Associate, General Dental Practice, 77 Mansel Street, Swansea, SA1 5TW.
Br Dent J. 2010 Dec 18;209(12):601-6. doi: 10.1038/sj.bdj.2010.1133.
To explore the perceptions of first year foundation dentists (FD1s) regarding oral health education (OHE) and its role in general dental practice.
Focus group discussions.
Postgraduate training venues and general dental practices utilised for foundation training in South Wales, UK.
SUBJECTS (MATERIALS) AND METHODS: Nineteen FD1s accepted an invitation to take part in a series of focus groups. Focus groups were transcribed and data analysed using a constructive process of thematic content analysis to identify themes and theories relating to the FD1s' understanding of OHE and its role in the delivery of care as general dental practitioners.
The data fell into three broad categories: the teaching of OHE delivery at undergraduate level; factors influencing the 'frequency and content' of OHE delivery; and barriers to 'effective and successful' OHE. The first category identified perceptions of the 'gold standard' of OHE following undergraduate experiences. The practicalities of the acquisition of technical skills had created a simplistic compartmentalised view of OHE which was not a priority in adult dental care. The second category covered triggers for delivering OHE; in general these were reactive rather than preventive. The last category dealt with successful OHE; unsuccessful OHE was attributed to the patient although communication barriers were recognised.
The subtle but important difference between OHE and oral health promotion (OHP) in terms of its role in general dental practice is recognised theoretically but not as a reality in practice. OHE is often compartmentalised and a simplistic approach to its delivery is taken. Against a backdrop of commissioning to improve health this has implications in developing organisational processes within general dental practice and training in order to achieve this.
探讨第一年基础牙医（FD1）对口腔健康教育（OHE）及其在一般牙科实践中的作用的看法。
焦点小组讨论。
英国南威尔士的研究生培训场所和用于基础培训的普通牙科诊所。
受试者（材料）和方法：19 名 FD1 受邀参加一系列焦点小组讨论。对焦点小组的讨论进行了转录，并使用建设性的主题内容分析过程对数据进行了分析，以确定与 FD1 对 OHE 的理解及其作为一般牙科从业者提供护理的作用相关的主题和理论。
数据分为三大类：本科阶段 OHE 教学；影响 OHE 提供“频率和内容”的因素；以及“有效和成功”OHE 的障碍。第一类确定了本科经历后 OHE 的“黄金标准”的看法。获取技术技能的实际情况造成了 OHE 的简单分割观点，而在成人牙科护理中并不是优先事项。第二类涵盖了提供 OHE 的触发因素；通常，这些是反应性的，而不是预防性的。最后一类涉及成功的 OHE；将不成功的 OHE 归因于患者，尽管认识到沟通障碍。
从 OHE 在一般牙科实践中的作用方面，OHE 和口腔健康促进（OHP）之间存在微妙但重要的区别，从理论上得到了认可，但在实践中并非如此。OHE 通常被分割，并且对其提供的方法过于简单。在改善健康的委托背景下，这对在一般牙科实践中制定组织流程和培训以实现这一目标具有影响。
