ICU Nursing Staff Oral Hygiene Questionnaire
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1. Please describe your role in ICU: *
2. Where in the UK do you currently practice? *
3. How many years of experience working  in ICU do you have? *
4. Where did you qualify as a nurse? *
5. In regard to daily nursing care, what do you perceive the relative priority for oral health care in ICU to be? *
6. Do you have an oral care protocol, guidelines or procedure in your unit? *
7. If you answered yes, to Q6, how would you describe your department protocol?                                                      *please only record one response per row*
Agree
Neutral
Disagree
Up-to-date and evidence based:
Simple to follow protocol
Complex protocol
8. How often is oral care carried out in your unit? *
9. (a) Which of the following oral care methods do you adopt for your patients? Please tick all that apply: *
Required
9.(b) If a combination of oral care methods are used, please provide more detail using the text box below:
10. If you use Chlorhexidine in ICU, what is the most commonly used/available preparation in your unit? *
11. Do you use antiseptic mouthwashes other than those containing chlorhexidine? *
12.  If yes which of the following do you normally use?
Clear selection
13. When performing tooth brushing in your unit, what do you normally use? *
14. Do you perform an oral assessment for intubated patients in the ICU? *
15. Do you have an oral assessment protocol in your unit? *
16. If you answered yes to the above, which oral assessment method or tool do you use?
Clear selection
17. If you answered yes to Q15, have you been trained to use the oral assessment method/tool?
Clear selection
18.If you answered yes to Q15, is the assessment method/tool easy to use?
Clear selection
19. If you answered No to Q18, what are the issues with the assessment method/tool? Please tick all that apply
20. How often do you do an oral assessment? *
21. When carrying out an oral assessment, what is the most common oral health problem that you observe?                                                                                                 *
22. How much time on average do you spend performing oral care for an intubated patient, including oral assessment? *
23. Did you receive any training on provision of oral care? *
24. Would you be able to identify common oral problems? *
25. How confident do you feel with providing oral care for intubated patients? *
26. In your opinion what are the main barriers for provision of good quality oral care for intubated patients if any? Please tick all that apply *
Required
27. If you were to develop an oral care bundle to improve the oral hygiene of intubated patients, what would your number 1 priority be?                                                                                                                                                                                       *
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