Background: Oral hygiene is necessary to maintain for health and well–being of hospitalized patients. However, studies indicated that nurses lacked the evidence–based knowledge to deliver proper care. The Evidence Based Practice (EBP) process was used as working method for the changes. One teacher and two clinical nurses had the role of facilitators in order to promote the improvement in nursing practice. Aim: To assess the existing practices, develop evidence based norms, and investigate effects and hinders for implementation of evidence based practice for prevention of oral infection Methods: A baseline measurement was performed to check the current practice in regard to nurses’ attitudes, knowledge and practical skills related to oral care. Findings: The nurses’ overall knowledge regarding oral care changed from 44% pretest to 83.6%post test. Conclusion & implications for clinical nursing

This study reveals that changes of routines for oral care in a medicine ward based on research findings had improved nurses’ attitudes, knowledge and practical skills related to prevention of oral infection, and thereby the quality of care to the patient was improved.