Journal Article•
Exploring Interprofessional Relationships Between Dental Hygienists and Health Professionals in Rural Canadian Communities
01 Aug 2017-American Dental Hygienists Association (American Dental Hygienists' Association)-Vol. 91, Iss: 4, pp 6-11
TL;DR: Findings from this review suggest that the development of interprofessional relationships between health care professionals is complex and dynamic and should first be implemented at the educational level to help develop trust and understanding of each profession's role in health care.
Abstract: Purpose: For most Canadians living in rural communities, limited access to dental care can negatively impact oral and general health. This narrative, tertiary review of the literature explores the outcomes of interprofessional relationships between dental hygienists and other health professionals on individuals residing in rural communities in Canada. Themes addressed include: implementing interprofessional education experiences in entry-to-practice health programs, interprofessional dynamics in primary health care teams, health perceptions in rural communities, and barriers and enablers to interprofessional relationships.Conclusion: Findings from this review suggest that the development of interprofessional relationships between health care professionals is complex and dynamic. Interprofessional collaboration should first be implemented at the educational level to help develop trust and understanding of each profession's role in health care. Alternative models of health care delivery, such as interprofessional collaborative practice, have the potential to reduce overall health care costs and improve access of comprehensive health care services to Canadians residing in rural communities.
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TL;DR: The aim of this study was to surmise the order in which skills should be mastered in terms of priority and to investigate the relationship between daily jobs and the motivation for completing jobs and to reveal the characteristics of dental hygienists' daily jobs.
Abstract: Dental hygienists require proficiency in a wide variety of job skills Dental hygienists should master their job skills step by step, and the prioritization of these steps is important In this study, we investigated the frequency at which Japanese dental hygienists performed daily jobs and attempted to classify the jobs according to the proficiency levels The aim of this study was to surmise the order in which skills should be mastered in terms of priority and to investigate the relationship between daily jobs and the motivation for completing jobs The Japan Dental Hygienists' Association conducts a survey on the employment status of dental hygienists in Japan every five years The questionnaire is distributed to all members of the Japan Dental Hygienists' Association In this study, the responses of 3,807 dental hygienists who worked at dental clinics were analyzed We analyzed 77 kinds of daily jobs and the items regarding the motivation to work For the analysis, item response theory (IRT), structural equation modeling (SEM), and logistic regression analysis were applied According to the item response curve, the jobs were classified into 11 clusters The jobs classified into Cluster 1 were the jobs that most of the average-proficiency Japanese dental hygienists performed Scaling and root planing were the representative jobs in Cluster 1 Performing the jobs classified into Cluster 5 clearly discriminated whether the dental hygienists were performing multiple jobs Jobs concerning care for elderly or disabled patients were classified into Cluster 5 Jobs concerning gerodontology, implants, management of staff, and consultations were significantly associated with the motivation to perform jobs Polishing and adjustment of orthodontic apparatuses was negatively associated with the motivation to perform jobs Understanding the features of each daily job of dental hygienists is important for planning dental hygienists' lifelong educational programs and evaluating their skill levels and proficiency levels The results presented in this study may help to reveal the characteristics of dental hygienists' daily jobs
12 citations
Cites background from "Exploring Interprofessional Relatio..."
...Beyond providing oral health care, dental hygienists and dentists are expected to contribute to overall health care and quality of life, and they are expected to highlight and integrate the correlation between oral and systemic diseases [4, 5]....
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TL;DR: Early detection of oral problems, early oral health management by dentists and dental hygienists, and medicaldental collaboration should be implemented in convalescent rehabilitation, as well as interaction between general practitioners and dentists is often limited except in cases of personal contact.
Abstract: Medical and dental interprofessional collaboration is crucial in general and family medicine. Oral health management can reduce oral bacteria count and aspiration pneumonia.1 Perioperative oral function management can reduce the risk of postoperative pneumonia and is covered by health insurance in Japan. Furthermore, prevention of pneumonia is very important, because pneumonia and aspiration pneumonia are common causes of death in Japan. Therefore, close medicaldental collaboration should be facilitated. However, medicaldental collaboration and knowledge of oral health management are insufficient in general and family physicians. Competency level of physicians, residents, and nurses was <30% for identifying tooth decay and oral pathology.2 Frequency rates for dental referral by medical providers were 32% “frequently” and 68% “infrequently”.2 A qualitative study exploring general practitioners’ and dentists’ experiences and expectations of interprofessional collaboration revealed that both general practitioners and dentists reported perceived knowledge deficits of the other profession.3 Moreover, most of general practitioners saw no need for medicaldental collaboration, although dentists were interested in extending medicaldental collaboration.3 Another qualitative study showed that general practitioners and dentists perceived knowledge deficits in other specialty and frequently criticized aspects of each other’s patient management.4 Furthermore, interaction between general practitioners and dentists is often limited except in cases of personal contact.4 Medicaldental collaboration is inadequate and should be improved in general and family medicine. Dental hygienists can play a central role in medicaldental collaboration in convalescent rehabilitation. The role of dental hygienists is screening and assessing of oral health and function, treatment, education and counseling in oral health management, oral and dysphagia rehabilitation, and interprofessional collaboration.5 Oral health management provided by dental hygienists improves not only oral status, swallowing function, and nutritional status, but also activities of daily living, home discharge, and inhospital mortality in postacute rehabilitation.5 Therefore, early detection of oral problems, early oral health management by dentists and dental hygienists, and medicaldental collaboration should be implemented in convalescent rehabilitation. The presence of dental hygienists is indispensable for convalescent rehabilitation hospital and rehabilitation nutrition.6 Interprofessional collaboration between general and family physicians and dental hygienists may promote medicaldental collaboration in general and family medicine. Some dental hygienists participate in multiprofessional conference and ward rounds such as oral health management team, swallowing team, nutrition support team, and rehabilitation nutrition team. In my experience, physicians can learn a lot about oral hygiene from oral health management ward round with dental hygienists. Interprofessional collaboration between general practitioners and dentists is clearly important, however often limited. Interprofessional collaboration between dental hygienists and other health professionals may improve access to comprehensive healthcare services.7 Therefore, I expect that many general and family physicians will collaborate with both dentists and dental hygienists to facilitate close medicaldental collaboration.
8 citations
01 Jan 2019
TL;DR: Dental hygienists are in a position to use current practice guidelines to provide preventive oral health care and be an integral member of the prenatal care team.
Abstract: Purpose: The purpose of this study was to examine dental hygienists’ perceptions of their role on the prenatal care team and perceptions of obstetricians towards the role of dental hygienists as part of the prenatal care team. Methods: Data was collected from an anonymous electronic Likert-style survey sent to obstetricians at Denver Health and Hospitality Authority (DHHA) and Colorado Dental Hygienists’ Association (CODHA) members. Statistical analysis included descriptive statistics to provide an overview of survey data from all three subscales: knowledge (subscale 1), scope (subscale 2), and perceptions (subscale 3) and the standard t-Test to determine differences between demographics (collaboration with an obstetrician, highest level of education, and public health experience) and subscales. Results: The perceptions of obstetricians were not evaluated since the response rate (n=2) was not representative of the population. Whereas, the perceptions of dental hygienists were represented (N=106). Overall, surveyed Colorado dental hygienists (N=106) had a positive perception in all subscales respectively (M=4.4638, M=4.7529, M=4.7864). However, there are some outliers worth noting. Dental hygienists perceived dental radiographs and dental treatment more negatively with more variance. Independent sample t-test suggests having practiced with an obstetrician and in public health makes a significant difference in all subscale scores. Conclusion: Dental hygienists are in a position to use current practice guidelines to provide preventive oral health care and be an integral member of the prenatal care team. xi PERCEPTIONS OF DH ROLE ON THE PRENATAL CARE TEAM
3 citations
TL;DR: A lack of knowledge and skills, likely caused by gaps in education and training, is limiting NPs' ability to do oral health care with confidence, according to a mixed methods study.
3 citations
01 Jan 2018
TL;DR: In this article, the authors present a Table of Table of contents of the paper. But they do not discuss the authorship of the authors' work. And they propose acknowledgments
Abstract: .......................................................................................................................................... ii Acknowledgments.......................................................................................................................... iii Table of
2 citations
References
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01 Jan 2010
TL;DR: The Framework for Action on Interprofessional Education and Collaborative Practice highlights the current status of interprofessional collaboration around the world, identifies the mechanisms that shape successful collaborative teamwork and outlines a series of action items that policy-makers can apply within their local health system.
Abstract: At a time when the world is facing a shortage of health workers, policymakers are looking for innovative strategies that can help them develop policy and programmes to bolster the global health workforce. The Framework for Action on Interprofessional Education and Collaborative Practice highlights the current status of interprofessional collaboration around the world, identifies the mechanisms that shape successful collaborative teamwork and outlines a series of action items that policy-makers can apply within their local health system. The goal of the Framework is to provide strategies and ideas that will help health policy-makers implement the elements of interprofessional education and collaborative practice that will be most beneficial in their own jurisdiction.
1,750 citations
TL;DR: Interest in interprofessional education and collaborative practice continue to grow but whether IPE improves clinical outcomes is uncertain, and a recent study found that it does not.
Abstract: Interest in interprofessional education (IPE) and collaborative practice continue to grow (Frenk et al., 2010; Cox & Naylor, 2013) but whether IPE improves clinical outcomes is uncertain. A recent ...
420 citations
TL;DR: Student's attitudes and perceptions towards interprofessional collaboration and clinical decision-making can be potentially enhanced through interprofessional education, however, the evidence for using inter professional education to teach communication skills and clinical skills is inconclusive and requires further investigation.
326 citations
TL;DR: Interprofessional collaborative practice (IPCP) and relational coordination (RC) are two concepts with much in common but the concept is not familiar to many readers of this journal.
Abstract: Interprofessional collaborative practice (IPCP) and relational coordination (RC) are two concepts with much in common. IPCP is a concept that is familiar to many readers of this journal but the def...
235 citations