Abstract：
BACKGROUND: Hospital-acquired pneumonia (HAP) also known as non-ventilator associated pneumonia, is one of the most common infections acquired in hospitalised patients. Improving oral hygiene appears to reduce the incidence of HAP. This study aimed to describe current practices, barriers and facilitators, knowledge and educational preferences of registered nurses performing oral health care in the Australian hospital setting, with a focus on the prevention of HAP. We present this as a short research report.
METHODS: We undertook a cross sectional online anonymous survey of Australian registered nurses. Participants were recruited via electronic distribution through existing professional networks and social media. The survey used was modified from an existing survey on oral care practice.
RESULTS: The survey was completed by 179 participants. Hand hygiene was considered a very important strategy to prevent pneumonia (n = 90, 58%), while 45% (n = 71) felt that oral care was very important. The most highly reported barriers for providing oral care included: an uncooperative patient; inadequate staffing; and a lack of oral hygiene requisite. Patients\' reminders, prompts and the provision of toothbrushes were common ways believed to help facilitate improvements in oral care.
CONCLUSIONS: Findings from this survey will be used in conjunction with consumer feedback, to help inform a planned multi-centre randomised trial, the Hospital Acquired Pneumonia PrEveNtion (HAPPEN) study, aimed at reducing the incidence of HAP. Findings may also be useful for informing studies and quality improvement initiatives aimed at improving oral care to reduce the incidence of HAP.
METHODS: We undertook a cross sectional online anonymous survey of Australian registered nurses. Participants were recruited via electronic distribution through existing professional networks and social media. The survey used was modified from an existing survey on oral care practice.
RESULTS: The survey was completed by 179 participants. Hand hygiene was considered a very important strategy to prevent pneumonia (n = 90, 58%), while 45% (n = 71) felt that oral care was very important. The most highly reported barriers for providing oral care included: an uncooperative patient; inadequate staffing; and a lack of oral hygiene requisite. Patients\' reminders, prompts and the provision of toothbrushes were common ways believed to help facilitate improvements in oral care.
CONCLUSIONS: Findings from this survey will be used in conjunction with consumer feedback, to help inform a planned multi-centre randomised trial, the Hospital Acquired Pneumonia PrEveNtion (HAPPEN) study, aimed at reducing the incidence of HAP. Findings may also be useful for informing studies and quality improvement initiatives aimed at improving oral care to reduce the incidence of HAP.
摘要：
背景：医院获得性肺炎（HAP）也称为非呼吸机相关性肺炎，是住院患者中最常见的感染之一。改善口腔卫生似乎可以降低HAP的发生率。本研究旨在描述当前的实践，障碍和促进者，在澳大利亚医院环境中进行口腔保健的注册护士的知识和教育偏好，重点是预防HAP。我们将此作为一个简短的研究报告。
方法：我们对澳大利亚注册护士进行了一项横断面在线匿名调查。参与者是通过现有的专业网络和社交媒体通过电子分发招募的。所使用的调查是从现有的口腔护理实践调查中修改的。
结果：该调查由179名参与者完成。手卫生被认为是预防肺炎的一个非常重要的策略（n=90，58%），45％（n=71）认为口腔护理非常重要。报道最多的提供口腔护理的障碍包括：不合作的患者；人员配备不足；缺乏必要的口腔卫生。病人提醒，提示和提供牙刷是被认为有助于改善口腔护理的常见方法。
结论：本次调查的结果将与消费者反馈一起使用，为了帮助告知计划中的多中心随机试验，医院获得性肺炎治疗（HAPPEN）研究，旨在降低HAP的发病率。研究结果也可能有助于为旨在改善口腔护理以减少HAP发生率的研究和质量改进举措提供信息。
方法：我们对澳大利亚注册护士进行了一项横断面在线匿名调查。参与者是通过现有的专业网络和社交媒体通过电子分发招募的。所使用的调查是从现有的口腔护理实践调查中修改的。
结果：该调查由179名参与者完成。手卫生被认为是预防肺炎的一个非常重要的策略（n=90，58%），45％（n=71）认为口腔护理非常重要。报道最多的提供口腔护理的障碍包括：不合作的患者；人员配备不足；缺乏必要的口腔卫生。病人提醒，提示和提供牙刷是被认为有助于改善口腔护理的常见方法。
结论：本次调查的结果将与消费者反馈一起使用，为了帮助告知计划中的多中心随机试验，医院获得性肺炎治疗（HAPPEN）研究，旨在降低HAP的发病率。研究结果也可能有助于为旨在改善口腔护理以减少HAP发生率的研究和质量改进举措提供信息。
