J Korean Acad Oral Health.  2022 Dec;46(4):228-235. 10.11149/jkaoh.2022.46.4.228.

Exploration of the experience of caregivers for oral health care for the elderly in long-term care facilities: based on the grounded theory

Affiliations
  • 1Department of Preventive and Public Health Dentistry, School of Dentistry, Seoul National University, Seoul, Korea
  • 2Dental Research Institute, Seoul National University, Seoul, Korea

Abstract


Objectives
This study aims to explore the experience of caregivers in oral health care of the elderly in long-term care facilities, identify the problems, and collect opinions, and to seek improvement directions for strengthening competency and improving services of oral health care for the elderly.
Methods
Data on the experience in oral health care of the elderly were collected through focus group interviews (FGI) targeting caregivers in long-term care facilities. The grounded theory method was used. The interview content was categorized by open coding, and a paradigm model was presented by identifying the relationship between the categories through axial coding. Selective coding found core categories.
Results
As a result of categorizing the caregivers’ oral care experience of the elderly, 15 categories, 40 sub-categories, and 125 concept/phenomena codes were derived. The central phenomenon was the difficulty of implementing sustainable oral health care. The deterioration of the mental and physical functions of the elderly, the work characteristics of caregivers, and the lack of linkage with internal and external resources of the facility acted as causal conditions for the central phenomenon. The caregiver’s oral health education experience acted as an intervening condition. In an effort to improve the problem, an interaction strategy was derived.
Conclusions
It is possible to seek delivery of sustainable oral health care services by caregivers by improving the quality of oral health education and establishing an oral health care service system for the elderly.

Keyword

Aged; Caregivers; Focus group; Grounded theory; Long-term care; Oral health care

Figure

  • Fig. 1 Paradigm model of oral health care of caregivers in long-term care facilities.


Reference

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