Health professionals’ perceptions, barriers and knowledge towards oral health care of dependent people in nursing homes: a systematic review

IntroductionThis review aimed to evaluate the perceived barriers, knowledge, and training, of different health care professionals in relation to the oral health of dependent people in nursing homes and access, as well, how this data was evaluated.MethodsThree electronic databases—PubMed/MEDLINE, Web...

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Main Authors: Joana Pombo-Lopes, Inês Rodrigues, Joana Costa, Ana Catarina Gomes, Jorge Fonseca, José Grillo-Evangelista
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1504542/full
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author Joana Pombo-Lopes
Inês Rodrigues
Joana Costa
Ana Catarina Gomes
Jorge Fonseca
Jorge Fonseca
José Grillo-Evangelista
author_facet Joana Pombo-Lopes
Inês Rodrigues
Joana Costa
Ana Catarina Gomes
Jorge Fonseca
Jorge Fonseca
José Grillo-Evangelista
author_sort Joana Pombo-Lopes
collection DOAJ
description IntroductionThis review aimed to evaluate the perceived barriers, knowledge, and training, of different health care professionals in relation to the oral health of dependent people in nursing homes and access, as well, how this data was evaluated.MethodsThree electronic databases—PubMed/MEDLINE, Web of Science, and LILACS—were searched independently by two researchers for relevant studies published up to December 2023. Articles were selected according to the established inclusion and exclusion criteria, and a total of 35 studies were included.ResultsFindings from the Nursing Dental Coping Belief Scale studies revealed disparities between training and daily oral health care, with experienced nurses experiencing challenges. Barriers described were categorized and included resident-related issues, organizational challenges, and caregiver-related difficulties. Most caregivers reported inadequate training, often informal or experiential, although they are involved in the hygiene of the older adult, with tooth brushing and denture cleaning being the most common practices. Low oral health literacy coexisted with recognition of the importance of oral health care.ConclusionThe findings advocate for targeted interventions, standardized training, and improved support systems to improve oral health care for the older adult in diverse health care settings.
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spelling doaj-art-5bd9fbeaebf44447a93c2b973275b54d2025-01-23T05:10:26ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.15045421504542Health professionals’ perceptions, barriers and knowledge towards oral health care of dependent people in nursing homes: a systematic reviewJoana Pombo-Lopes0Inês Rodrigues1Joana Costa2Ana Catarina Gomes3Jorge Fonseca4Jorge Fonseca5José Grillo-Evangelista6Clinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, PortugalClinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, PortugalClinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, PortugalClinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, PortugalAging Lab, Egas Moniz School of Health & Science, Egas Moniz Center for Interdisciplinary Research (CiiEM), Almada, PortugalGENE - Artificial Nutrition Team - Gastroenterology Department - Hospital Garcia de Orta, Almada, PortugalClinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, PortugalIntroductionThis review aimed to evaluate the perceived barriers, knowledge, and training, of different health care professionals in relation to the oral health of dependent people in nursing homes and access, as well, how this data was evaluated.MethodsThree electronic databases—PubMed/MEDLINE, Web of Science, and LILACS—were searched independently by two researchers for relevant studies published up to December 2023. Articles were selected according to the established inclusion and exclusion criteria, and a total of 35 studies were included.ResultsFindings from the Nursing Dental Coping Belief Scale studies revealed disparities between training and daily oral health care, with experienced nurses experiencing challenges. Barriers described were categorized and included resident-related issues, organizational challenges, and caregiver-related difficulties. Most caregivers reported inadequate training, often informal or experiential, although they are involved in the hygiene of the older adult, with tooth brushing and denture cleaning being the most common practices. Low oral health literacy coexisted with recognition of the importance of oral health care.ConclusionThe findings advocate for targeted interventions, standardized training, and improved support systems to improve oral health care for the older adult in diverse health care settings.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1504542/fullinstitutionalized older adultnursing homenursecaregiverhealth careoral health
spellingShingle Joana Pombo-Lopes
Inês Rodrigues
Joana Costa
Ana Catarina Gomes
Jorge Fonseca
Jorge Fonseca
José Grillo-Evangelista
Health professionals’ perceptions, barriers and knowledge towards oral health care of dependent people in nursing homes: a systematic review
Frontiers in Public Health
institutionalized older adult
nursing home
nurse
caregiver
health care
oral health
title Health professionals’ perceptions, barriers and knowledge towards oral health care of dependent people in nursing homes: a systematic review
title_full Health professionals’ perceptions, barriers and knowledge towards oral health care of dependent people in nursing homes: a systematic review
title_fullStr Health professionals’ perceptions, barriers and knowledge towards oral health care of dependent people in nursing homes: a systematic review
title_full_unstemmed Health professionals’ perceptions, barriers and knowledge towards oral health care of dependent people in nursing homes: a systematic review
title_short Health professionals’ perceptions, barriers and knowledge towards oral health care of dependent people in nursing homes: a systematic review
title_sort health professionals perceptions barriers and knowledge towards oral health care of dependent people in nursing homes a systematic review
topic institutionalized older adult
nursing home
nurse
caregiver
health care
oral health
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1504542/full
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