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. 2023 Dec 31;28(1):48–57. doi: 10.5005/jp-journals-10071-24601

Table 1.

Association with designation

S. No. Questions Responses Nursing officer Staff nurse χ2 p-value
1 Recommended material used for oral care hygiene maintenance in ICU patients Simple suction 6 3 16.802 0.002
Tap water 8 2
Plain saline 89 27
Chlorhexidine 6 1
Toothbrush 1 7
2 Is toothbrush recommended for maintenance of oral hygiene in ICU patients? No 42 8 4.364 0.037
Yes 68 32
3 Frequency of toothbrushing performed by nursing staff for each ICU patients daily Once 26 12 0.737 0.864
Twice 56 19
After every meal 17 6
Not daily 11 3
4 Duration of toothbrushing performed by nursing staff for each ICU patient 3–4 minutes 46 13 8.762 0.033
1–2 minutes 53 16
5 minutes 3 1
Not sure 8 10
5 Pooling of saliva in the mouth for intubated ICU patients leads to increased incidence of microbial growth. This can be controlled by (A) Suctioning of oral fluids regularly 46 10 6.865 0.032
(B) Using cotton swabs to absorb 10 1
Both (A) and (B) 54 29
Not required 0 0
6 Oral hygiene tools required in an ICU setup for oral hygiene maintenance Toothbrush 8 3 0.022 0.989
Gauze + tongue depressor 40 15
Mouth rinse 0 0
All 62 22
7 Recommended toothpaste for children with teeth should contain Fluoride 62 22 2.080 0.353
Sodium chloride 43 18
Sodium bicarbonate 0 0
Don't know 5 0
8 Recommended oral rinse for ICU patients 0.12% Chlorhexidine 101 33 2.673 0.102
Plain water 9 7
Betadine 0 0
Hydrogen 0 0
Don't know 0 0
9 Ideal handwashing practice to be followed by nursing staff in ICU Precontact handwashing with tap water and soap 0 0 0.408 0.523
Pre- and post-contact handwashing with tap water and soap 42 13
Pre- and post-contact handwashing with tap water and soap followed by alcohol rub 68 27
Handwashing is not needed 0 0
10 Denture hygiene of geriatric ICU patients comprises Removal of dentures at night and cleaning it once a day 11 6 2.108 0.349
Removal of denture during sleep and cleaning it preferably after every meal 95 34
No need for removal of denture from the mouth and external cleaning 4 0
Intraoral cleaning with appropriate tools is sufficient 0 0
11 Where do you store personalized oral hygiene tools for ICU patients? (A) Personalized air-tight containers 53 14 2.920 0.404
(B) Along with their other personal belongings 27 10
(A) or (B) 30 16
Does not matter 0 0
12 Maintenance of oral hygiene in infants before eruption of teeth in a pediatric ICU is done by (A) Cotton swab to clean the gums 75 24 1.923 0.382
(B) Small soft toothbrush 0 0
Both (A) and (B) 33 16
No supporting cleaning required 2 0
13 Did you receive assessment and provision of comprehensive oral care for ICU patients in basic nursing training? No 6 1 0.576 0.448
Yes 104 39
14 What is the ideal patient position for performing oral hygiene care in an unconscious ICU adult patient? Position the patient in the supine position 6 2 1.488 0.475
Position the patient in the prone position 0 0
Position the patient in the lateral decubitus 69 21
Position the patient in elevated supine position 35 17
Any position 0 0
15 Do you think oral hygiene maintenance is necessary for ICU patients? Yes 110 40
No 0 0
16 Doctor's instruction for oral hygiene care documented in the checklist and your necessary documentation/record for the oral hygiene procedures will improve the practice of oral care by nursing staff Yes 110 40
No 0 0
17 Will the presence of a dental surgeon in the ICU will help in proper maintenance of oral hygiene in ICU patient? No 10 5 0.379 0.538
Yes 100 35