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全球口腔健康专业教育中的课程本土化:一项范围综述

Curriculum Indigenization in oral health professions' education worldwide: A scoping review.

作者信息

Shokouhi Parisa, Bakhshaei Anahita, Brondani Mario

机构信息

Oral Health Sciences Department, Faculty of Dentistry, University of British Columbia, Vancouver, Canada.

出版信息

J Dent Educ. 2025 Jan;89(1):34-51. doi: 10.1002/jdd.13690. Epub 2024 Aug 13.

DOI:10.1002/jdd.13690
PMID:39138625
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11783351/
Abstract

OBJECTIVE

To explore the literature on Indigenous content within the oral health professions' education curricula.

METHODS

This scoping review included all types of literature on oral health care educational programs on Indigenous content, following the JBI (Joanna Briggs Institute) methodology. An initial search using "Indigenous," "education," and "oral health" as keywords informed a full search strategy for MEDLINE, CINAHL, Embase, Scopus, ERIC, EPPI, MedEdPORTAL, Google Scholar, ProQuest Dissertations and Theses Global, Australian Government Department of Health, and Australian Indigenous HealthInfoNet. The search included literature available until November 1, 2023, irrespective of language. Two reviewers independently screened the studies, and data were extracted and presented in tabular and narrative summary formats.

RESULTS

A total of 948 records were identified, and 101 studies were chosen for full-text review. Twenty-three studies met the criteria for data extraction. Of all studies, 95.6% were published between 2007 and 2021, mostly from Australia and New Zealand. The most frequently covered content included Indigenous culture, followed by history, Indigenous oral health, and Indigenous Peoples' health. Rural and clinical placements were the most employed delivery methods, and evaluation surveys were the most employed assessment technique. Barriers to delivering an Indigenous curriculum included students' disinterest and limited interaction with Indigenous communities, while facilitators included cultural immersion and supportive mentorship.

CONCLUSION

Despite progress in integrating Indigenous content into oral health education, challenges persist. Prioritizing Indigenous perspectives, community partnerships, and standardized assessment tools is needed. Future research should focus on long-term impacts and best practices for Indigenous curriculum development and delivery.

摘要

目的

探讨口腔健康专业教育课程中关于原住民内容的文献。

方法

本范围综述遵循乔安娜·布里格斯研究所(JBI)的方法,纳入了所有关于口腔健康护理教育项目中原住民内容的文献类型。最初以“原住民”“教育”和“口腔健康”为关键词进行搜索,为MEDLINE、CINAHL、Embase、Scopus、ERIC、EPPI、MedEdPORTAL、谷歌学术、ProQuest学位论文与全球博硕士论文数据库、澳大利亚卫生部以及澳大利亚原住民健康信息网制定了全面的搜索策略。搜索涵盖截至2023年11月1日可获取的文献,不限语言。两名评审员独立筛选研究,并提取数据,以表格和叙述性总结形式呈现。

结果

共识别出948条记录,选择101项研究进行全文评审。23项研究符合数据提取标准。在所有研究中,95.6%发表于2007年至2021年之间,大多来自澳大利亚和新西兰。最常涉及的内容包括原住民文化,其次是历史、原住民口腔健康和原住民健康。农村和临床实习是最常用的授课方式,评估调查是最常用的评估技术。实施原住民课程的障碍包括学生缺乏兴趣以及与原住民社区的互动有限,而促进因素包括文化沉浸和支持性指导。

结论

尽管在将原住民内容纳入口腔健康教育方面取得了进展,但挑战依然存在。需要优先考虑原住民视角、社区伙伴关系和标准化评估工具。未来的研究应关注原住民课程开发与实施的长期影响和最佳实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d260/11783351/5a2bd44c2b9a/JDD-89-34-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d260/11783351/5a2bd44c2b9a/JDD-89-34-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d260/11783351/5a2bd44c2b9a/JDD-89-34-g001.jpg

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本文引用的文献

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The fear of letting go and the Ivory Tower of dental educational training.对放手的恐惧和牙科教育培训的象牙塔。
J Dent Educ. 2023 Nov;87(11):1594-1597. doi: 10.1002/jdd.13359. Epub 2023 Aug 21.
2
Indigenous Cultural Safety Training for Applied Health, Social Work, and Education Professionals: A PRISMA Scoping Review.原住民文化安全培训在应用健康、社会工作和教育专业人员中的应用:一项 PRISMA 范围综述。
Int J Environ Res Public Health. 2023 Mar 22;20(6):5217. doi: 10.3390/ijerph20065217.
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Building an understanding of Indigenous Health Workers' role in oral health: A qualitative systematic review.
了解原住民健康工作者在口腔健康中的作用:一项定性系统综述。
Community Dent Oral Epidemiol. 2023 Apr;51(2):169-179. doi: 10.1111/cdoe.12743. Epub 2022 Mar 24.
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A graduate oral health therapist program to support dental service delivery and oral health promotion in Aboriginal communities in New South Wales, Australia.澳大利亚新南威尔士州支持原住民社区提供牙科服务和促进口腔健康的研究生口腔健康治疗师项目。
Rural Remote Health. 2021 Jan;21(1):5789. doi: 10.22605/RRH5789. Epub 2021 Jan 27.
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How Neoliberalism Shapes Indigenous Oral Health Inequalities Globally: Examples from Five Countries.新自由主义如何在全球范围内塑造原住民口腔健康不平等:五个国家的实例。
Int J Environ Res Public Health. 2020 Nov 30;17(23):8908. doi: 10.3390/ijerph17238908.
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Updated methodological guidance for the conduct of scoping reviews.范围综述实施的更新方法学指南。
JBI Evid Synth. 2020 Oct;18(10):2119-2126. doi: 10.11124/JBIES-20-00167.
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Community as the teacher on issues of social responsibility, substance use, and queer health in dental education.社区作为教师,在牙科教育中教授社会责任、物质使用和酷儿健康问题。
PLoS One. 2020 Aug 14;15(8):e0237327. doi: 10.1371/journal.pone.0237327. eCollection 2020.
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Barriers and Mitigating Strategies to Healthcare Access in Indigenous Communities of Canada: A Narrative Review.加拿大原住民社区医疗服务获取的障碍与缓解策略:一项叙述性综述
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Flipped classroom in dental education: A scoping review.翻转课堂在口腔医学教育中的应用:范围综述。
Eur J Dent Educ. 2020 May;24(2):213-226. doi: 10.1111/eje.12487. Epub 2019 Dec 18.
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