Incorporating oral health care education in undergraduate nursing curricula - a systematic review

Background: The recognised relationship between oral health and general health, the rapidly increasing olderpopulation worldwide, and changes in the type of oral health care older people require have raised concerns forpolicymakers and health professionals. Nurses play a leading role in holistic and interprofessional care that supportshealth and ageing. It is essential to understand their preparation for providing oral health care.Objective: To synthesise the evidence on nursing students’ attitudes towards, and knowledge of, oral healthcare,with a view to determining whether oral health education should be incorporated in nursing education.Methods: Data sources: Three electronic databases - PubMed, Scopus, and CINAHL.Study eligibility criteria, participants and interventions: Original studies addressing the research objective, written inEnglish, published between 2008 and 2019, including students and educators in undergraduate nursing programsas participants, and conducted in Organisation of Economic Co-operation and Development countries.Study appraisal and synthesis methods: Data extracted from identified studies were thematically analysed, and qualityassessment was done using the Mixed Methods Appraisal Tool.Results: From a pool of 567 articles, 11 met the eligibility criteria. Findings documented five important themes: 1.)nursing students’ limited oral health knowledge; 2.) their varying attitudes towards providing oral health care; 3.)the need for further oral health education in nursing curricula; 4.) available learning resources to promote oralhealth; and 5.) the value of an interprofessional education approach to promote oral health care in nursingprograms.Limitations: The identified studies recruited small samples, used self-report questionnaires and were conductedprimarily in the United States.Conclusions: The adoption of an interprofessional education approach with a focus on providing effective oralhealth care, particularly for older people, needs to be integrated into regular nursing education, and practice. Thismay increase the interest and skills of nursing students in providing oral health care. However, more rigorousstudies are required to confirm this. Nursing graduates skilled in providing oral health care and interprofessionalpractice have the potential to improve the oral and general health of older people