Geriatric oral health care content and barriers to its incorporation in undergraduate nursing curricula: New Zealand survey.

INTRODUCTION An increasingly older population demands major remodeling of our health care system. Older adults are most likely to be affected by the oral-systemic connection due to their impairment in functional capacity and reduced ability to undertake routine oral care. An economic way to improve oral health outcomes in older populations is by involving nurses and caregivers in ensuring the maintenance of oral health for older adults. This study aimed to investigate the present educational content relevant to the oral health of older adults, the oral-systemic connection, and assessment methods in New Zealand nursing education. METHODS A cross-sectional survey was conducted among nursing educators to understand the extent of oral health care education. Quantitative descriptive data were analyzed using SPSS software and qualitative data were analyzed descriptively and presented as themes. RESULTS The results indicated that the majority of oral health topics were already incorporated into nursing education, however most important topics such as risk factors associated with dental caries, periodontal health, and risk factors are not taught in almost 40% of the schools. The four themes identified in qualitative analyses are "no barrier", "lack of expertise", "no space for more content" and oral health content "already included". CONCLUSION Educators reported that oral health topics are already incorporated into New Zealand undergraduate nursing curricula. However, the quantity and quality of oral health content relevant to older adults need to be improved and updated to suit the current oral health care needs of the growing older population.

[1]  S. Rahman,et al.  Oral health education in the undergraduate nursing curriculum of australian and malaysian institutions. , 2020, European journal of dental education : official journal of the Association for Dental Education in Europe.

[2]  Young-Jae Kim,et al.  Oral health status of the disabled compared with that of the non-disabled in Korea: A propensity score matching analysis , 2019, PloS one.

[3]  W. Thomson,et al.  Oral status, cognitive function and dependency among New Zealand nursing home residents , 2018, Gerodontology.

[4]  Lynne A Hall,et al.  Evaluation of an interprofessional education program for advanced practice nursing and dental students: The oral-systemic health connection. , 2018, Nurse education today.

[5]  Jessica L. Parker,et al.  Expanding collaborative boundaries in nursing education and practice: The nurse practitioner-dentist model for primary care. , 2017, Journal of professional nursing : official journal of the American Association of Colleges of Nursing.

[6]  Eva Kahana,et al.  Baby boomers' expectations of health and medicine. , 2014, The virtual mentor : VM.

[7]  W. Thomson Monitoring Edentulism in Older New Zealand Adults over Two Decades: A Review and Commentary , 2012, International journal of dentistry.

[8]  R. Jablonski Oral Health and Hygiene Content in Nursing Fundamentals Textbooks , 2012, Nursing research and practice.

[9]  A. Iacopino,et al.  Inclusion of oral-systemic health in predoctoral/undergraduate curricula of pharmacy, nursing, and medical schools around the world: a preliminary study. , 2011, Journal of dental education.

[10]  Emily K. Snell,et al.  The 2030 problem: caring for aging baby boomers. , 2002, Health services research.

[11]  M. Chong,et al.  The impact of swallowing disorders in the elderly. , 2001, Annals of the Academy of Medicine, Singapore.

[12]  M. Nieminen,et al.  Association between dental health and acute myocardial infarction. , 1989, BMJ.

[13]  K. Milisen,et al.  Gerontological care in nursing education programmes. , 2010, Journal of advanced nursing.

[14]  Y. Khader,et al.  Periodontal status of diabetics compared with nondiabetics: a meta-analysis. , 2006, Journal of diabetes and its complications.