Am J Nurs 2019 02;119(2):44-51
Chastity Warren is an assistant professor at the Michigan State University College of Nursing and a clinical nurse specialist in critical care at Sparrow Health System, Lansing, MI, where Mary Kathryn Medei and Brooke Wood are RNs in the surgical specialties department. Debra Schutte is an associate professor at the Wayne State University College of Nursing in Detroit and a nurse research consultant in the nursing education and practice department at Sparrow Health System. The following funding sources contributed to the completion of this project: the Sparrow Hospital Department of Nursing Evidence-Based Practice Fellowship Program, Sparrow Foundation Sue Tadgerson Nursing Research Fund, and Delta Dental Foundation, an affiliate of Delta Dental of Michigan, Ohio, and Indiana, which provided an unrestricted educational grant. Contact author: Chastity Warren, The authors have disclosed no potential conflicts of interest, financial or otherwise.
: Purpose: The purpose of this evidence-based quality improvement (QI) project was to implement an oral care protocol in the adult in-patient care areas of a level 1 trauma hospital and to evaluate its impact on the incidence of hospital-acquired pneumonia (HAP).
Methods: A standardized, evidence-based oral care protocol was implemented depending on the level of care required by each ventilated, at-risk, or short-term care patient. The QI project included the introduction of a new suction toothbrush kit for at-risk patients and, for short-term patients, a new short-term oral care kit that featured a more ergonomically appropriate toothbrush, a baking soda toothpaste, and an alcohol-free antiseptic mouthwash; the project also supported the continued use of the then current suction toothbrush kit for patients receiving mechanical ventilation. Read More