of the online databases MEDLINE, CINAHL, and the Cochrane Library (2008-2012) was conducted. A total of 36 recommendations were identified, and 24 articles were eligible for inclusion. This oral care guideline has three parts: 1) preparing patients and equipment, especially 0.12 % Chlorhexidine gluconate (C-20) or 0.9% Normal saline; 2) the process of oral care by circular motion; and 3) evaluating oral care using the brushed assessment model. Conclusion: Oral care for patients with an artificial airway intubation must be discussed by nurse that follows the appropriate guidelines because it was specific oral care for patients with an artificial airway intubation. A variance protocol for oral care which was implemented in the clinic also affected the guideline implementation. Thought, the best guideline should be implementing with well plane that put effort vial organization.
Keywords:
intervention; hygiene; Oral care
Repository Posting Date:
17-Nov-2014
Date of Publication:
11 ; 11
Other Identifiers:
INRC14PST126
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleClinical Nursing Practice Guideline: Oral Care for Patients With an Artificial Airway Intubationen
dc.contributor.authorPhanjam, Nongnapasen
dc.contributor.authorKasedluksame, Suthathipen
dc.contributor.authorRudyung, Thanaten
dc.contributor.departmentNon-memberen
dc.author.detailsNongnapas Phanjam, RN, MNS, kphanjam@hotmail.com; Suthathip Kasedluksame, RN, MNS; Thanat Rudyung, RN, MNSen
dc.identifier.urihttp://hdl.handle.net/10755/335412-
dc.description.abstractSession presented on Saturday, July 26, 2014: Purpose: Patients with an artificial airway intubation cannot be cleaned orally manually. Complications with the mouth can be caused easily, especially regarding the high risk of pneumonia. Evidence-based practice (EBP) provides nurses with a method of using critically-appraised and scientifically-proven evidence for delivering quality oral care. The primary purpose of this updated guideline was to improve the oral assessment and care for patients with an artificial airway intubation. Methods: The method of this EBP guideline was as follows: 1) the PICO format for finding specific questions; P (Populations) - adult patients, critical-ill patients, ventialted patients, neurocritical care; I (Interventions) - oral care intervention, tooth brushing; O (Outcomes) - oral health hygiene, ventilator associated pneumonia; 2) evaluating the appropriate evidence using the work of Melnyk & Fineout-Overholt (2013); 3) an oral care guideline from a synthesis of the best practice presented at a public hearing in a hospital; and 4) all steps of this guideline were discussed with experts in the area of nursing. Results: A computerized literature search of the online databases MEDLINE, CINAHL, and the Cochrane Library (2008-2012) was conducted. A total of 36 recommendations were identified, and 24 articles were eligible for inclusion. This oral care guideline has three parts: 1) preparing patients and equipment, especially 0.12 % Chlorhexidine gluconate (C-20) or 0.9% Normal saline; 2) the process of oral care by circular motion; and 3) evaluating oral care using the brushed assessment model. Conclusion: Oral care for patients with an artificial airway intubation must be discussed by nurse that follows the appropriate guidelines because it was specific oral care for patients with an artificial airway intubation. A variance protocol for oral care which was implemented in the clinic also affected the guideline implementation. Thought, the best guideline should be implementing with well plane that put effort vial organization.en
dc.subjectinterventionen
dc.subjecthygieneen
dc.subjectOral careen
dc.date.available2014-11-17T13:51:52Z-
dc.date.issued11/17/2014-
dc.date.issued11/17/2014en
dc.date.accessioned2014-11-17T13:51:52Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.