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新获得资格的牙医向幼儿家长/照顾者提供口腔健康建议的经历——挑战与解决方案

Experiences of newly qualified dentists in delivering oral health advice to parents/caregivers of young children-challenges and solutions.

作者信息

Rutter Lucy, Duara Raginie, Vinall-Collier Karen A, Owen Jenny, Haley Isabelle, Gray-Burrows Kara A, Hearnshaw Simon, Marshman Zoe, Day Peter F

机构信息

School of Dentistry, University of Leeds, Leeds, United Kingdom.

School of Psychology, University of Leeds, Leeds, United Kingdom.

出版信息

Front Oral Health. 2023 May 19;4:1079584. doi: 10.3389/froh.2023.1079584. eCollection 2023.

Abstract

INTRODUCTION

A key skill for dental professionals to master is their ability to have effective preventive oral health conversations. On qualifying, UK dentists undertake a one-year foundation training programme in general practice. This study explored with Foundation Dentists, the barriers and facilitators to undertaking oral health conversations with parents/caregivers and their children, aged 0-11 years old.

MATERIALS AND METHODS

Approximately 100 Foundation Dentists from the Yorkshire and Humber region attended a series of focus groups. They discussed how they and their wider dental team undertake oral health conversations with parents/caregivers of young children, aged 0-11 years old. The data was analysed using thematic analysis.

RESULTS

Five themes were identified as barriers and facilitators to providing oral health advice: (1) Lack of knowledge around parenting skills and child development; (2) Parental receptivity; (3) Motivation for changing behaviours; (4) Information content and inconsistency; and (5) Current National Health Service (NHS) structures of general dental practice.

DISCUSSION

A multi-faceted approach is needed to develop the training of Foundation Dentists to undertake preventive oral health conversations with parents/caregivers and children. Such an approach has the potential to improve the patient-practitioner relationship and increase effective behaviour change conversations taking place in general dental care, thus improving children's oral health.

摘要

引言

牙科专业人员需要掌握的一项关键技能是进行有效的预防性口腔健康沟通的能力。英国牙医在取得资格后,要参加为期一年的全科基础培训项目。本研究与基础牙医探讨了与0至11岁儿童的家长/照顾者进行口腔健康沟通的障碍和促进因素。

材料与方法

来自约克郡和亨伯地区的约100名基础牙医参加了一系列焦点小组讨论。他们讨论了自己以及更广泛的牙科团队如何与0至11岁幼儿的家长/照顾者进行口腔健康沟通。数据采用主题分析法进行分析。

结果

确定了五个作为提供口腔健康建议的障碍和促进因素的主题:(1)缺乏育儿技能和儿童发育方面的知识;(2)家长的接受度;(3)行为改变的动机;(4)信息内容和不一致性;(5)当前国民保健服务(NHS)的一般牙科诊疗结构。

讨论

需要采取多方面的方法来开展基础牙医与家长/照顾者及儿童进行预防性口腔健康沟通的培训。这样的方法有可能改善医患关系,并增加在一般牙科护理中进行的有效行为改变沟通,从而改善儿童的口腔健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e71e/10235487/e215d04f911d/froh-04-1079584-g001.jpg

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