Department of Preventive and Restorative Dentistry, Arthur A. Dugoni School of Dentistry, University of the Pacific, San Francisco, California, USA.
Eur J Dent Educ. 2023 Nov;27(4):841-848. doi: 10.1111/eje.12874. Epub 2022 Nov 25.
Local anaesthesia is considered essential knowledge within the dental profession as it helps to address pain management. Operator percutaneous needlestick injuries associated with the delivery of dental anaesthesia are common for dental healthcare providers. The study proposes a supplemental technique to reduce self-inducing novice operator needlestick injury to complement existing pedagogies for the preclinical local anaesthesia curriculum. The purpose of the study is to evaluate whether a local anaesthesia behavioural video can navigate students to safer clinical practice. Further, a supplemental technique is proposed in whether assessing instrument retraction technique in clinical patient care leads to decreased self-inducing intraoral needle stick injury for novice predoctoral dental operator.
Beginning in 2011, predoctoral dental students were asked to view a "what not to do" video within a summative assessment and identify at least five behaviours that were unacceptable errors for delivering local anaesthesia. Operator intraoral needlestick injury was also tracked per the bloodborne exposure reports within predoctoral patient clinics.
Data from the learners' responses identified progression in recognising unacceptable errors from behavioural video. Intraoral needlestick injury, 8 and 9 years prior and after the introduction of video showed significance with a low correlation coefficient.
More data need to be gathered and evaluated in other dental school settings to determine whether this supplemental educational video decreases needlestick injury in novice operators. Results suggest this behavioural video may guide novice operators to overall safer clinical practice.
局部麻醉被认为是牙科专业的必备知识,因为它有助于解决疼痛管理问题。与牙科麻醉剂输送相关的操作人员经皮针刺伤对于牙科保健提供者来说很常见。该研究提出了一种补充技术,以减少新手操作人员的自我诱导针刺伤,以补充现有的临床局部麻醉课程教学法。本研究旨在评估局部麻醉行为视频是否可以引导学生进行更安全的临床实践。此外,还提出了一种补充技术,即在临床患者护理中评估器械回缩技术是否会减少新手口腔内针刺伤对预牙医生操作人员的自我诱导。
从 2011 年开始,要求牙科学员在总结性评估中观看“不要做什么”视频,并确定至少五种进行局部麻醉时不可接受的错误行为。操作人员的口腔内针刺伤也根据预牙诊所的血源性暴露报告进行了跟踪。
从学员的反应数据中确定了从行为视频中识别不可接受错误的进展。8 年前和 9 年前的口腔内针刺伤以及视频引入后的针刺伤均有统计学意义,但相关性系数较低。
需要在其他牙科学校环境中收集和评估更多数据,以确定这种补充教育视频是否会减少新手操作人员的针刺伤。结果表明,这种行为视频可能引导新手操作人员进行整体更安全的临床实践。