%0 Journal Article
%T Oral Health and Hygiene Content in Nursing Fundamentals Textbooks
%A Rita A. Jablonski
%J Nursing Research and Practice
%D 2012
%I Hindawi Publishing Corporation
%R 10.1155/2012/372617
%X The purpose of this paper is to describe the quantity and quality of oral hygiene content in a representative sample of before-licensure nursing fundamentals textbooks. Seven textbooks were examined. Quantity was operationalized as the actual page count and percentage of content devoted to oral health and hygiene. Quality of content was operationalized as congruency with best mouth care practices. Best mouth care practices included evidence-based and consensus-based practices as published primarily by the American Dental Association and supported by both published nursing research and review articles specific to mouth care and published dental research and review articles specific to mouth care. Content devoted to oral health and hygiene averaged 0.6%. Although the quality of the content was highly variable, nearly every textbook contained some erroneous or outdated information. The most common areas for inaccuracy included the use of foam sponges for mouth care in dentate persons instead of soft toothbrushes and improper denture removal. 1. Introduction Oral hygiene is vitally important because oral health is directly related to systemic health [1¨C3]. Poor oral health results in plaque buildup and inflammation of the gingiva. Plaque harbors pathogens associated with pneumonia [4]. In fact, poor oral hygiene has been linked to ventilator-associated pneumonia across the lifespan [5, 6]. Inflammation of the gingival tissues, either with or without periodontal disease, has been related to adverse outcomes in pregnancy, such as premature-birth and low-birth-weight infants [7]. Other systemic diseases associated with inadequate oral hygiene and resulting poor oral health include diabetes [8¨C10] and coronary artery disease [11]. Inadequate oral health negatively impacts quality of life and mortality, as well [12]. In 1986, Jones et al. surveyed nursing schools in the New England region to determine the quantity of oral health in both undergraduate and graduate curricula [13]. At the undergraduate level, Jones et al. reported an hour or less of overall oral health content in the entire curricula for 50% of the surveyed schools [13]. Fourteen percent of the undergraduate programs included 2 to 3 hours of oral health content specific to older adults; the remaining schools reported zero to 1 hour [13]. More recent reports of oral health content in undergraduate/predoctoral nursing, medical, and pharmacy schools show little, if any, improvement. Nearly 60 percent of educators in nursing, medicine, and pharmacology in English-speaking universities around the world
%U http://www.hindawi.com/journals/nrp/2012/372617/