Evidence map›Paper›PMID 38562223›Full record

ArticleActa stomatologica Croatica2024

Understanding and Practices of Oral Hygiene in the Intensive Care Units: Perspectives of Medical Staff at Two University Hospital Centers.

Vesna Vucelić, Vesna Bratić, Dubravka Negovetić Vranić, Arjana Tambić Andrašević, Vesna Degoricija, Zlatan Mihaljević, Snježana Ramić, Ivana Piteša Košutić, Luka Šimunović, Bruno Špiljak and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Acta stomatologica Croatica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.5field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Vesna VucelićIntensive Care Unit of the University Department of Medicine, Clinical Hospital Centre "Sestre milosrdnice".ORCID https://orcid.org/0009-0002-4549-377X
Vesna BratićClinic for Anesthesiology and Intensive Care, University Clinical Hospital Centre Zagreb.ORCID https://orcid.org/0000-0002-7506-2332
Dubravka Negovetić VranićUniversity of Zagreb, School of Dental Medicine, Zagreb, Croatia.ORCID https://orcid.org/0000-0001-7632-2004
Arjana Tambić AndraševićUniversity of Zagreb, School of Dental Medicine, Zagreb, Croatia.ORCID https://orcid.org/0000-0001-6232-1465
Vesna DegoricijaIntensive Care Unit of the University Department of Medicine, Clinical Hospital Centre "Sestre milosrdnice".ORCID https://orcid.org/0000-0001-6226-4018
Zlatan MihaljevićDepartment of Clinical Microbiology, Clinical Hospital Centre "Sestre milosrdnice".ORCID https://orcid.org/0009-0000-3198-950X
Snježana RamićDepartment of Oncological Pathology and Clinical Cytology "Ljudevit Jurak", University Department of Pathology, Clinical Hospital Centre "Sestre milosrdnice".ORCID https://orcid.org/0000-0002-5916-8815
Ivana Piteša KošutićIntensive Care Unit of the University Department of Medicine, Clinical Hospital Centre "Sestre milosrdnice".ORCID https://orcid.org/0009-0002-3276-0971
Luka ŠimunovićUniversity of Zagreb, School of Dental Medicine, Zagreb, Croatia.ORCID https://orcid.org/0000-0003-2848-6041
Bruno ŠpiljakUniversity of Zagreb, School of Dental Medicine, Zagreb, Croatia.ORCID https://orcid.org/0000-0003-2545-4474
Vlaho BrailoUniversity of Zagreb, School of Dental Medicine, Zagreb, Croatia.ORCID https://orcid.org/0000-0002-8449-871X
University Hospital Centre Zagreb · HRUniversity of Zagreb · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study assesses the knowledge, practices, and attitudes of medical staff in intensive care units (ICUs) regarding oral hygiene care for critically ill, bedridden patients. Material and methods: A cross-sectional study included 65 employees from the Intensive Care Units of the Sestre Milosrdnice Clinical Hospital Centre (CHC SM) and the Clinic for Anesthesiology and Intensive Care at the University Clinical Hospital Centre Zagreb (CHC ZG). A self-administered questionnaire was used to assess knowledge, methods, frequency, and attitudes towards oral care for mechanically ventilated patients. The data were examined through descriptive statistical methods, presented in terms of proportions (percentages). For the purpose of comparing the feedback across the two hospital centers and different educational backgrounds, the Chi-square and Fisher's exact tests were employed. Results: Results of a survey of 65 participants (18 from CHC SM and 47 from CHC ZG) revealed a notable disparity in oral hygiene knowledge, with graduate nurses displaying the highest proportion of adequate knowledge (100%) and regular nurses showing the least (30.3%) (p<.001). Although the execution of oral care practices did not vary significantly among the groups, graduate nurses performed oral care more frequently (80% vs. baccalaureate technicians 33.33% and nurses 57.6%, three or more times a day) and demonstrated better proficiency in both mechanical (p=.005) and chemical (p<.001) biofilm management compared to their counterparts. No significant difference was observed in the delivery of oral care to orotracheally intubated patients across different educational levels (p=.127). However, a marked difference was noted in the perception of being adequately trained for such care, with nurses feeling less prepared (12.1%, p<.001). Despite these variances, all respondents recognized the importance of oral hygiene, thus showing a strong dedication to oral health care.

Indexed as

Critical IllnessICU StaffIntensive CareIntensive Care UnitsMedical EducationMedical StaffMeSH Terms: Health Knowledge, Attitudes, PracticeOral HygieneVentilator-Associated Pneumonia

Identifiers

PMID38562223
PMCPMC10981905
OpenAlexW4393195070

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.