Barriers and Facilitators to Evidence-Based Oral Care in Head and Neck Cancer: A Mixed-Methods Study.

StudyJournal of nursing care quality· Aug 2026

Barriers and Facilitators to Evidence-Based Oral Care in Head and Neck Cancer: A Mixed-Methods Study.

Yiqing Wang, Jia Ma, Xin Zhang

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Head & Neck SurgeryStudyClinical practiceQ2IF 1.7

Physical opportunity barriers are the top obstacle to evidence-based oral care in head and neck cancer.

Barriers and Facilitators to Evidence-Based Oral Care in Head and Neck Cancer: A Mixed-Methods Study.

Yiqing Wang … Xin Zhang

Journal of nursing care quality · Aug 2026

Background

Oral complications significantly burden patients with head and neck cancer undergoing treatment.

Methods

A convergent mixed-methods design was used.

n = 118

Results

environmental and resource limits, not skill or motivation, block oral care most

Physical opportunity

3.36mean s

Reflective motivation

2.11mean s

More results

Environmental Context and Resources was the predominant theoretical domains framework barrier domain (86%).

Multiple regression showed that barrier scores significantly predicted self-reported adherence (β = -0.124, P < .001, R2 = 0.821).

“

Conclusion

Physical opportunity barriers represent the primary implementation challenge. Multicomponent interventions targeting environmental restructuring, training, and enablement are recommended.

Barriers and Facilitators to Evidence-Based Oral Care in Head and Neck Cancer: A Mixed-Methods Study.

Barriers and Facilitators to Evidence-Based Oral Care in Head and Neck Cancer: A Mixed-Methods Study.

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