Oral health promotion in acute hospital setting: a quality improvement programme
Tooth extraction is the most common hospital procedure for children aged 6–10 years in England. Tooth decay is almost entirely preventable and is inequitably distributed across the population: it can cause pain, infection, school absences and undermine overall health status.An oral health programme...
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BMJ Publishing Group
2023-06-01
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| Series: | BMJ Open Quality |
| Online Access: | https://bmjopenquality.bmj.com/content/12/2/e002166.full |
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| author | Laura Lennox Grazia Antonacci Laraib Ahmed Samuel Rigby Sophie Coronini-Cronberg |
| author_facet | Laura Lennox Grazia Antonacci Laraib Ahmed Samuel Rigby Sophie Coronini-Cronberg |
| author_sort | Laura Lennox |
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| description | Tooth extraction is the most common hospital procedure for children aged 6–10 years in England. Tooth decay is almost entirely preventable and is inequitably distributed across the population: it can cause pain, infection, school absences and undermine overall health status.An oral health programme (OHP) was delivered in a hospital setting, comprising: (1) health promotion activities; (2) targeted supervised toothbrushing (STB) and (3) staff training. Outcomes were measured using three key performance indicators (KPI1: percentage of children/families seeing promotional material; KPI2: number of children receiving STB; KPI3: number of staff trained) and relevant qualitative indicators. Data were collected between November 2019 and August 2021 using surveys and data from the online booking platform.OHP delivery was impacted by COVID-19, with interventions interrupted, reduced, eliminated or delivered differently (eg, in-person training moved online). Despite these challenges, progress against all KPIs was made. 93 posters were deployed across the hospital site, along with animated video 41% (233/565) of families recalled seeing OHP materials across the hospital site (KPI1). 737 children received STB (KPI2), averaging 35 children/month during the active project. Following STB, 96% participants stated they learnt something, and 94% committed to behaviour change. Finally, 73 staff members (KPI3) received oral health training. All people providing feedback (32/32) reported learning something new from the training session, with 84% (27/32) reporting that they would do things differently in the future.Results highlight the importance of flexibility and resilience when delivering QI projects under challenging conditions or unforeseen circumstances. While results suggest that hospital-based OHP is potentially an effective and equitable way to improve patient, family and staff knowledge of good oral health practices, future work is needed to understand if and how patients and staff put into practice the desired behaviour change and what impact this may have on oral health outcomes. |
| format | Article |
| id | doaj-art-0cfd0d19cd124d408d869b12beda6733 |
| institution | OA Journals |
| issn | 2399-6641 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open Quality |
| spelling | doaj-art-0cfd0d19cd124d408d869b12beda67332025-08-20T01:58:44ZengBMJ Publishing GroupBMJ Open Quality2399-66412023-06-0112210.1136/bmjoq-2022-002166Oral health promotion in acute hospital setting: a quality improvement programmeLaura Lennox0Grazia Antonacci1Laraib Ahmed2Samuel Rigby3Sophie Coronini-Cronberg41 NIHR CLAHRC NWL, Chelsea and Westminster Hosptial, Imperial College London, London, United KingdomDepartment of Primary Care and Public Health & National Institute of Health Research (NIHR) Applied Research Collaboration (ARC) Northwest London, Imperial College London, London, UKChelsea and Westminster Hospital NHS Foundation Trust, London, UKChelsea and Westminster Hospital NHS Foundation Trust, London, UKDepartment of Primary Care and Public Health, National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) Northwest London, Imperial College London, London, UKTooth extraction is the most common hospital procedure for children aged 6–10 years in England. Tooth decay is almost entirely preventable and is inequitably distributed across the population: it can cause pain, infection, school absences and undermine overall health status.An oral health programme (OHP) was delivered in a hospital setting, comprising: (1) health promotion activities; (2) targeted supervised toothbrushing (STB) and (3) staff training. Outcomes were measured using three key performance indicators (KPI1: percentage of children/families seeing promotional material; KPI2: number of children receiving STB; KPI3: number of staff trained) and relevant qualitative indicators. Data were collected between November 2019 and August 2021 using surveys and data from the online booking platform.OHP delivery was impacted by COVID-19, with interventions interrupted, reduced, eliminated or delivered differently (eg, in-person training moved online). Despite these challenges, progress against all KPIs was made. 93 posters were deployed across the hospital site, along with animated video 41% (233/565) of families recalled seeing OHP materials across the hospital site (KPI1). 737 children received STB (KPI2), averaging 35 children/month during the active project. Following STB, 96% participants stated they learnt something, and 94% committed to behaviour change. Finally, 73 staff members (KPI3) received oral health training. All people providing feedback (32/32) reported learning something new from the training session, with 84% (27/32) reporting that they would do things differently in the future.Results highlight the importance of flexibility and resilience when delivering QI projects under challenging conditions or unforeseen circumstances. While results suggest that hospital-based OHP is potentially an effective and equitable way to improve patient, family and staff knowledge of good oral health practices, future work is needed to understand if and how patients and staff put into practice the desired behaviour change and what impact this may have on oral health outcomes.https://bmjopenquality.bmj.com/content/12/2/e002166.full |
| spellingShingle | Laura Lennox Grazia Antonacci Laraib Ahmed Samuel Rigby Sophie Coronini-Cronberg Oral health promotion in acute hospital setting: a quality improvement programme BMJ Open Quality |
| title | Oral health promotion in acute hospital setting: a quality improvement programme |
| title_full | Oral health promotion in acute hospital setting: a quality improvement programme |
| title_fullStr | Oral health promotion in acute hospital setting: a quality improvement programme |
| title_full_unstemmed | Oral health promotion in acute hospital setting: a quality improvement programme |
| title_short | Oral health promotion in acute hospital setting: a quality improvement programme |
| title_sort | oral health promotion in acute hospital setting a quality improvement programme |
| url | https://bmjopenquality.bmj.com/content/12/2/e002166.full |
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