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为牙科学生实施产前口腔健康项目:经验教训

Implementing a Prenatal Oral Health Program for Dental Students: Lessons Learned.

作者信息

Brame Jennifer L, Quinonez Rocio B, Ciszek Brittney P, Weintraub Jane A

机构信息

The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

The University of Utah, Salt Lake City, UT, USA.

出版信息

Health Promot Pract. 2025 May;26(3):507-519. doi: 10.1177/15248399231207070. Epub 2023 Oct 31.

Abstract

The Prenatal Oral Health Program (pOHP) was developed to educate dental students on prenatal oral health and promote access to dental care for pregnant women. Program advancement has occurred in support of quality improvement. This mixed-methods design combined quantitative data from fourth-year dental students who participated the pOHP (N = 81) and qualitative data from a student-faculty-staff focus group discussion (N = 7). Different clinical structures, appropriate leveling in the curriculum, management with a patient care coordinator, and inclusion of interprofessional learning experiences (IPE) were compared. The survey response rate was 96.4% (N = 81). Trends were noted between students who provided clinical care for a pregnant patient (31%) versus those who did not. Results indicated that an integrated clinic was preferred, though students who had treated a pOHP patient showed greater support for a standalone clinic model. Survey and focus group data agreed that pOHP should occur during the third-year dental school training; however, students with patient experience favored second-year placement. Survey and focus group data emphasize the importance of a patient care coordinator for clinical management and IPE as an essential learning element. Innovating new clinical models requires a period of evolution to determine preferred and sustainable infrastructure. Results reveal the advantages and disadvantages of various program implementation models and demonstrate that student perceptions were influenced by their clinical experiences. Study findings will inform implementation and guide other programs as they create and modify existing curricula to enhance prenatal oral health.

摘要

产前口腔健康项目(pOHP)旨在对牙科学生进行产前口腔健康教育,并促进孕妇获得口腔护理服务。该项目在质量改进的支持下不断推进。这种混合方法设计结合了参与pOHP的四年级牙科学生的定量数据(N = 81)和学生-教师-工作人员焦点小组讨论的定性数据(N = 7)。对不同的临床结构、课程中的适当分级、由患者护理协调员进行管理以及纳入跨专业学习体验(IPE)进行了比较。调查回复率为96.4%(N = 81)。在为孕妇提供临床护理的学生(31%)和未提供临床护理的学生之间发现了一些趋势。结果表明,综合诊所更受青睐,不过治疗过pOHP患者的学生对独立诊所模式表现出更大的支持。调查和焦点小组数据一致认为,pOHP应在牙科学校三年级培训期间进行;然而,有患者护理经验的学生倾向于在二年级安排。调查和焦点小组数据强调了患者护理协调员对临床管理的重要性,以及IPE作为一个重要学习要素的重要性。创新新的临床模式需要一段时间的演变来确定首选和可持续的基础设施。结果揭示了各种项目实施模式的优缺点,并表明学生的看法受到他们临床经验的影响。研究结果将为实施提供参考,并指导其他项目创建和修改现有课程,以加强产前口腔健康。

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