{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T07:44:20Z","timestamp":1791963860987,"version":"4.3.4"},"reference-count":31,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100025520","name":"Medical Research Future Fund","doi-asserted-by":"publisher","award":["MRF2022645"],"award-info":[{"award-number":["MRF2022645"]}],"id":[{"id":"10.13039\/501100025520","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim and Objectives<\/jats:title>\n                    <jats:p>To explore the enablers, barriers and experiences of implementing an oral care intervention in an acute hospital setting, from the perspective of nurses and patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hospital\u2010acquired pneumonia is a common healthcare\u2010associated infection. Oral care can reduce the risk of hospital\u2010acquired pneumonia but is often missed due to clinical priorities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Exploratory qualitative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi\u2010structured interviews with 18 Registered Nurses and 8 Research Nurses facilitating an oral care intervention, and three patients who acquired pneumonia during admission to an intervention ward. Data were collected June to August 2025 and thematically analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four themes were identified: varied knowledge and capacity to empower practice; education as a catalyst for practice change; competing demands and resistance; and relational and functional support to achieve change. Participants highlighted that successful oral care delivery relied on understanding its connection to hospital\u2010acquired pneumonia. Competing workload demands often resulted in oral care being deprioritised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Strengthening nurses', patients' and families' understanding of oral care during hospitalisation can improve adherence to oral care practices and enhance patient engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Acute care nurses are central to delivering oral care, yet competing priorities and limited awareness of its relationship to hospital\u2010acquired pneumonia can affect implementation. These findings can inform nursing education and strategies to support patient, family and clinician engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contributions<\/jats:title>\n                    <jats:p>Consumer and clinician feedback informed the development of interview questions. This study forms part of The HAPPEN study, which included consumer and partner input into intervention design, study materials and dissemination activities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70586","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T06:45:26Z","timestamp":1791960326000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring Nurses' and Patients' Experiences of an Oral Care Intervention to Prevent Non\u2010Ventilator Hospital Acquired Pneumonia"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9145-212X","authenticated-orcid":false,"given":"Sonja","family":"Dawson","sequence":"first","affiliation":[{"name":"School of Nursing and Health Avondale University  Lake Macquarie New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5363-729X","authenticated-orcid":false,"given":"Helen","family":"Rawson","sequence":"additional","affiliation":[{"name":"Nursing and Midwifery Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6841-1461","authenticated-orcid":false,"given":"Auxillia","family":"Madhuvu","sequence":"additional","affiliation":[{"name":"Nursing and Midwifery Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2483-5938","authenticated-orcid":false,"given":"Georgia","family":"Matterson","sequence":"additional","affiliation":[{"name":"School of Nursing and Health Avondale University  Lake Macquarie New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6863-0541","authenticated-orcid":false,"given":"Jenny","family":"Sim","sequence":"additional","affiliation":[{"name":"School of Nursing, Midwifery &amp; Paramedicine Australian Catholic University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8299-9871","authenticated-orcid":false,"given":"Julee","family":"McDonagh","sequence":"additional","affiliation":[{"name":"School of Nursing, Faculty of Science, Medicine and Health University of Wollongong  Wollongong New South Wales Australia"},{"name":"Centre for Chronic &amp; Complex Care Research (CCCCR), Western Sydney Local Health District Blacktown Hospital  Blacktown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8141-0092","authenticated-orcid":false,"given":"Katrina","family":"Browne","sequence":"additional","affiliation":[{"name":"School of Education and Science Avondale University  Lake Macquarie New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9252-2321","authenticated-orcid":false,"given":"Rhonda","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Health and Biomedical Science RMIT University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2939-0807","authenticated-orcid":false,"given":"Peta E.","family":"Tehan","sequence":"additional","affiliation":[{"name":"School of Nursing and Health Avondale University  Lake Macquarie New South Wales Australia"},{"name":"School of Clinical and Molecular Sciences, Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3822-0554","authenticated-orcid":false,"given":"Philip L.","family":"Russo","sequence":"additional","affiliation":[{"name":"School of Nursing and Health Avondale University  Lake Macquarie New South Wales Australia"},{"name":"Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences Monash University  Frankston Victoria Australia"},{"name":"Cabrini Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4220-8291","authenticated-orcid":false,"given":"Brett G.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"School of Nursing and Health Avondale University  Lake Macquarie New South Wales Australia"},{"name":"Central Coast Local Health District Gosford Hospital  Gosford New South Wales Australia"},{"name":"Hunter Medical Research Institute John Hunter Hospital  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/23779608211045258"},{"issue":"12","key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.1097\/00000446-198412000-00025","article-title":"From Novice to Expert Excellence and Power in Clinical Nursing Practice","volume":"84","author":"Benner P.","year":"1984","journal-title":"American Journal of Nursing"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010020\u201000454\u20106"},{"key":"e_1_2_10_5_1","doi-asserted-by":"crossref","DOI":"10.4135\/9781036232078.n9","volume-title":"Thematic Analysis: A Practical Guide","author":"Braun V.","year":"2021"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2026.01.013"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.7748\/nr.2021.e1788"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010025\u201005685\u20100"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2021.05.032"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nurpra.2021.07.012"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2020.03.003"},{"key":"e_1_2_10_12_1","unstructured":"HAPPEN Study.2026.\u201cHAPPEN Study.\u201dhttps:\/\/www.happenstudy.com."},{"key":"e_1_2_10_13_1","unstructured":"International Council of Nurses.2021.\u201cICN Code of Ethics for Nurses.\u201dhttps:\/\/www.icn.ch\/sites\/default\/files\/2023\u201006\/ICN_Code\u2010of\u2010Ethics_EN_Web.pdf."},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2025.10245"},{"key":"e_1_2_10_15_1","volume-title":"Research Methods and Evidence\u2010Based Practice","author":"Liamputtong P.","year":"2021"},{"key":"e_1_2_10_16_1","doi-asserted-by":"crossref","DOI":"10.1016\/0147-1767(85)90062-8","volume-title":"Naturalistic Inquiry","author":"Lincoln Y. 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