Ausbildungs- und Kenntnisstand sowie Maßnahmen oraler Prävention in stationären und ambulanten Pflegeeinrichtungen in der Region Göttingen

Eine Befragung von Pflegepersonal und Pflegedienstleitung

State of Knowledge and Training Qualifications including Preventive Oral Measures in Stationary and Ambulatory Nursing Care Facilities within the Region of Göttingen

A Survey of Nursing Staff and Care Services

by Franziska Dorothee Geiger
Doctoral thesis
Date of Examination:2017-04-24
Date of issue:2017-04-04
Advisor:PD Dr. Dirk Ziebolz
Referee:PD Dr. Dirk Ziebolz
Referee:Prof. Dr. Eva Hummers-Pradier
Referee:Prof. Dr. Rainer Mausberg
Persistent Address: http://dx.doi.org/10.53846/goediss-6225

 

 

Files in this item

Name:Dissertation Franziska Geiger optimiert.pdf
Size:917.Kb
Format:PDF
Description:Dissertation

The following license files are associated with this item:

Abstract

English

This paper's objective was the investigation of institutions in Göttingen in ambulant and stationary care concerning the present educational level of the nursing staff in the topic of oral prevention measures. First of all, the education concerning oral health and oral hygiene of the nursing staff of three retirement and nursing schools in Göttingen were closer examined. In addition to that, the nursing providers and staff of ambulant and stationary institutions were questioned with a specific questionnaire. The results were comparatively and statistically evaluated. Among other things, the following subject areas were inquired: -general personal information -general institutional information -medical and dental situation -information concerning oral prevention measures and personal perception -information concerning educational level of oral prevention measures -suggestions for improvement The first part of the studies showed that the education of nursing staff varied greatly from school to school. There was no consistent guideline how mouth hygiene and mouth health should be taught. The second part of the studies illustrated a great interest of the stationary and ambulant staff concerning the topic. This is especially depicted with the high response rate of over 58.9% in stationary homes and 54.4% in ambulant care homes. On average the nursing staff was convinced to be “sufficiently”, “satisfactorily” or “well” trained. However, 56.4% stated that they did not have specific qualifications concerning oral prevention measures. Although training courses for oral prevention measures were generally seen as important, 86.4% did not attend any training in that area. 25% of the staff explained this with the lack of training options and 19.8% reported that they did not have enough time for additional training. Mouth hygiene in general was estimated to be “important” or “very important”. However, a great difficulty was seen in the little time that was designated for the daily mouth hygiene of each care dependent (5.5 minutes – nursing provider, 6.4 minutes – nursing staff). There was said to be a great lack of dental initial examinations, regular dental controls and assistance with mouth hygiene. In all the institutions there was neither a dental cooperation partner nor a contact person who was responsible for mouth hygiene. More than half of the questioned staff members expressed a definite wish for more support on that area. The response comparison of ambulant and stationary nursing providers depicted a significant difference only in a few questions. One of the most significant differences was that the ambulant providers generally had 2.9 minutes less for mouth hygiene. However, the wish for more time was also less pronounced (3.1 minutes – stationary providers, 0.8 minutes – ambulant providers). Another important difference was that the ambulant institutions longed for more support and control from dentists (p< 0.05). A few significant differences can also be found when comparing the statements of ambulant and stationary nursing staffs. As a prominent difference, the stationary nurses longed for more regular mouth health controls (63.2%, ambulant nurses – 39.3%, p =0.02). Like the care providers, the ambulant nurses also said to have less time for mouth hygiene than the stationary nurses (ambulant – 4.9 minutes, stationary – 6.7 minutes, p < 0.01). Contrasting the responses of care providers and care staff showed in some questions that each professional group tried to depict itself more positively. This reveals the difficulty of getting a good picture of the objective situation from subjective estimations. In general, the situation and the educational level of the institutions concerning oral prevention measures seem far from satisfactory. In order to improve the situation, multifactorial starting points should be considered. On the one hand, the scholastic education of nurses should include more training in mouth health. On the other hand, nurses, as well as relatives of the elder people, and the seniors themselves should be further trained. This is only possible with the support of dentists, universities, dental and nursing associations, as well as the health politics.
Keywords: nursing staff education; oral health; Stationary and Ambulatory Nursing Care
 
Statistik