{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T17:39:40Z","timestamp":1789493980654,"version":"build-2803163510"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T00:00:00Z","timestamp":1727654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Older People Nursing"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Oral care is one of the most neglected nursing practices owing to a lack of training, standard nursing oral care guidelines and low confidence and skills. There is little evidence to inform the development of oral care training and guidelines, which ideally should be done in collaboration with oral health professionals. Further, there is a lack of research, particularly in New Zealand, with nursing staff caring for care\u2010dependent older people, including those ageing in their own homes. This pilot study aimed to determine the impact of oral care training on nursing staff knowledge, attitudes and confidence in supporting community\u2010dwelling older peoples' oral care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Mixed methods design comprising delivery of an oral healthcare and assessment training intervention by a team comprising nursing and oral health professionals, pre\u2010 and post\u2010intervention questionnaires (<jats:italic>N<\/jats:italic>\u2009=\u200914) and a post\u2010intervention focus group with community\u2010based nursing staff (<jats:italic>N<\/jats:italic>\u2009=\u20095).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Staff knowledge significantly improved (<jats:italic>p<\/jats:italic>\u2009=\u20090.046) following interprofessional collaborative training, but attitude and confidence scores did not (<jats:italic>p<\/jats:italic>\u2009=\u20090.127), although focus group responses suggested that participants' confidence was heightened. Participants expressed the need to implement oral care practices to benefit clients' health, clarify roles and identify oral care as a core competency. They sought to make individual\u2010 and organisational\u2010level practice changes accordingly.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Oral care training based on interprofessional collaboration and education enhances nursing staff knowledge but not their confidence in oral care provision. Ongoing, hands\u2010on practical training for nursing staff in collaboration with oral health professionals has the potential to advance nursing oral\u2010care practice and improve care\u2010dependent older peoples' oral care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implication for Practice<\/jats:title><jats:p>Oral care training and education with oral health professionals is effective to enhance nursing staff knowledge and awareness in oral health care. However, transforming knowledge into nursing oral care practice requires hands on practical training and ongoing collaboration with oral health professionals to improve care\u2010dependent older people's oral health care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/opn.12656","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T08:19:33Z","timestamp":1727684373000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Improving Nursing Oral Care Practice for Community\u2010Dwelling Care\u2010Dependent Older People"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5006-7719","authenticated-orcid":false,"given":"Keiko","family":"Oda","sequence":"first","affiliation":[{"name":"Faculty of Medical and Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazahiah\u00a0N.","family":"Bakri","sequence":"additional","affiliation":[{"name":"Centre of Population Oral Health and Clinical Prevention Studies Universiti Teknologi MARA  Selangor Malaysia"},{"name":"Sir John Walsh Research Institute University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Majeed","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences University of Auckland  Auckland New Zealand"},{"name":"Department of Public Health University of Otago Wellington  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shennae","family":"Bartlett","sequence":"additional","affiliation":[{"name":"Department of Public Health University of Otago Wellington  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murray\u00a0W.","family":"Thomson","sequence":"additional","affiliation":[{"name":"Sir John Walsh Research Institute University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Parsons","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8895-1251","authenticated-orcid":false,"given":"Michal","family":"Boyd","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna\u00a0C.","family":"Ferguson","sequence":"additional","affiliation":[{"name":"Department of Public Health University of Otago Wellington  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moira","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Public Health University of Otago Wellington  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,30]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15373"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.identj.2022.06.012"},{"key":"e_1_2_12_4_1","volume-title":"Our Older People's Oral Health: Key Findings of the 2012 New Zealand Older People's Oral Health Survey","author":"CBG","year":"2016"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2005.03605.x"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834\u20107819.2005.tb00360.x"},{"issue":"2","key":"e_1_2_12_7_1","first-page":"120","article-title":"Teaching Thematic Analysis: Overcoming Challenges and Developing Strategies for Effective Learning","volume":"26","author":"Clarke V.","year":"2013","journal-title":"Psychologist"},{"key":"e_1_2_12_8_1","volume-title":"Research Design; Qualitative, Quantitative, and Mixed Methods Approaches","author":"Creswell J. 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