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published_or_final_version / Dentistry / Master / Master of Dental Surgery

published_or_final_version / Dentistry / Master / Master of Dental Surgery

published_or_final_version / abstract / Dentistry / Doctoral / Doctor of Philosophy

published_or_final_version / abstract / Dentistry / Doctoral / Doctor of Philosophy

Includes bibliographical references (leaves 127-141)

published_or_final_version / Dentistry / Doctoral / Doctor of Philosophy

published_or_final_version / Dentistry / Master / Master of Philosophy

Ching Ho-hong Boby. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2005. / Includes bibliographical references (leaves 63-78). / Abstracts in English and Chinese. / List of Tables --- p.vii / Chapter Chapter 1: --- Introduction --- p.1 / General Oral Health Status in Hong Kong --- p.2 / """How"" is the Message Constructed： Gain versus Loss Frames" --- p.3 / """Who"" are the Recipients： Individual Differences in Self-Construal" --- p.4 / What Accounts for the Message-Self Compatibility Effects： The Mediating Factors --- p.6 / Stage One： Cognitive Integration of the Message Contents --- p.6 / Stage Two: Acceptance of the Messages --- p.8 / Stage Three： Perceptions of Health Behavior --- p.9 / An Addition to the Three-Stage Model: The Role of Anticipated Feelings --- p.11 / Overview of the Present Study --- p.12 / Chapter Chapter 2: --- Method --- p.15 / Participants --- p.15 / Oral Health Message --- p.15 / Independent Measures --- p.16 / Self-Construal --- p.16 / Principle Dependent Measures --- p.17 / Recognition Memory --- p.17 / Subjective Evaluations of the Messages --- p.17 / Self-Efficacy to Perform Oral Health Behavior --- p.18 / Outcome Expectancy of Performing Oral Health Behavior --- p.19 / Anticipated Feelings to Perform Oral Health Behavior --- p.20 / Intentions to Perform Oral Health Behavior --- p.21 / Behavioral Measures --- p.22 / Potential Covariates Measures --- p.22 / Personality --- p.22 / Need for Cognition --- p.23 / Dispositional Optimism --- p.24 / Oral Health Locus of Control --- p.25 / Dental History --- p.26 / Cognitive Ability --- p.26 / Mood --- p.26 / Perceived Threat of Developing Oral Diseases --- p.27 / Perceived Normative Pressure of Performing Oral Health Behavior --- p.28 / Fear and Worry Toward Developing Oral Diseases --- p.28 / Other Potential Covari ates --- p.29 / Procedure --- p.29 / Chapter Chapter 3: --- Results --- p.31 / Manipulation Checks --- p.31 / Different Operationalizations of Gain- and Loss-Framed Messages --- p.31 / Principle Analyses： General --- p.33 / Moderation of the Framing Effects by Self-Construal on Behavioral Intentions --- p.34 / Moderation of the Framing Effects by Self-Construal on Subjective Evaluations --- p.37 / The Mediating Effect of Personal Outcome Expectancy on Behavioral Intentions --- p.39 / The Mediating Effect of Social Outcome Expectancy on Behavioral Intentions --- p.42 / The Mediating Effect of Anticipated Feelings on Behavioral Intentions --- p.44 / Chapter Chapter 4: --- General Discussion --- p.46 / How to Frame the Message: Tailoring Messages to Match Self-construal --- p.47 / Identifying the Mediating Factors of Compatibility Effects Between Message and Self-Construal --- p.49 / The Importance of Anticipated Feelings --- p.55 / The Intention - Behavior Relationships --- p.56 / Improvements and Further Studies --- p.59 / Concluding Remarks --- p.61 / References --- p.63 / Appendix A --- p.79

Background: Comprehensive oral care is an evidence-based, cost effective, essential routine nursing intervention that nurses ought to provide with good knowledge/understanding as it prevents and controls nosocomial infections especially Ventilator Associated Pneumonia (VAP) that is associated with increased morbidity and mortality in critically ill patients in Intensive Care Units (ICU). Aim of study: To determine ICU nurses’ knowledge, describe their practices and identify their perceptions regarding comprehensive oral health care to critically ill patients in order to refine or develop evidence based oral care protocol. Methods: A quantitative approach with a descriptive, exploratory survey was used for this study. A non probability convenience sample of thirty-four (34) ICU nurses from two public referral hospitals participated in this study. A questionnaire with a combination of open and closed ended questions was used to collect data on comprehensive oral care to critically ill patients. Results Thirty-four nurses responded to the questionnaire (response rate 89%). Only 18% (n=6) were knowledgeable about important aspects of oral care, while the majority, 82% (n=28) lacked knowledge on important aspects of oral care. Fifty-nine percent (59%) n=20 had received training on comprehensive oral care at basic nursing training and 44% (n=15) had orientation at unit level. Ninety-seven percent (97%) n=33 of the participants requested further updates on comprehensive oral care. No significant relationships were found between nurses’ demographic characteristics and knowledge of comprehensive oral care. All (100%) n=34 of nurses gave oral care a high priority and 91% ranked it very important for critically ill patients. Toothbrushes and toothpaste were used by 85% (n=29) of nurses and only 50% (n=17) used mouthwashes. The reason for non- use of mouthwashes was lack of supplies and not having been foreseen in unit protocol although neither of the units had an oral care protocol in place. / Thesis (M.N.)-University of KwaZulu-Natal, Durban, 2011.