Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 12 de 12
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
J Dent Hyg ; 93(6): 13-20, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31882557

RESUMO

Purpose: Higher education teaching has been traditionally delivered through a lecture format, limiting the opportunities for interpersonal communication between faculty and students. The purpose of this study was to determine whether entry-level dental hygiene (DH) students and faculty perceive social media (SM) applications as an effective out-of-class communication (OCC) tool for enhancing learning in a dental hygiene program.Methods: A cross-sectional, comparative research design was used for this pilot study. An investigator-designed, paper survey was administered to a convenience sample of entry-level DH students and faculty from nine dental hygiene programs in Utah, Idaho, Oregon, Washington, and California. Data were analyzed using descriptive and inferential statistics (p=0.05).Results: A total of 418 students and 149 faculty members met the eligibility criteria; 325 DH students (n=325) and 77 faculty completed the surveys (n=77) for a combined response rate of 70.9%. While most faculty and DH students agreed SM could enhance learning for OCC, their level of comfort using these applications varied. Both faculty and DH students use SM applications for questions about assignments, clarification on lecture topics, and feedback on assignments. Statistical significance was found for the frequency of using SM applications for OCC (X2 =16.92; df =4; p =.002). Learning management systems were used and preferred most by both groups followed by Facebook. Statistical significance was found between both groups when ranking electronic devices for OCC.Conclusion: Dental hygiene students and faculty differ in their frequency and levels of comfort in using SM for out-of-class communication. Additional research related to the phenomenon of social media and communication to enhance learning in dental hygiene should be explored.


Assuntos
Mídias Sociais , California , Comunicação , Estudos Transversais , Higienistas Dentários , Humanos , Idaho , Oregon , Projetos Piloto , Utah , Washington
2.
J Dent Hyg ; 93(5): 40-47, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31628175

RESUMO

Purpose: Local anesthetics have been used in dentistry to aid patients in pain control during a wide range of surgical and non-surgical procedures. The purpose of this study was to explore the perspectives of patients regarding the administration of local anesthesia (LA) by dental hygienists.Methods: This qualitative study used an exploratory, online, focus group design. Four online focus groups were held with 18 participants recruited through purposive sampling. Pseudonyms were used to protect participants' confidentiality. A questioning route was established for the groups and validated by focus group experts and pilot testing procedures. Each focus group session was recorded and transcribed. Themes were analyzed using classic analysis strategy. Validity was established using investigator triangulation, saturation and member checks.Results: Three major themes were identified regarding the administration of local anesthesia by dental hygienists. The first theme identified was the patients' experience and the value participants placed on patient-centered care. The second theme was the participants' unclear perceptions regarding the dental hygienists' educational qualifications to administer LA and complete a dental hygiene diagnosis. The third theme revealed future suggestions for dentists and legislators from the participants.Conclusion: This qualitative study offers insight into the patient's perspective of dental hygienists administering LA. Participants supported dental hygienists administering LA and appreciated the aspects of patient-centered care that this practice provided. Patient participants were unclear on educational requirements and training, but supported legislation allowing dental hygienists to administer LA.


Assuntos
Anestesia Local , Higienistas Dentários , Atitude do Pessoal de Saúde , Odontólogos , Grupos Focais , Humanos , Inquéritos e Questionários
3.
J Dent Hyg ; 92(3): 40-46, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29976792

RESUMO

Purpose: The purpose of this study was to examine the differences in educational preparation and practical educational experiences between dental and dental hygiene students in the administration of local anesthesia (LA) and management of LA related complications in the state of California.Methods: Course instructors responsible for teaching LA or the program directors of the 6 dental schools and 29 dental hygiene programs in California (n=35) were invited to participate in this study. A computer-based descriptive survey, a comparative checklist of LA instruction requirements and semi-structured interviews were used for the data collection. Descriptive statistics were used to analyze results.Results: Eighteen LA course instructors or program directors participated in the study for a response rate of 51%. One respondent was from a dental school while 17 were from dental hygiene programs. The majority of the dental hygiene (n=16) respondents reported teaching 12 types of intraoral injections; the dental school respondent reported teaching seven injection types. Fewer student-to-student injection experiences per injection type were required by the dental school (n=7) than the dental hygiene schools (n=12) and the dental school did not indicate a minimum number of student-to-patient injection requirements for graduation. Analysis of a checklist of required elements of LA instruction and individual syllabi revealed common elements of all courses; students are expected to choose the proper local anesthetic, identify the proper injection type, and manage any LA complications. The majority of the interview participants perceived that dental hygiene students had more educational preparation in LA than their dental student cohorts and that dental hygienists were educationally prepared to administer LA safely without direct supervision.Conclusions: Dental hygiene students in California programs appear to be well prepared through their education experiences to administer and manage complications related to local anesthesia. Consideration should be given to supporting changing the supervision requirements for the administration of local anesthesia by dental hygienists licensed in the state of California.


Assuntos
Anestesia Dentária , Anestesia Local , Competência Clínica , Higienistas Dentários/educação , Higienistas Dentários/normas , Anestesia Dentária/efeitos adversos , Anestesia Local/efeitos adversos , California , Lista de Checagem , Currículo , Humanos , Injeções , Entrevistas como Assunto , Licenciamento em Odontologia , Inquéritos e Questionários
4.
J Dent Hyg ; 92(3): 47-55, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29976793

RESUMO

Purpose: Limited data document dental hygienists' preparedness for intimate partner violence (IPV) screening and response. The aim of this study was to assess dental hygienists' readiness to screen for IPV and provide baseline information for the realization of action toward addressing IPV.Methods: The Domestic Violence Healthcare Provider Survey (DVHPS) instrument was distributed online to all members of the Texas Dental Hygienists' Association (n=1100). Four hundred fifteen emails were opened and 114 (n=114) surveys were returned for 28% response rate. This validated survey measures six scales: perceived self-efficacy, fear of offending patients, victim personality/traits, professional role resistance, perceptions of victim disobedience causing IPV, and psychiatric support. Descriptive statistics were used to calculate mean scores for each scale. Specific criteria were applied to interpret the level of readiness based on the scale scores.Results: A little more than one quarter of the respondents (28%) reported having had course content related to IPV as students in their dental hygiene program curriculum, while 27% reported completing continuing education on IPV. A significant proportion of participants, 40%, were uncertain if routine IPV screening was within their professional role. They did not perceive self-efficacy in their screening capabilities (m=3.08 with 5.0 as the strongest), however they reported possessing a strong knowledge regarding IPV victims' personality/traits and did not blame the victims (m=1.92 and 1.48 respectively with 1.0 as the strongest).Conclusion: Results confirm earlier studies indicating the need for IPV training for oral health care professionals. Specifically, there is an evident need for training to increase dental hygienists' self-efficacy regarding IPV screening. Dental hygienists play a critical role in IPV screening and should be prepared to face the challenges presented by IPV and be available to meet the needs of IPV victims through referral to the appropriate support services.


Assuntos
Atitude do Pessoal de Saúde , Competência Clínica , Higienistas Dentários/educação , Higienistas Dentários/psicologia , Violência por Parceiro Íntimo , Programas de Rastreamento , Humanos , Atenção Primária à Saúde , Autoeficácia , Texas
5.
J Dent Educ ; 80(8): 975-82, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27480709

RESUMO

Faculty calibration studies for calculus detection use two different standards for examiner evaluation, yet the only therapeutic modality that can be used for nonsurgical periodontal treatment is scaling/root debridement or planing. In this study, a pretest-posttest design was used to assess the feasibility of faculty calibration for calculus detection using two accepted standards: that established by the Central Regional Dental Testing Service, Inc. (CRDTS; readily detectible calculus) and the gold standard for scaling/root debridement (root roughness). Four clinical dental hygiene faculty members out of five possible participants at Halifax Community College agreed to participate. The participants explored calculus on the 16 assigned teeth (64 surfaces) of four patients. Calculus detection scores were calculated before and after training. Kappa averages using CRDTS criteria were 0.561 at pretest and 0.631 at posttest. Kappa scores using the scaling/root debridement or planing standard were 0.152 at pretest and 0.271 at posttest. The scores indicated improvement from moderate (Kappa=0.41-0.60) to substantial agreement (Kappa=0.61-0.80) following training using the CRDTS standard. Although this result differed qualitatively and Kappas were significantly different from 0, the differences for pre- to post-Kappas for patient-rater dyads using CRDTS were not statistically significant (p=0.778). There was no difference (p=0.913) in Kappa scores pre- to post-training using the scaling/root debridement standard. Despite the small number of participants in this study, the results indicated that training to improve interrater reliability to substantial agreement was feasible using the CRDTS standard but not using the gold standard. The difference may have been due to greater difficulty in attaining agreement regarding root roughness. Future studies should include multiple training sessions with patients using the same standard for scaling/root debridement used for evaluation of students.


Assuntos
Cálculos Dentários/diagnóstico , Docentes de Odontologia , Higiene Bucal/educação , Calibragem , Docentes de Odontologia/estatística & dados numéricos , Humanos , Variações Dependentes do Observador , Higiene Bucal/normas , Projetos Piloto
6.
J Dent Educ ; 80(5): 595-604, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-27139211

RESUMO

The aim of this study was to define the extent to which leadership and leadership skills are taught in dental hygiene degree completion programs by comparing stand-alone leadership courses/hybrid programs with programs that infuse leadership skills throughout the curricula. The study involved a mixed-methods approach using qualitative and quantitative data. Semi-structured interviews were conducted with program directors and faculty members who teach a stand-alone leadership course, a hybrid program, or leadership-infused courses in these programs. A quantitative comparison of course syllabi determined differences in the extent of leadership content and experiences between stand-alone leadership courses and leadership-infused curricula. Of the 53 U.S. dental hygiene programs that offer degree completion programs, 49 met the inclusion criteria, and 19 programs provided course syllabi. Of the program directors and faculty members who teach a stand-alone leadership course or leadership-infused curriculum, 16 participated in the interview portion of the study. The results suggested that competencies related to leadership were not clearly defined or measurable in current teaching. Reported barriers to incorporating a stand-alone leadership course included overcrowded curricula, limited qualified faculty, and lack of resources. The findings of this study provide a synopsis of leadership content and gaps in leadership education for degree completion programs. Suggested changes included defining a need for leadership competencies and providing additional resources to educators such as courses provided by the American Dental Education Association and the American Dental Hygienists' Association.


Assuntos
Currículo , Profilaxia Dentária , Liderança , Odontologia Preventiva/educação , Projetos Piloto , Autorrelato , Estados Unidos
7.
J Dent Educ ; 80(1): 73-82, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26729687

RESUMO

The aims of this study were to document the extent of nutritional content in U.S. dental hygiene program curricula; identify program directors' opinions, perceptions, and barriers to expanding nutritional content; and evaluate if a proposed nutrition curriculum model would be beneficial. This mixed methods study involved quantitative and qualitative aspects. An invitation letter was sent to all 335 directors of entry-level U.S. dental hygiene programs. In response, 55 directors submitted nutrition course syllabi from their programs (16.4% of the total) for the quantitative analysis. In addition, 14 nutrition instructors and ten program directors were interviewed regarding their perceptions and opinions of nutrition education for dental hygiene students. All aspects of the content analysis results revealed that nutrition content in entry-level dental hygiene programs is diverse. Some programs did not include nutrition content, while others provided oral and systemic nutrition intervention subject matter. Some programs offered multiple clinical nutrition applications and patient contact opportunities while most required none. The interview results disclosed a variety of opinions and perceptions of dental hygienists' role in nutrition. Several interviewees viewed dental hygienists' role in nutrition to be an integral part of patient care, while others indicated no role or providing caries prevention counseling only. Although dental hygienists are expected to provide nutrition assessments and interventions, no standards or standardized competencies exist for nutrition in dental hygiene education. A standardized nutrition model could be beneficial for entry-level programs to ensure dental hygienists possess basic knowledge to perform nutrition assessments and intervention to address Healthy People 2020's intervention initiatives.


Assuntos
Currículo , Higienistas Dentários/educação , Ciências da Nutrição/educação , Pessoal Administrativo , Atitude do Pessoal de Saúde , Aconselhamento , Cárie Dentária/prevenção & controle , Dietética/educação , Docentes , Promoção da Saúde , Humanos , Avaliação Nutricional , Relações Profissional-Paciente , Estados Unidos
8.
J Dent Hyg ; 89(5): 338-48, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26519498

RESUMO

PURPOSE: Thirteen states in the nation authorize dental hygienists to satisfy re-licensure requirements in part, by performing pro bono oral health services in lieu of participating in continuing education courses This study compared registered dental hygienists' donations of time and professional expertise, perceptions of volunteerism and motivational orientations as they practice in both the presence and absence of a practice act statute intended to incentivize volunteerism. METHODS: Volunteer behaviors, perceptions and motivational orientations of a non probability sample of 316 dental hygienists actively licensed by the states of Idaho or Utah, were assessed using an online survey which included the Self Determination Theory General Causality Orientations Scale (GCOS). Survey Monkey results were analyzed using Mann Whitney U tests, Chi-Square analysis and an Independent Samples t-test at the 0.05 level of significance. RESULTS: No statistically significant differences were found between dental hygienists' volunteer behaviors, perceptions of volunteerism or scores on the GCOS Autonomy and Impersonal subscales in the 2 states studied. Statistical analysis of dental hygienists' mean scores on the GCOS measure of Controlled motivational orientation yielded a significant difference (p=0.001) among Utah and Idaho dental hygienists. CONCLUSION: Dental hygienists require evidence based practice statutes and regulations that keep pace with the need to provide universal access to comprehensive oral care. Additional research is required to determine the effectiveness of legislation intended to encourage registered dental hygienists' altruistic expressions. Dental hygienists are frequently unaware of opportunities to volunteer their services and how state practice act regulations impact those opportunities.


Assuntos
Comportamento , Higienistas Dentários/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Motivação , Percepção , Voluntários , Adulto , Atitude do Pessoal de Saúde , Distribuição de Qui-Quadrado , Higienistas Dentários/educação , Educação Continuada , Feminino , Humanos , Idaho , Licenciamento , Masculino , Autonomia Pessoal , Prática Profissional , Inquéritos e Questionários , Utah , Voluntários/psicologia , Voluntários/estatística & dados numéricos , Adulto Jovem
9.
J Dent Hyg ; 87(6): 353-61, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24357564

RESUMO

PURPOSE: Lifelong control of disease processes associated with dental caries should be an essential part of the process of care for practicing dental hygienists. The purpose of this study was to identify the knowledge, attitudes and practice behaviors among dental hygienists regarding caries risk assessment (CRA) and management. METHODS: Utilizing the American Dental Hygienists' Association (ADHA) Survey/Research Center database of all registered dental hygienists in the U.S., 2,500 actively licensed dental hygienists were randomly selected and sent a web-based survey via SurveyMonkey™. The survey included items about practice characteristics and questions regarding knowledge, attitudes and practice behaviors regarding CRA and management. Second and third emails were sent to non-respondents. A 4-point Likert type scale (1=never, 2=sometimes, 3=frequently and 4=always) was used to rate the occurrence of caries management recommendations used in the practice setting. Frequencies and percentiles were used to evaluate demographic, knowledge and attitude information. RESULTS: The response rate was 9% (n=219) - 87% were ADHA members. Participants reported a high level of comfort (89%) in performing CRA, yet only 23% used an established CRA/management instrument. Over-the-counter fluoride dentifrices (70.1%), individualized oral hygiene instructions (86%) and individualized recare intervals (73.7%) were most often used as caries management recommendations, while low-dose fluoride rinses (45%) and prescription strength sodium fluoride gel or paste (42%) were used less frequently. Dental hygienists scored high on knowledge of CRA with the exception of white spot lesions as a risk factor (42%) and efficacy of chlorhexidine in caries management (61%). CONCLUSION: There is a need to improve practicing dental hygienists' knowledge and involvement in the active management of caries. Focused training in the use of established CRA/management tools should be designed to improve their knowledge and influence practice behaviors.


Assuntos
Cárie Dentária , Higienistas Dentários , Atitude do Pessoal de Saúde , Higienistas Dentários/educação , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Medição de Risco
10.
J Dent Educ ; 74(9): 970-9, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20837738

RESUMO

This study assessed perceptions of health professions student and faculty volunteers who participated with athletes at the 2009 Special Olympics World Winter Games in Healthy Athlete venues. The volunteers' perceptions and expectations of the abilities of intellectually disabled athletes were measured by administering pre-event and post-event questionnaires consisting of demographic questions and the Prognostic Belief Scale (PBS). Invitations to participate in the study were sent to 165 students and faculty members; of those, eighty (48.5 percent response rate) responded to the pre-event questionnaire, and sixty-seven (40.6 percent response rate) responded to the post-event questionnaire. Of the eighty respondents to the pre-event questionnaire, fifty-five (68.7 percent) also completed the post-event questionnaire. The ANOVA comparing pre- and post-event PBS scores between groups found a trend towards higher scores among the volunteers, but analysis did not demonstrate a significant effect in either group (p=.68) or the interaction of group by time (p=.46). Despite the findings from the PBS, participants' statements suggest the experience had an impact on their perceptions and expectations. Although not statistically significant, this study found a positive trend pre- to post-event in the volunteers' perceptions of the abilities of athletes with intellectual disabilities. In addition to didactic and clinical education, volunteer experiences may enhance care providers' knowledge, skill, and confidence levels for treating clients with intellectual disabilities.


Assuntos
Atitude do Pessoal de Saúde , Docentes , Pessoas com Deficiência Mental , Esportes , Estudantes de Ciências da Saúde/psicologia , Voluntários/psicologia , Adolescente , Adulto , Audiologia , Criança , Competência Clínica , Higienistas Dentários/psicologia , Dietética , Educação em Odontologia , Odontologia Geral , Humanos , Deficiência Intelectual , Internato e Residência , Relações Interpessoais , Pessoa de Meia-Idade , Relações Profissional-Paciente , Autoimagem , Patologia da Fala e Linguagem , Inquéritos e Questionários , Adulto Jovem
11.
J Dent Educ ; 74(3): 268-74, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20203327

RESUMO

A scholastic appeals process tailoring individualized remediation for dental hygiene students not meeting academic standards was assessed retrospectively (1999-2008) to evaluate retention and academic failure rates, nature of academic problems, type of remediation, and success of recommendations. Academic records of students (n=55) not meeting academic standards and/or withdrawing were reviewed. Overall retention (92.7 percent) ranged from 86.7 percent to 96.6 percent. Of the fifty-five students whose records were reviewed, six students (10.91 percent) withdrew for medical/personal reasons, and forty-nine (89.1 percent) petitioned for individualized remediation. The number and percentage of students in each category of reasons are as follows: four (7.5 percent) preclinical; thirty-seven (69.8 percent) clinical; eight (15.1 percent) academic/clinical/personal reasons; and four (7.5 percent) academic dishonesty. The options approved were the following: continue in the program with grade below C- (n=3), summer clinical course with individualized contract (n=11), or independent study course during the academic year plus the summer course (n=13), all without delaying graduation; repeating a course with a one-semester delay in graduation (n=7); and auditing/repeating multiple courses with a one-year delay in graduation (n=3). Twelve students were dismissed after denial of a petition requesting remediation or second failure. The scholastic appeals process was successful for 75.5 percent (n=37) of the students who petitioned after failing to meet academic standards, thereby contributing to the 92.7 percent overall retention rate. Student-specific remediation plans based on individual academic appeals are viable options for ensuring success.


Assuntos
Higienistas Dentários/educação , Estudantes , Logro , Avaliação Educacional , Humanos , Ensino de Recuperação , Estudos Retrospectivos , Evasão Escolar
12.
J Dent Hyg ; 84(1): 29-34, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20040148

RESUMO

PURPOSE: This small scale study examined if an individualized motivational interviewing (MI) approach to oral health education promoted positive changes in early childhood caries (ECC) risk-related behaviors of mothers enrolled in a Women, Infants and Children (WIC) Program. METHODS: Seventy-two mothers were recruited to complete pretest and posttest questionnaires 4 weeks apart. Mothers in the treatment group (n=40) experienced a counseling type session (MI) and follow-up telephone calls to promote positive oral health behaviors. RESULTS: No significant change was found in the 4 constructs measured: valuing dental health, permissiveness, convenience and change difficulty or openness to health information. Statistically significant positive changes were found in the treatment group only in number of times the children's teeth were cleaned or brushed (p=0.001) and the use of shared eating utensils (p=0.035). Other cariogenic feeding practices and use of sweets to reward or modify behavior were not significantly affected (p<0.05). CONCLUSIONS: In this group of WIC mothers, MI appeared to have a modest impact on some high-risk parental behaviors that contribute to ECC. This approach warrants further investigation to assess impact of an extended intervention program, parents from diverse populations and the feasibility of use of peer counselors in the public health setting.


Assuntos
Cárie Dentária/prevenção & controle , Educação em Saúde Bucal/métodos , Entrevistas como Assunto , Mães/psicologia , Assunção de Riscos , Escolaridade , Feminino , Humanos , Idaho , Lactente , Transmissão Vertical de Doença Infecciosa , Motivação , Prevenção Primária , Inquéritos e Questionários , Escovação Dentária/instrumentação , Escovação Dentária/estatística & dados numéricos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA