Oral Hygiene in Patients with Stroke: A Best Practice Implementation Project Protocol.
Ana Filipa Dos Reis Marques CardosoLiliana Escada RibeiroTeresa SantosMaribel PintoCláudia RochaJoana MagalhãesBerta AugustoDiana Gabriela Simões Marques SantosFilipa Margarida DuqueBeatriz Lavos FernandesRosário Caixeiro SousaRosa Carla Gomes da SilvaFilipa Isabel Quaresma Santos VenturaAntónio Manuel FernandesDaniela Filipa Batista CardosoRogério Manuel Clemente RodriguesPublished in: Nursing reports (Pavia, Italy) (2023)
Oral hygiene has been shown to reduce adverse events and promote the quality of life of patients with stroke. However, a stroke can result in the impairment of physical, sensory, and cognitive abilities, and comprise self-care. Although nurses recognize its benefits, there are areas for improvement in the implementation of the best evidence-based recommendations. The aim is to promote compliance with the best evidence-based recommendations on oral hygiene in patients with stroke. This project will follow the JBI Evidence Implementation approach. The JBI Practical Application of Clinical Evidence System (JBI PACES) and the Getting Research into Practice (GRiP) audit and feedback tool will be used. The implementation process will be divided into three phases: (i) establishing a project team and undertaking the baseline audit; (ii) providing feedback to the healthcare team, identifying barriers to the implementation of best practices, and co-designing and implementing strategies using GRIP, and (iii) undertaking a follow-up audit to assess the outcomes and plan for sustainability. So, the successful adoption of the best evidence-based recommendations on oral hygiene in patients with stroke will reduce the adverse events related to poor oral care and may improve patients' quality of care. This implementation project has great transferability potential to other contexts.