Faculty of Medicine and Dentistry, University of Bergen, N-5020 Bergen, Norway.
BMC Oral Health. 2011 Sep 18;11:23. doi: 10.1186/1472-6831-11-23.
(i) to describe oral health counselling in Norway to parents with infants and toddlers, ii) to assess existing collaboration and routines in oral health matters between nurses and personnel in the PDS, iii) to evaluate to what extent oral health was integrated in the basic educational curriculum of public health nurses.
This study was based on two separate surveys: the sample of Study I was 98 randomly selected child health clinics. A questionnaire covering oral health promotion counselling of parents with young children was returned by 259 nurses. Study II was a telephone survey addressing teachers of public health nurses at the eight educational institutions in Norway.
The response rate in Study I was 45%. Nutrition (breast feeding, diet) was the health subject most often prioritized in the counselling targeting parents of young children (by 60% of the nurses). Oral health was not among the first priority counselling subjects. The subject was seldom spontaneously mentioned by parents. Seventy percent of respondents reported (agreed or totally agreed) that they managed to provide information parents needed and 72% believed that the information they gave influenced parents' health behaviours. Seven nurses (5.2%) responded that they agreed with the statement that the information they gave only slightly influenced parents' health behaviour. Lack of time was mentioned as being a problem. Approximately half of the nurses (48%) had regular contact with the PDS for the 0-3 year-old children, but only a quarter of the nurses claimed that children's teeth were routinely examined at the child clinics. Some forms of previously established contact with the PDS enhanced the likelihood of nurses' referrals. Oral health was a minor part of the educational curriculum for public health nurses; at three institutions, the subject was totally absent.
Collaboration between nurses and the PDS in Norway could be improved. Oral health should have a bigger place in the basic educational curriculum.
(一)描述挪威向婴幼儿父母提供口腔健康咨询的情况,(二)评估护士与初级卫生保健中心(PDS)人员在口腔健康事项方面的现有合作和常规,(三)评估口腔健康在公共卫生护士基本教育课程中的融入程度。
本研究基于两项独立调查:研究 I 的样本为 98 个随机选择的儿童健康诊所。259 名护士对涵盖幼儿家长口腔健康促进咨询的问卷做出了回应。研究 II 是一项针对挪威八所教育机构公共卫生护士教师的电话调查。
研究 I 的回应率为 45%。营养(母乳喂养、饮食)是向幼儿家长进行咨询时最常优先考虑的健康主题(占护士的 60%)。口腔健康不属于首要咨询主题。该主题很少由家长主动提及。70%的受访者表示(同意或完全同意),他们能够向家长提供所需的信息,72%的人认为他们提供的信息影响了家长的健康行为。有 7 名护士(5.2%)对他们所给信息仅对家长的健康行为有轻微影响的说法表示认同。缺乏时间被认为是一个问题。大约一半的护士(48%)与 PDS 有定期联系,为 0-3 岁儿童提供服务,但只有四分之一的护士声称在儿童诊所例行检查儿童的牙齿。与 PDS 建立的某些形式的联系增加了护士转介的可能性。口腔健康是公共卫生护士教育课程的一小部分;在三个机构,该主题完全不存在。
挪威护士与 PDS 之间的合作可以得到改善。口腔健康应在基本教育课程中占据更大的位置。