Barriers and facilitators to delivering everyday personal hygiene care in residential settings: A systematic review

Heague, Megan and Dyson, Judith and Cowdell, Fiona (2022) Barriers and facilitators to delivering everyday personal hygiene care in residential settings: A systematic review. Journal of Clinical Nursing. ISSN 0962-1067

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Abstract

Introduction
Globally, the population is ageing, and more people live in residential care. Best practice in personal hygiene care may reduce distressing and debilitating skin and oral problems and improve resident outcomes. Although there is guidance on personal hygiene care, implementation may be a challenge.

Aim
To identify barriers and facilitators to delivering personal hygiene care for older persons in residential care settings.

Methods
Systematic review reported according to PRISMA 2020 guidance. Databases MEDLINE, CIHAHL, and PsychINFO were systematically searched using terms and synonyms “barriers”, “facilitators”, “hygiene”, “older adults” and “residential care”. Only empirical studies, reporting everyday skin and oral care, in English, peer reviewed and published from 2000-2021 were included. Due to methodological heterogeneity a narrative synthesis was conducted.

Results
Sixteen papers yielded nine categories of barrier or facilitator. Five related to skin and oral care: i) knowledge, ii) skills relating to hygiene care, iii) skills relating to supporting “uncooperative” behaviours, iv) lack of resources and v) time, workload and staffing levels. The remainder related only to oral care: vi) resident, family or carer motivation, vii) dislike of hygiene care, viii) carer attitudes and beliefs and ix) social influences and communication. Six papers reported interventions to optimise care.

Conclusion
This review highlights the persistent dearth of research into everyday personal hygiene practices, in particular skin hygiene in residential care. Existing literature identifies a range of barriers, however, there is a mismatch between these and reported interventions to improve practice.

Item Type:	Article
Identification Number:	10.1111/jocn.16413
Dates:	Date Event 30 May 2022 Accepted 28 June 2022 Published Online
Uncontrolled Keywords:	Nursing, Personal Hygiene, Barriers and Facilitators, Behaviour Change, Residential Homes, Skin, Oral
Subjects:	CAH02 - subjects allied to medicine > CAH02-04 - nursing and midwifery > CAH02-04-09 - others in nursing
Divisions:	Faculty of Health, Education and Life Sciences > Centre for Social Care, Health and Related Research (C-SHARR)
Depositing User:	Fiona Cowdell
Date Deposited:	07 Jun 2022 13:06
Last Modified:	11 Jul 2022 13:32
URI:	https://www.open-access.bcu.ac.uk/id/eprint/13265

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