Nursing home caregivers' acceptance of, and experiences with, a new digital intervention for oral healthcare: A qualitative feasibility study

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Gerodontology Pub Date : 2023-06-09 DOI:10.1111/ger.12695

Hannah Haewon Lee, Elisabeth Lind Melbye

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Abstract

Objectives

The objectives of the present study were to qualitatively investigate nursing home caregivers' acceptance of, and experiences with, a new digital intervention for oral healthcare after a period of real-life testing in three nursing homes located in Rogaland county, Norway.

Background

Nursing home caregivers report numerous barriers when it comes to provision of adequate oral care for care-dependent older adults. Among the reported barriers are lack of knowledge and skills, care-resistant behaviours, lack of adequate routines and documentation systems for oral health, a high workload, and unclear responsibilities. To overcome these barriers, a digital tool named SmartJournal was developed to assist caregivers in preserving nursing home residents' oral health.

Materials and methods

Semistructured interviews were performed with selected caregivers (n = 12) taking part in SmartJournal testing. A theory-driven thematic analysis based on technology acceptance model was conducted.

Results

SmartJournal was generally described as a userfriendly and useful tool. The initial reaction of the participants was mixed; some were positive, some had concerns, but many seemed to have a neutral stance to the intervention. Both barriers and facilitating factors for SmartJournal usage were revealed. Interestingly, the usage gradually changed from norm-based to routine-based behaviour during the test period. Although the tool was well-accepted, as demonstrated with study participants' willingness to use it in the future, they had several suggestions for improvements to further adapt it to a nursing home setting.

Conclusion

Results from the present study provide valuable information on questions about SmartJournal acceptance and intervention delivery, thereby preparing the ground for a larger scale evaluation study assessing measurable effects of SmartJournal usage in nursing homes.

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养老院护理人员对口腔保健新数字干预措施的接受程度和体验：定性可行性研究

研究目的本研究的目的是在挪威罗加兰郡的三所养老院进行一段时间的实际测试后，对养老院护理人员对口腔保健新数字干预措施的接受程度和使用体验进行定性调查：背景：养老院护理人员在为依赖护理的老年人提供充分的口腔护理时遇到了许多障碍。这些障碍包括缺乏知识和技能、抗拒护理的行为、缺乏适当的口腔保健常规和记录系统、工作量大以及责任不明确。为了克服这些障碍，我们开发了一种名为 SmartJournal 的数字工具，以协助护理人员保护疗养院居民的口腔健康：对参加 SmartJournal 测试的部分护理人员（n = 12）进行了半结构式访谈。结果：SmartJournal 被普遍认为是一个非常好的口腔护理工具：结果：SmartJournal 被普遍认为是一个用户友好和有用的工具。参与者的初步反应不一：有些人持积极态度，有些人表示担忧，但许多人似乎对干预措施持中立态度。使用 SmartJournal 的障碍和促进因素都被揭示出来。有趣的是，在测试期间，使用情况逐渐从规范行为转变为日常行为。尽管该工具得到了广泛认可，研究参与者也表示愿意在未来使用该工具，但他们也提出了一些改进建议，以进一步适应养老院的环境：本研究的结果为智能日志的接受度和干预措施的实施提供了有价值的信息，从而为评估智能日志在养老院中使用的可测量效果的更大规模的评估研究奠定了基础。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.