Evidence-Based Implementation of oral care procedures for patients with Non-Invasive Mechanical Ventilation

Background Oral care for ICU patients is critical, yet current practices predominantly target those on invasive ventilation, neglecting individuals receiving Non-Invasive Mechanical Ventilation (NIMV). This study aimed to develop and implement an evidence-based protocol for oral care assessment in NIMV patients to enhance clinical outcomes. Methods A mixed-methods approach was employed, including a literature review, critical appraisal, and evidence-based practice changes. Outcomes measured included nursing staff knowledge, patient plaque index, oral odor, oral dryness, and hospitalization costs. Data were collected from 60 nurses and 60 patients (30 pre-intervention, 30 post-intervention). Results Eleven articles informed the evidence synthesis. Post-implementation, nurses ^, knowledge scores significantly improved (51.32 vs. 66.42/100, p  < 0.001).The plaque index decreased notably in the intervention group by day 5 (1.90 vs. 2.27, p  = 0.020). Oral odor scores differed significantly at day 3 ( p  = 0.031) and day 5 ( p  < 0.001). Oral dryness incidence declined from 46.7% to 16.7% ( p  = 0.012). Hospitalization costs were reduced (¥45,774 vs. ¥66,798, p  = 0.011). Conclusion Implementing evidence-based oral care protocols for NIMV patients improved nursing knowledge and patient outcomes while reducing healthcare costs. These findings support standardized oral care integration in ICU settings.