The Effects of Oral Care Nurse’s Competency Promoting Program of Intubated Patients in Medical Step-Down Unit

Authors

  • Sutinee Manasatjatham Faculty of Nursing, Srinakharinwirot University
  • Jirawan Incoom Faculty of Nursing, Srinakharinwirot University

Keywords:

Oral health, Intubated patients, Oral care competency enhancement program, Professional nurses

Abstract

This quasi-experimental research, using a pretest-posttest control group design, aimed to study the effects of oral care nurse’s competency promoting program for patients with endotracheal tubes in a medical intermediate care unit. The study compared the oral health scores of the experimental and control groups and also compared the nurses’ oral care practice scores before and after participating in the program. The sample group consisted of 14 professional nurses and 60 patients with endotracheal tubes, divided into an experimental group and a control group, with 30 patients in each group. The control group received standard oral care, while the experimental group received a competency promotion program developed by the researchers. The research instruments included 1) the Bedside Oral Exam (BOE) tool, 2) a nursing practice evaluation form and 3) a patient demographic data recording form. Data were analyzed using chi-square, Fisher’s exact test, and t-test. The research findings revealed that (1) after receiving the program, the experimental group had significantly better oral health scores compared to the control group (p <.05). (2) The nursing practice scores after participating in the program were significantly higher than before participating (p < .05).

Downloads

Download data is not yet available.

References

Prendergast V, Kleiman C, & King M. The bedside oral exam and the barrow oral care protocol: translating evidence-based oral care into practice. Intensive and Critical Care Nursing 2013; 29(5):282-90.

Zhao T, Wu X, Zhang Q, Li C, Woethington H, & Hua F. Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia. Cochrane Database of Systematic Reviews 2020;12(12):1-142.

Prendergast V. Safety and efficacy of oral care for intubated neuroscience intensive care unit patients. [Doctoral thesis ].Sweden: Lund University; 2012.

Ngammuak K, Kusuma Na Ayutthaya S,& Pinyophasakun W. Oral care practice guideline in critically ill patients to prevent ventilatorassociated pneumonia. Vajira Nursing Journal 2018;18(2):1-11. (in thai)

Vibulchai N, Somsup R, PhemPhul C,& Prajanpol J. Experiences of critical patients receiving mechanical ventilators in general wards. Journal of The Royal Thai Army Nurses. 2021; 22(3):95-104. (in thai)

Dagnew ZA, Abraham IA, Beraki GG, Tesfamariam EH, Mittler S, & Tesfamichael YZ. Nurses’ attitude towards oral care and their practicing level for hospitalized patients in orotta national referral hospital, asmara-eritrea: a cross-sectional study. BioMed Central Nursing 2020;19(1):1-9.

Poomipuk P, Somgit W, Pukkaeraka W, Thanoochan R,& Dana K. Development of a nursing management model for ventilator associated pneumonia prevention in general ward, Mahasarakham hospital. Journal of The Royal Thai Army Nurses. 2025;26(1):287-9. (in thai)

Kelly N, Blackwood B, Credland N, Stayt L, Causey C, Winning L, et al. Oral health care in adult intensive care units: A national point prevalence study. Nursing in Critical Care 2023;28(5):773-80.

Plaibun S, Kongsuwan W, & Damkliang J. The development of clinical nursing practice guidelines for oral health care in dependent patients. Songklanagarind Journal of Nursing 2020;40(3):37-47. (in thai)

Doshi M, Chay J, Gilbert L, Blake K, Lee L, Tarry C, et al. Mouth Care Matters: A guide for hospital healthcare professionals. 2nd ed. UK: Health Education England; 2019.

Bell L. AACN procedure manual for high acuity progressive and critical care. 7th ed. Critical Care Nurse 2017;37(2):32-40.

Collins T, Plowright C, Gibson V, Stayt L, Clarke S, Caisley J, et al. British association of critical care nurses: evidence-based consensus paper for oral care within adult critical care units. Nursing in Critical Care 2021;26(4):224-33.

Bandura A. Self-efficacy : the exercise of control. New York: W.H. Freeman and Company New York; 1997.

Seeharach O, Saensom D, Sattayawong K, & Panitchote A. Effects of oral care programme on oral health status and ventilatorassociated pneumonia incidence. Journal of Thailand Nursing and Midwifery Council 2022;37(04):36-51. (in thai)

Pengpist K, & Theunnadee SK. Effects of promoting perceived self-efficacy program on perceived self-efficacy and behavior of nurses to prevent ventilator-associated. Journal of Nursing Science & Health 2017; 40(2):1-10.(in thai)

Lombardo L, Ferguson C, George A, Villarosa AR, Villarosa BJ, Kong AC, et al. Interventions to promote oral care regimen adherence in the critical care setting: a systematic review. Australian Critical Care 2022;35(5):583-94.

Choi MI, Han SY, Jeon HS, Choi ES, Won SE, Lee YJ, et al. The effect of professional oral care on the oral health status of critical trauma patients using ventilators. International Journal of Environmental Research and Public Health 2022;19(10):1-10.

Downloads

Published

12-05-2026

How to Cite

1.
Manasatjatham S, Incoom J. The Effects of Oral Care Nurse’s Competency Promoting Program of Intubated Patients in Medical Step-Down Unit. J Royal Thai Army Nurses [internet]. 2026 May 12 [cited 2026 May 17];27(2):749-58. available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/280999

Issue

Section

Research Articles