Evidence map›Paper›PMID 41593577›Full record

ReviewBMC oral health2026

Health professionals' barriers to oral care provision for patients with stroke from multidisciplinary perspectives: a qualitative meta-synthesis using the COM-B model and theoretical domains framework.

Xingru Li, Chao Zhang, Wenhao Zhang, Wenguang Xie, Shilin Liu, Wei Xiao, Shuyuan Huang

Abstract readReview
In one paragraph

Review in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Xingru LiSchool of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, 330006, People's Republic of China.
Chao ZhangDepartment of Nursing, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, 330006, People's Republic of China. ndefy89011@ncu.edu.cn.ORCID 0009-0006-3658-6324
Wenhao ZhangSchool of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, 330006, People's Republic of China.
Wenguang XieSchool of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, 330006, People's Republic of China.
Shilin LiuSchool of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, 330006, People's Republic of China.
Wei XiaoSchool of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, 330006, People's Republic of China.
Shuyuan HuangSchool of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, 330006, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with stroke often have poor oral health due to functional impairments. Healthcare professionals play a crucial role in providing oral care, yet such care is frequently assigned low priority. Existing reviews primarily focus on the experiences of nurses in delivering oral care to patients with stroke. Few studies focus on multidisciplinary perspectives. This study aims to synthesize evidence on barriers faced by multidisciplinary healthcare professionals in providing oral care to patients with stroke, using the COM-B model and the Theoretical Domains Framework (TDF).

methodsSix English databases (PubMed, Cochrane Library, Embase, Scopus, Web of Science, and CINAHL) were searched from their inception to July 1, 2025. The screening process followed the PRISMA guidelines. Study quality was assessed using the Critical Appraisal Skills Programme checklist. Data synthesis was guided by the thematic synthesis approach for qualitative research proposed by Thomas and Harden (2008). Confidence of synthesized findings was assessed using the GRADE-CERQual framework.

resultsThe initial search identified 895 records retrieved from electronic databases. Nine studies were included in the review, which yielded a total of 7 summary findings. Health professionals’ barriers to oral care provision in patients with stroke included knowledge (Lack of knowledge and skills), skills (Lack of skills), environmental context and resources (lack of standardized guidelines and care planning, resource allocation defects), social influences (HCPs’ perceptions of patient characteristics), beliefs about capabilities (lack of confidence and risk concerns), social/professional role and identity (multidisciplinary role expectation conflicts).

conclusionsThis review represents the first meta-synthesis to explore barriers to oral care provision for patients with stroke from the perspective of multidisciplinary HCPs, underscoring the need for multifaceted interventions to improve oral care practices.

trial registrationPROSPERO [CRD420251088856].

Indexed as

Attitude of Health PersonnelDental CareHealth PersonnelStrokeHumansOral HealthPatient Care TeamQualitative ResearchBarrierHealth professionalMeta-synthesisOral careOral healthQualitative studyStroke

Identifiers

PMID41593577
PMCPMC12924374

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.