Abstract: Methods: Nurses were recruited from the psychogeriatric and somatic ward of five nursing homes in the Netherlands, from September to December 2020. Due to the COVID-19 pandemic, semi-structured interviews were held with twenty nurses via Microsoft Teams. The intra-oral camera was demonstrated in an online video. The topic list was based on the Technology Acceptance Model (Davis, 1985) and reviewed by an expert group. The topics include: the use of e-health; current oral health care; collaboration with oral-health professionals; nurses’ acceptance of the intra-oral camera and expected acceptance of nursing-home residents. Each interview lasted approximately 45 minutes and was recorded. The data was transcribed verbatim in MaxQDA2020 and analyzed using the Grounded Theory approach. Results: In total twenty nurses were interviewed. The majority of respondents were willing to try the intraoral camera when implemented (n=18). Some nurses mentioned that lack of time could be an issue during implementation. Barriers that were mentioned included that nursing-home residents may not be able to keep their mouth open long enough for the examination or may bite on the camera (especially residents of the psychogeriatric) and therefore nurses expected that the camera cannot be applied in people with reduced cognition, like dementia. Conclusions: The Dutch nurses appear to be willing to try the intraoral camera when implemented. Future research has to determine whether the intra-oral camera can be applied in people with reduced cognition.
The Dutch nurses appear to be willing to try the intraoral camera when implemented. Future research has to determine whether the intra-oral camera can be applied in people with reduced cognition.
The studies reported on in this thesis addressed the development of suckingpatterns in preterm newborns. Preterm infants often have problems learningto suckle at the breast or to drink from a bottle. It is unclear whether this isdue to their preterm birth or whether it is the consequence of neurologicaldamage. From the literature, as well as from daily practice, we know thatthere is much variation in the time and in the way children start suckingnormally. Factors such as birth weight and gestational age may indeed berisk factors but they do not explain the differences in development. A smallspot-check proved that most hospitals in the Netherlands start infants onoral feeding by 34 weeks’ post-menstrual age (pma). By and large the policyis aimed at getting the infant to rely on oral feeding entirely as soon aspossible. The underlying rationale is to reduce the stay in hospital, and theidea that prolonged tube-feeding delays or even hampers the development ofsucking.
