ABSTRACT Objective To assess barriers and facilitators for caregivers providing involuntary oral care to individuals with dementia. Methods A qualitative review was performed. Due to the scarcity of studies on involuntary oral care provision, the strategy to reach the aim was to identify barriers and facilitators for providing involuntary care in general, and to infer from these barriers and facilitators for providing involuntary oral care. The online databases PubMed, CINAHL, EMBASE, and PhilPapers were searched for papers on involuntary care. In addition, three key journals and the reference lists of the included studies were hand searched for additional studies. Thematic analysis was used. Results In total, 18 studies were included, four on involuntary oral care provision and 14 on involuntary care in general. Multiple barriers and facilitators were identified and categorised in three main themes: Work environment (e.g., workload), legislation (e.g., guidelines) and provision (e.g., attitude). Conclusion The provision of involuntary oral care involves more and larger barriers than the provision of oral care to nursing home residents. In addition, this review highlights the need for more research about barriers and facilitators for involuntary oral care provision to individuals with dementia.
Jonker et al. (Sun,) studied this question.