Artigo de periodico

Oral hygiene in critically ill patients at a tertiary hospital in São Paulo, Brazil: a best practice implementation project (2025)

• Authors:
  • Bersaneti, Mariana Davies Ribeiro
  • Lobo, Renata Desordi
  • Brandão, Thais Bianca
  • Souza, Regina Claudia Silva
  • Poveda, Vanessa de Brito
• Autor USP: POVEDA, VANESSA DE BRITO - EE
• Unidade: EE
• DOI: 10.1097/xeb.0000000000000413
• Subjects: AUDITORIA MÉDICA; ENFERMAGEM BASEADA EM EVIDÊNCIAS; UNIDADES DE TERAPIA INTENSIVA; HIGIENE BUCAL
• Language: Inglês
• Abstract: Objectives: This project aimed to promote evidence-based practices related to the oral health of critically ill patients in an intensive care unit in Brazil. Introduction: The oral hygiene of patients on mechanical ventilation is an essential component of nursing care quality, and well-defined guidelines ensure appropriate care. Mechanical ventilation is associated with the risk of ventilator-associated pneumonia, which can increase mortality, length of stay, time on mechanical ventilation, and hospital costs. Methods: This project was guided by the JBI Evidence Implementation Framework, which consists of seven stages: (1) identification of the area of practice to be changed, (2) involvement of change agents, (3) context assessment and readiness for change, (4) review of practices against evidence-based audit criteria, (5) implementation of practice changes, (6) reassessment of practices using a follow-up audit, and (7) consideration of the sustainability of changes in practice. Results: Four audit criteria were developed to evaluate compliance with best practices. In the follow-up audit, Criteria 1, 2, and 3 obtained compliance of 80%. Thus, for Criterion 1, all the patients on mechanical ventilation for more than 24 hours were evaluated by the oral medicine team, resulting in 100% compliance. For Criterion 2 on appropriate oral hygiene measures, a compliance rate of 80% was achieved. For Criterion 3, 39 professionals (90.7%) participated in educational activities related to the oral health protocol for critically ill patients, obtaining 90.7% compliance. For Criterion 4 regarding patients being evaluated before receiving any oral health care, improvement was low (only 50%), revealing the need for further improvementConclusion: This best practice project improved the professional practice of nursing staff and increased compliance with best practices for the oral health of critically ill patients. Spanish abstract: http://links.lww.com/IJEBH/A175
• Imprenta:
  • Publisher place: Philadelphia
  • Date published: 2025
• Source:
  • Título: JBI Evidence Implementation
  • ISSN: 2691-3321
  • Volume/Número/Paginação/Ano: v. 23, n. 1, p. 4-13, 2025


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• ABNT

  BERSANETI, Mariana Davies Ribeiro et al. Oral hygiene in critically ill patients at a tertiary hospital in São Paulo, Brazil: a best practice implementation project. JBI Evidence Implementation, v. 23, n. 1, p. 4-13, 2025Tradução . . Disponível em: https://doi.org/10.1097/xeb.0000000000000413. Acesso em: 15 abr. 2026.

• APA

  Bersaneti, M. D. R., Lobo, R. D., Brandão, T. B., Souza, R. C. S., & Poveda, V. de B. (2025). Oral hygiene in critically ill patients at a tertiary hospital in São Paulo, Brazil: a best practice implementation project. JBI Evidence Implementation, 23( 1), 4-13. doi:10.1097/xeb.0000000000000413

• NLM

  Bersaneti MDR, Lobo RD, Brandão TB, Souza RCS, Poveda V de B. Oral hygiene in critically ill patients at a tertiary hospital in São Paulo, Brazil: a best practice implementation project [Internet]. JBI Evidence Implementation. 2025 ; 23( 1): 4-13.[citado 2026 abr. 15 ] Available from: https://doi.org/10.1097/xeb.0000000000000413

• Vancouver

  Bersaneti MDR, Lobo RD, Brandão TB, Souza RCS, Poveda V de B. Oral hygiene in critically ill patients at a tertiary hospital in São Paulo, Brazil: a best practice implementation project [Internet]. JBI Evidence Implementation. 2025 ; 23( 1): 4-13.[citado 2026 abr. 15 ] Available from: https://doi.org/10.1097/xeb.0000000000000413

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