OJST  Vol.5 No.7 , July 2015
Nurses’ Knowledge, Attitude and Practice of Oral Care for Intensive Care Unit Patients
Abstract: The aim of this study was to describe the intensive care unit (ICU) nurses’ knowledge, attitude, and practice of mouth care for their patients. This is a cross sectional hospital based study. A total of 154 ICU nurses were randomly selected from seven governmental hospitals in Khartoum state and were invited to take part in this study. 97.4% of ICU nurses had high knowledge of the importance of mouth care for ICU patients and similarly for the priority of mouth care. However, only 20% of nurses were found to apply good practice. 64.5% of the nurses received training in mouth care provision, and (81%) indicated that further training would be beneficial. The oral care practice of ICU nurses ranged between average among 57% and poor among 23%. The study highlighted the need for setting of ICU protocols and adoption of advanced training for ICU nurses.
Cite this paper: Ibrahim, S. , Mudawi, A. and Omer, O. (2015) Nurses’ Knowledge, Attitude and Practice of Oral Care for Intensive Care Unit Patients. Open Journal of Stomatology, 5, 179-186. doi: 10.4236/ojst.2015.57023.

[1]   Allen Furr, L., Catherine, J.B., Cynthia, M. and Ruth, C. (2004) Factors Affecting Quality of Oral Care in Intensive Care Units. Journal of Advanced Nursing, 48, 454-462.

[2]   Cindy, L. and Grap, M.J. (2004) Oral Health and Care in the Intensive Care Unit: State of Science. American Journal for Critical Care, 13, 25-34.

[3]   Gipe, B., Donnelly, D. and Harris, S. (1995) A Survey of Dental Health in Patients with Respiratory Failure. American Journal Respiratory Critical Care, 151, A340.

[4]   Renée, G., Daniel, G. and Léo, F. (2000) The Oral Cavity as a Reservoir of Bacterial Pathogens for Focal Infections. Microbes and Infection, 2, 897-906.

[5]   Lockhart, P.B. and Durack, D.T. (1999) Oral Micro Flora as a Cause of Endocarditis and Other Distant Site Infections. Infectious Disease Clinics of North America, 13, 833-850.

[6]   Loesche, W.L. (1997) Association of the Oral Flora with Important Medical Diseases. Current Opinion in Periodontology, 4, 21-28.

[7]   Li, X.J., Kolltveit, K.M., Tronstad, L. and Olsen, I. (2000) Systemic Diseases Caused by Oral Infection. Clinical Microbiology, 13, 547-558.

[8]   Scannapieco, F.A. and Alex, W.H. (2001) Potential Associations between Chronic Respiratory Disease and Periodontal Disease. Journal of Periodontology, 72, 50-56.

[9]   Scannapieco, F.A. (1999) Role of Oral Bacteria in Respiratory Infection. Journal of Periodontology, 70, 793-802.

[10]   Garrouste-Ortegas, S., Chevret, G., Arlet, O., Marie, M., Rouveau, M., Popoff, N. and Schlemmer, B. (1997) Oropharyngeal or Gastric Colonization and Nosocomial Pneumonia in Adult Intensive Care Unit Patients. American Journal for Respiratory Critical Care, 156, 1647-1655.

[11]   Scannapieco, F.A., Stewart, E.M. and Mylotte, J.M. (1992) Colonization of Dental Plaque by Respiratory Pathogens in Medical Intensive Care Patients. Critical Care Medicine, 20, 740-745.

[12]   Juan, S., Helen, P. and Sonja, W. (2011) A Survey of Oral Care Practices in South African Intensive Care Units. SAJCC, 27, 42-46.

[13]   Jones, H., Newton, J. and Bower, E. (2004) A Survey of the Oral Care Practices of Intensive Care Nurses. Intensive and Critical Care Nursing, 20, 69-76.

[14]   Rachel, K., Andrew, B. and Malcom, B. (2009) Oral Hygiene Practices in Scottish Intensive Care Units—A National Survey the Intensive Care Society. Journal of the Intensive Care Society, 10, 155-157.

[15]   Grap, M.J., Munro, C., Ashtiani, B. and Bryant, S. (2003) Oral Care Interventions in Critical Care. American Journal of Critical Care, 12, 113-119.

[16]   Ferda, G., Naomi, F., Ofra, R., Miriam, A., Madline, B., Maureen, B. and Julie, B. (2009) ICU Nurses’ Oral-Care Practices and the Current Best Evidence. Journal of Nursing Scholarship, 41, 132-138.

[17]   Lin, Y.-S., Chang, J.-C., Chang, T.-H. and Lou, M.-F. (2011) Critical Care Nurses’ Knowledge, Attitudes and Practices of Oral Care for Patients with Oral Endotracheal Intubation: A Questionnaire Survey. Journal of Clinical Nursing, 20, 3204-3214.

[18]   Labeau, S., Vandijck, D., Rello, J., Adam, S., Rosa, A., Wenisch, C., Backman, C., Agbaht, K., Csomos, A., Seha, M., Dimopoulos, G., Vandewoude, K.H. and Blot, S. (2008) Evidence-Based Guidelines for the Prevention of Ventilator-Associated Pneumonia: Results of a Knowledge Test among European Intensive Care Nurses. Journal of Hospital Infection, 70, 180-185.

[19]   Aiken, L.H., Clarke, S.P., Sloane, D.M., Sochalski, J. and Silber, J.H. (2002) Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction. Journal of the American Medical Association, 288, 1987-1993.

[20]   Steinbrook, R. (2002) Nursing in the Crossfire. New England Journal of Medicine, 346, 1756-1766.

[21]   Louis, F., Rose, B.M., Walter, C. and Brian, L.M. (2002) Oral Care for Patients with Cardiovascular Disease and Stroke. Journal of the American Dental Association, 133, 37S-44S.

[22]   Buerhaus, P.I., Staiger, D.O. and Auerbach, D.I. (2000) Why Are Shortages of Hospital RNs Concentrated in Specialty Care Units. Nursing Economics, 19, 1-6.

[23]   Binkley, C., Furr, L., Carrico, R. and McCurren, C. (2004) Survey of Oral Care Practices in US Intensive Care Units. American Journal of Infection Control, 32, 161-169.