Nurses’ role in oral healthcare: a descriptive-analytical cross-sectional study in northeastern Iran

Abstract Background Oral health is a vital component of overall health, particularly for hospitalized patients who are at higher risk of oral complications due to factors such as reduced salivary flow, medication side effects, and limited mobility. Nurses play a critical role in providing oral healt...

Full description

Saved in:
Bibliographic Details
Main Authors: Mohammadreza Askari, Mohammad Rahimkhani, Masoud Abdollahi, Ali Mohammadabadi, Hamideh Yaghoobi, Mohammad Namazinia
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-025-06363-x
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849238508234866688
author Mohammadreza Askari
Mohammad Rahimkhani
Masoud Abdollahi
Ali Mohammadabadi
Hamideh Yaghoobi
Mohammad Namazinia
author_facet Mohammadreza Askari
Mohammad Rahimkhani
Masoud Abdollahi
Ali Mohammadabadi
Hamideh Yaghoobi
Mohammad Namazinia
author_sort Mohammadreza Askari
collection DOAJ
description Abstract Background Oral health is a vital component of overall health, particularly for hospitalized patients who are at higher risk of oral complications due to factors such as reduced salivary flow, medication side effects, and limited mobility. Nurses play a critical role in providing oral healthcare, yet studies indicate gaps in their knowledge, attitudes, and practices (KAP) in this area. This study aimed to evaluate the KAP of nurses regarding oral healthcare for hospitalized patients in northeastern Iran, a region with limited healthcare resources. Methods A cross-sectional study was conducted in 2023 among 112 nurses working in three hospitals in Torbat Heydarieh, northeastern Iran. Data were collected over a two-month period using a convenience sampling method and a validated questionnaire assessing knowledge (11 items), attitudes (16 items), and practices (8 items). The questionnaire underwent face and content validation, and its reliability was confirmed through a pilot study (Cronbach's alpha > 0.8). Data were analyzed using SPSS version 16, with descriptive statistics, chi-square tests, and correlation analysis. Results The mean scores for knowledge, attitudes, and practices were 7.01 ± 1.47 (out of 11), 31.58 ± 4.93 (out of 80), and 4.31 ± 1.05 (out of 8), respectively. Significant correlations were found between knowledge and attitudes (r = 0.279, p < 0.01) and attitudes and practices (r = 0.149, p < 0.01). Nurses with higher education levels and more work experience demonstrated better knowledge and attitudes, though these did not always translate into improved practices. Male nurses had significantly higher knowledge scores than female nurses (p = 0.021). Conclusions The study highlights moderate knowledge, positive attitudes, and suboptimal practices among nurses regarding oral healthcare. The weak correlation between knowledge, attitudes, and practices suggests that improving oral healthcare requires not only education but also institutional support and resource availability. Given the relatively limited sample size and the use of convenience sampling, caution is advised when generalizing these findings to other populations. Targeted training programs, interdisciplinary collaboration, and systemic changes are recommended to enhance oral healthcare practices in hospitals. Trial registration Not applicable.
format Article
id doaj-art-fd6e9f5080394111b9b9d5f8babd2ac7
institution Kabale University
issn 1472-6831
language English
publishDate 2025-07-01
publisher BMC
record_format Article
series BMC Oral Health
spelling doaj-art-fd6e9f5080394111b9b9d5f8babd2ac72025-08-20T04:01:35ZengBMCBMC Oral Health1472-68312025-07-012511610.1186/s12903-025-06363-xNurses’ role in oral healthcare: a descriptive-analytical cross-sectional study in northeastern IranMohammadreza Askari0Mohammad Rahimkhani1Masoud Abdollahi2Ali Mohammadabadi3Hamideh Yaghoobi4Mohammad Namazinia5Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical SciencesDepartment of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical SciencesDepartment of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical SciencesDepartment of Nursing, School of Nursing and Midwifery, Sabzevar University of Medical SciencesDepartment of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical SciencesDepartment of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical SciencesAbstract Background Oral health is a vital component of overall health, particularly for hospitalized patients who are at higher risk of oral complications due to factors such as reduced salivary flow, medication side effects, and limited mobility. Nurses play a critical role in providing oral healthcare, yet studies indicate gaps in their knowledge, attitudes, and practices (KAP) in this area. This study aimed to evaluate the KAP of nurses regarding oral healthcare for hospitalized patients in northeastern Iran, a region with limited healthcare resources. Methods A cross-sectional study was conducted in 2023 among 112 nurses working in three hospitals in Torbat Heydarieh, northeastern Iran. Data were collected over a two-month period using a convenience sampling method and a validated questionnaire assessing knowledge (11 items), attitudes (16 items), and practices (8 items). The questionnaire underwent face and content validation, and its reliability was confirmed through a pilot study (Cronbach's alpha > 0.8). Data were analyzed using SPSS version 16, with descriptive statistics, chi-square tests, and correlation analysis. Results The mean scores for knowledge, attitudes, and practices were 7.01 ± 1.47 (out of 11), 31.58 ± 4.93 (out of 80), and 4.31 ± 1.05 (out of 8), respectively. Significant correlations were found between knowledge and attitudes (r = 0.279, p < 0.01) and attitudes and practices (r = 0.149, p < 0.01). Nurses with higher education levels and more work experience demonstrated better knowledge and attitudes, though these did not always translate into improved practices. Male nurses had significantly higher knowledge scores than female nurses (p = 0.021). Conclusions The study highlights moderate knowledge, positive attitudes, and suboptimal practices among nurses regarding oral healthcare. The weak correlation between knowledge, attitudes, and practices suggests that improving oral healthcare requires not only education but also institutional support and resource availability. Given the relatively limited sample size and the use of convenience sampling, caution is advised when generalizing these findings to other populations. Targeted training programs, interdisciplinary collaboration, and systemic changes are recommended to enhance oral healthcare practices in hospitals. Trial registration Not applicable.https://doi.org/10.1186/s12903-025-06363-xOral healthcareNursesKnowledgeAttitudesPracticesHospitalized patients
spellingShingle Mohammadreza Askari
Mohammad Rahimkhani
Masoud Abdollahi
Ali Mohammadabadi
Hamideh Yaghoobi
Mohammad Namazinia
Nurses’ role in oral healthcare: a descriptive-analytical cross-sectional study in northeastern Iran
BMC Oral Health
Oral healthcare
Nurses
Knowledge
Attitudes
Practices
Hospitalized patients
title Nurses’ role in oral healthcare: a descriptive-analytical cross-sectional study in northeastern Iran
title_full Nurses’ role in oral healthcare: a descriptive-analytical cross-sectional study in northeastern Iran
title_fullStr Nurses’ role in oral healthcare: a descriptive-analytical cross-sectional study in northeastern Iran
title_full_unstemmed Nurses’ role in oral healthcare: a descriptive-analytical cross-sectional study in northeastern Iran
title_short Nurses’ role in oral healthcare: a descriptive-analytical cross-sectional study in northeastern Iran
title_sort nurses role in oral healthcare a descriptive analytical cross sectional study in northeastern iran
topic Oral healthcare
Nurses
Knowledge
Attitudes
Practices
Hospitalized patients
url https://doi.org/10.1186/s12903-025-06363-x
work_keys_str_mv AT mohammadrezaaskari nursesroleinoralhealthcareadescriptiveanalyticalcrosssectionalstudyinnortheasterniran
AT mohammadrahimkhani nursesroleinoralhealthcareadescriptiveanalyticalcrosssectionalstudyinnortheasterniran
AT masoudabdollahi nursesroleinoralhealthcareadescriptiveanalyticalcrosssectionalstudyinnortheasterniran
AT alimohammadabadi nursesroleinoralhealthcareadescriptiveanalyticalcrosssectionalstudyinnortheasterniran
AT hamidehyaghoobi nursesroleinoralhealthcareadescriptiveanalyticalcrosssectionalstudyinnortheasterniran
AT mohammadnamazinia nursesroleinoralhealthcareadescriptiveanalyticalcrosssectionalstudyinnortheasterniran