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Haresaku S, Miyoshi M, Muramatsu M, Monji M, Aoki H, Maeda H, Miyazono M, Obuse M, Nakashima F, Uchida S, Iino H, Akinaga K, Chishaki A, Naito T. Implementation of peer-to-peer oral care objective structured clinical examination-based learning for nursing students. Jpn J Nurs Sci 2024; 21:e12591. [PMID: 38414128 DOI: 10.1111/jjns.12591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 01/22/2024] [Accepted: 01/24/2024] [Indexed: 02/29/2024]
Abstract
AIM Nurses' skills and confidence in providing oral care to patients play important roles in healthcare. Studies have proved that peer-to-peer learning and assessment can help improve nurses' skills and confidence. However, no study has investigated it using an objective assessment checklist. This study investigated an oral hygiene practice training program for nursing students. It focused on their oral healthcare skills, confidence, and perspectives regarding implementing an objective structured clinical examination (OSCE). METHODS A pre- and post-survey of 97 nursing students from a nursing school in Japan was conducted as a peer-to-peer oral health education training program that included an assessment and performance checklist. RESULTS Confidence in performing and assessing oral care significantly improved after attending the program. Furthermore, the changes were significantly greater in the developed program than in the training program without the checklist. The mean total assessment scores (0-25) of the first, second, third, and fourth participants in the four-student groups were 22.1, 23.4, 23.9, and 24.1, respectively. The mean scores of the second, third, and fourth participant groups were significantly higher than that of the first participant group (p < .01). Fifty-two positive and 58 negative comments were received regarding the implementation of the program with professional assessments and the checklist. The most common positive comment mentioned that the evaluation by professionals improved oral care learning and skills. CONCLUSIONS This study developed a program to improve nursing students' confidence and oral care delivery skill building in an OSCE-style delivery.
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Affiliation(s)
| | | | | | | | | | - Hitomi Maeda
- Department of Nursing, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan
| | | | - Mika Obuse
- Graduate School of Nursing Science, St. Luke's International University, Tokyo, Japan
| | | | | | | | | | | | - Toru Naito
- Section of Geriatric Dentistry, Department of General Dentistry, Fukuoka Dental College, Fukuoka, Japan
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Koo FK, Chen R, Fethney J, Balante J, Wong G. Evaluating pre-and post-oral health literacy of undergraduate nursing students on an oral-systemic health learning intervention. J Dent Educ 2024. [PMID: 38771214 DOI: 10.1002/jdd.13598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 04/02/2024] [Accepted: 05/10/2024] [Indexed: 05/22/2024]
Abstract
INTRODUCTION Oral health is significantly linked with systemic health. Nurses play a crucial role in patient education. Improving oral health literacy in nursing students can pave the way for the seamless integration of oral health into nursing practice. OBJECTIVE This study aimed to evaluate an interprofessional co-designed oral-systemic health learning intervention using a pre-and-post study design that measured oral health literacy levels among Year 2 undergraduate nursing students. METHODS Evaluation was measured using the validated Comprehensive Measure of Oral Health Knowledge questionnaire before and after the semester-long education intervention. Data were analyzed using independent and paired t-tests and an analysis of variance one-way analysis of variance. RESULTS A total of 78 out of 164 students (82% female, 42% aged 21-24, and 52% speaking English as a first language) participated in the pre- and post-study surveys. Statistically significant improvement was noted in pre-and-post total oral health literacy scores (Pre 14.92 [3.85] vs.. Post 15.85 [3.74], p = 0.031). Students showed the highest proficiency in the domain of oral disease prevention, while oral cancer knowledge was the least mastered domain. Those without English as their first language and those with secondary education as the highest qualification showed the greatest improvement in oral health literacy scores post-intervention. CONCLUSIONS This study highlights the efficacy of an interprofessional co-designed oral-systemic educational intervention in increasing oral health literacy among undergraduate nursing students. This intervention marks a preliminary step towards integrating oral health into future nursing practice. Further research is warranted to explore the enduring impact of these interventions on their future clinical endeavors.
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Affiliation(s)
- Fung Kuen Koo
- School of Nursing and Midwifery, Western Sydney University, Sydney, Australia
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, Sydney Nursing School, The University of Sydney, Sydney, Australia
| | - Rebecca Chen
- Oral Health Promotion, Western Sydney Local Health District, NSW Health, Sydney, Australia
- Faculty of Medicine and Health, Westmead Applied Research Centre, The University of Sydney, Westmead, Australia
| | - Judith Fethney
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, Sydney Nursing School, The University of Sydney, Sydney, Australia
| | - Jay Balante
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, Sydney Nursing School, The University of Sydney, Sydney, Australia
| | - Grace Wong
- School of Nursing and Midwifery, Western Sydney University, Sydney, Australia
- Oral Health Promotion and Research, Northern Sydney Local Health District, NSW Health, North Ryde, Australia
- Oral Health Unit, School of Health, Medical and Applied Science, CQUniversity, Queensland, Australia
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Haresaku S, Naito T, Aoki H, Miyoshi M, Monji M, Umezaki Y, Miyazono M, Egashira R, Chishaki A. Development of interprofessional education programmes in nursing care and oral healthcare for dental and nursing students. BMC MEDICAL EDUCATION 2024; 24:381. [PMID: 38589952 PMCID: PMC11000287 DOI: 10.1186/s12909-024-05227-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 02/26/2024] [Indexed: 04/10/2024]
Abstract
BACKGROUND Interprofessional education (IPE) is essential for healthcare students to collaborate effectively in multidisciplinary teams. This study aimed to identify the effect of IPE programmes in nursing care and oral healthcare on dental and nursing students' perceptions of interprofessional collaboration. METHODS The study included 101 third-year dental and 98 fourth-year nursing students. The participants were divided into mixed-professional groups of four (2 dental and 2 nursing students). They participated in nursing care and oral healthcare training programmes that included student-on-student training and discussion groups. Questionnaires regarding perceptions of interprofessional collaboration were distributed to the participants before and after the programmes to compare the programmes before and after and between the dental and nursing students. The Wilcoxon signed-rank test and chi-square test were used to compare the data. RESULTS Data from 79 dental students (42 males and 37 females) and 89 nursing students (4 males and 85 females) who completed both questionnaires were used for the comparisons. Perceptions of the differences between the approaches of different health professionals to nursing care, the roles of other professionals, and the need for multiprofessional collaboration improved significantly among both dental and nursing students after the programmes. Although the perception of their ability to communicate with unfamiliar or new people improved significantly only among the nursing students, other perceptions of their ability to communicate did not improve for either group. More dental students than nursing students chose nursing trainings as good programmes to participate in with other professional students, while more nursing students than dental students chose oral care trainings as good programmes. Many students commented that they learned about nursing and oral healthcare skills as well as the importance of teamwork and communication with other professionals. Seven students commented that they were more motivated to become dentists and nurses. CONCLUSIONS This study showed that IPE programmes for nursing care and oral healthcare might be effective at helping students understand other professionals and promoting multiprofessional collaboration. However, further studies are needed to develop IPE programmes to improve attitudes and abilities related to interprofessional communication skills.
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Affiliation(s)
- Satoru Haresaku
- Department of Nursing, Fukuoka Nursing College, 2-15-1 Tamura, Sawara-Ku, Fukuoka, 814-0193, Japan.
| | - Toru Naito
- Section of Geriatric Dentistry, Department of General Dentistry, Fukuoka Dental College, 2-15-1 Tamura, Sawara-Ku, Fukuoka, 814-0193, Japan
| | - Hisae Aoki
- Department of Nursing, Fukuoka Nursing College, 2-15-1 Tamura, Sawara-Ku, Fukuoka, 814-0193, Japan
| | - Maki Miyoshi
- Department of Nursing, Fukuoka Nursing College, 2-15-1 Tamura, Sawara-Ku, Fukuoka, 814-0193, Japan
| | - Mayumi Monji
- Department of Nursing, Fukuoka Nursing College, 2-15-1 Tamura, Sawara-Ku, Fukuoka, 814-0193, Japan
| | - Yojiro Umezaki
- Section of Geriatric Dentistry, Department of General Dentistry, Fukuoka Dental College, 2-15-1 Tamura, Sawara-Ku, Fukuoka, 814-0193, Japan
| | - Mami Miyazono
- Department of Nursing, Fukuoka Nursing College, 2-15-1 Tamura, Sawara-Ku, Fukuoka, 814-0193, Japan
| | - Rui Egashira
- Section of Geriatric Dentistry, Department of General Dentistry, Fukuoka Dental College, 2-15-1 Tamura, Sawara-Ku, Fukuoka, 814-0193, Japan
| | - Akiko Chishaki
- Department of Nursing, Fukuoka Nursing College, 2-15-1 Tamura, Sawara-Ku, Fukuoka, 814-0193, Japan
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Haresaku S, Kubota K, Miyoshi M, Obuse M, Aoki H, Nakashima F, Muramatsu M, Maeda H, Uchida S, Miyazono M, Iino H, Naito T. A Survey of Oral Assessment and Healthcare Education at Nursing Schools in Japan. Int Dent J 2023; 73:804-811. [PMID: 36347715 PMCID: PMC10658431 DOI: 10.1016/j.identj.2022.09.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 09/18/2022] [Accepted: 09/27/2022] [Indexed: 11/08/2022] Open
Abstract
OBJECTIVES This study aimed to investigate the performance of oral assessment and health care education at nursing schools across Japan to identify problems and the need for oral health professional support. METHODS The participants were the academic staff in charge of oral health care education in the basic, adult, gerontological, and home nursing fields of 295 schools in Japan that offered a bachelor's degree in nursing. A questionnaire was sent to 1180 heads of the nursing fields of these schools. They were requested to have oral health care educators complete the survey; data on the performance of oral assessment and health care education and human resources allocated were collected through a questionnaire. RESULTS A total of 311 (26%) questionnaires were returned, 196 (63%) of which were completed by oral health care educators. Regarding the performance of oral assessment education, the majority (71%) of them spent less than 2 hours in teaching, and only 24.5% taught the usage of oral assessment tools. Regarding the performance of oral health care education, more than 90% spent less than 2 hours in lecture-based and practical oral health care education, respectively. Less than half taught the association of periodontal diseases with diabetes and cardiovascular diseases and use of fluoride for caries prevention in the lectures, and only approximately 30% taught the usage of an interspace brush or dental floss. Moreover, less than 10% of oral health professionals taught oral health care in lectures or practical oral health care. CONCLUSIONS This study revealed problems associated with oral assessment and health care education in Japanese nursing schools. To address these, support from oral health care professionals is required. Further studies are also required to reveal problems in oral assessment and health care education in other nursing schools that do not offer a bachelor's degree programme in Japan and other countries.
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Affiliation(s)
- Satoru Haresaku
- Department of Nursing, Fukuoka Nursing College, Fukuoka, Japan.
| | - Keiko Kubota
- Department of Nursing, Fukuoka Nursing College, Fukuoka, Japan
| | - Maki Miyoshi
- Department of Nursing, Fukuoka Nursing College, Fukuoka, Japan
| | - Mika Obuse
- Graduate School of Nursing Science, St. Luke's International University, Chuo-ku, Tokyo, Japan
| | - Hisae Aoki
- Department of Nursing, Fukuoka Nursing College, Fukuoka, Japan
| | | | - Masumi Muramatsu
- School of Nursing, Sapporo City University, Sapporo, Hokkaido, Japan
| | - Hitomi Maeda
- Department of Nursing, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Kumamoto, Japan
| | - Souhei Uchida
- Department of Nursing, Fukuoka Nursing College, Fukuoka, Japan
| | - Mami Miyazono
- Department of Nursing, Fukuoka Nursing College, Fukuoka, Japan
| | - Hidechika Iino
- Department of Nursing, Fukuoka Nursing College, Fukuoka, Japan
| | - Toru Naito
- Section of Geriatric Dentistry, Department of General Dentistry, Fukuoka Dental College, Sawara-ku, Fukuoka, Japan
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Tuononen TA, Saaranen T, Holopainen T, Suominen AL, Silén-Lipponen M. Large-group simulation as a learning method to promote interprofessional collaboration and older adults' patient centered-care. SPECIAL CARE IN DENTISTRY 2023; 43:883-892. [PMID: 37393429 DOI: 10.1111/scd.12898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 06/05/2023] [Accepted: 06/19/2023] [Indexed: 07/03/2023]
Abstract
AIMS This study described the influence of a large-group simulation on social and health care students´ working life competence concerning interprofessional collaboration (IPC) and patient centered-care. METHODS AND RESULTS The target group (n = 319) was social and health care students from several different degree programs taking part in a large-group simulation concerning older people´s oral health as a part of his comprehensive well-being and health. Data were collected with a questionnaire containing background questions, statements about interprofessional practice and open-ended questions about learning experiences. The number of respondents was 257, including 51 oral health care students (OHCS). The data were analyzed using descriptive and statistical methods and content analysis. Working life competencies covers the overall social and collaborative skills which health-care professionals need in their work. They were reported to be improved in IPC and patient-centered care (PCC). The main described learning experiences in open responses included appreciating different professionals' competencies and the importance of interprofessional decision-making, interpersonal communication competence and patient-centered attitudes in care provision. CONCLUSION The large-group simulation is a good model for educating larger student groups simultaneously and it functioned well in improving understanding of IPC and PCC among older adults.
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Affiliation(s)
- Tiina A Tuononen
- Institute of Dentistry, University of Eastern Finland, Kuopio, Finland
| | - Terhi Saaranen
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Tiina Holopainen
- School of Health Care, Savonia University of Applied Sciences, Kuopio, Finland
| | - Anna Liisa Suominen
- Institute of Dentistry, University of Eastern Finland; Department of Oral and Maxillofacial Diseases Kuopio University Hospital, Kuopio, Finland
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Oda K, Majeed S, Parsons J, Boyd M, Smith M. Putting the Mouth Into the Head-to-Toe Assessment: Nursing Oral Health Assessment Training With an Oral Health Therapist. J Nurs Educ 2023; 62:399-402. [PMID: 37413674 DOI: 10.3928/01484834-20230509-04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/08/2023]
Abstract
BACKGROUND Oral care is one of the most neglected nursing practices, lacking oral care protocols, efficient training, and awareness of the benefits for clients. In particular, there is a gap in research for nursing oral health assessment training for nursing curricula. METHOD This study explored the effects of interprofessional collaboration (IPC) training between nurses and oral health therapists (OHT) using newly developed oral health assessment tools with an aim of reducing barriers for nursing oral health assessment. The self-efficacy and confidence of nursing students in oral health assessment were evaluated using pre- and posttraining surveys, and a focus group. RESULTS Nursing students' confidence in incorporating oral health assessment into head-to-toe assessment improved after training. CONCLUSION Nursing oral health assessment training with IPC, onsite OHT support, and oral health assessment tools improved the confidence and attitudes of nursing students in oral health assessment and care provision. [J Nurs Educ. 2023;62(7):399-402.].
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Mills DA, Chu AS, Burns A, Hoover EB, Wild J, Post G, Sears R, Herrick A, Black D, Roberts EP, Roberts BS. Dental Bite-Sized Bits: A Module for Teaching Common Oral Health Conditions to Multidisciplinary Students. MEDICAL SCIENCE EDUCATOR 2023; 33:451-458. [PMID: 36855684 PMCID: PMC9951137 DOI: 10.1007/s40670-023-01760-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 02/14/2023] [Indexed: 05/31/2023]
Abstract
The Surgeon General's report in the year 2000 highlighted the association between chronic diseases and oral health infections. Current healthcare education programs, regrettably, report only 1 to 3 h of oral health instruction within curricula. In the years 2020-2022, as part of their respective oral health curricula, 278 first-year physician assistant and 12 pre-clinical second-year pharmacy students were invited to participate in a voluntary survey examining the effectiveness of animated succinct, online video-based oral health units. Among all student responses for the post-use survey, respondents "strongly agreed" or "agreed" that learning objectives of the unit(s) were achieved after reviewing the videos. Of the participants, 97% "strongly agreed" or "agreed" that the videos helped them understand information of which they had no prior knowledge. Similarly, 98% "strongly agreed" or "agreed" the information was appropriate for their level of knowledge. Most students, 93%, "strongly agreed" or "agreed" the exercise was a valuable learning experience. Regarding the importance of future interprofessional collaboration pertaining to a mutual patient's oral health, 95% of participants "strongly agreed" or "agreed" that they would be likely to collaborate. This study demonstrates the importance of oral health as a critical area of focus in healthcare education. The study also confirms the hypothesis that Dental Bite-Sized Bits units deliver engaging, valuable oral health education for preclinical healthcare learners, incorporating interprofessional perspectives from the disciplines of dental, pharmacy, and physician assistant.
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Affiliation(s)
- Denise A. Mills
- Midwestern University College of Dental Medicine, Glendale, AZ US
| | - Anita S. Chu
- Midwestern University College of Dental Medicine, Glendale, AZ US
| | - Andrea Burns
- Department of Pharmacy Practice, Midwestern University College of Pharmacy, Glendale, AZ US
| | - Eve B. Hoover
- Midwestern University College of Health Sciences Physician Assistant Program, Glendale, AZ US
| | - Jennifer Wild
- Midwestern University College of Health Sciences Physician Assistant Program, Glendale, AZ US
| | - Gretchen Post
- Midwestern University College of Health Sciences Physician Assistant Program, Glendale, AZ US
| | - Robyn Sears
- Midwestern University College of Health Sciences Physician Assistant Program, Glendale, AZ US
| | - Amber Herrick
- Midwestern University College of Health Sciences Physician Assistant Program, Glendale, AZ US
| | - Deborah Black
- Midwestern University College of Health Sciences Physician Assistant Program, Glendale, AZ US
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Rojo J, George A, Smith BW, Ramjan LM, Hunt L, Hartnett E, Salamonson Y. Integration of oral healthcare into undergraduate health professional educational programs: A scoping review. Collegian 2022. [DOI: 10.1016/j.colegn.2022.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Krausch-Hofmann S, Tran TD, Janssens B, Declerck D, Lesaffre E, de Almeida Mello J, Declercq A, De Lepeleire J, Duyck J. Assessment of oral health in older adults by non-dental professional caregivers-development and validation of a photograph-supported oral health-related section for the interRAI suite of instruments. Clin Oral Investig 2021; 25:3475-3486. [PMID: 33196870 PMCID: PMC8137625 DOI: 10.1007/s00784-020-03669-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Accepted: 10/29/2020] [Indexed: 01/07/2023]
Abstract
OBJECTIVES An optimized oral health-related section and a video training were developed and validated for the interRAI suite of instruments. The latter is completed by professional non-dental caregivers and used in more than 40 countries to assess care needs of older adults. METHODS The optimized oral health-related section (ohr-interRAI) consists of nine items and a video training that were developed in consecutive phases. To evaluate psychometric properties, a study was conducted in 260 long-term care residents. Each resident was assessed by a dentist and by four caregivers (two who received the video training, two who did not). RESULTS Mean kappa values and percent agreement between caregivers and dentist ranged between κ = 0.60 (80.2%) for dry mouth and κ = 0.13 (54.0%) for oral hygiene. The highest inter-caregiver agreement was found for dry mouth with κ = 0.63 [95% CI: 0.56-0.70] (81.6%), while for the item palate/lips/cheeks only κ = 0.27 [95% CI: 0.18-0.36] (76.7%) was achieved. Intra-caregiver agreement ranged between κ = 0.93 [95% CI: 0.79-1.00] (96.4%) for dry mouth and κ = 0.45 [95% CI: 0.06-0.84] (82.8%) for gums. Logistic regression analysis showed only small differences between caregivers who watched the video training and those who did not. CONCLUSIONS Psychometric properties of the optimized ohr-interRAI section were improved compared to previous versions. Nevertheless, particularly the items based on inspection of the mouth require further refinement and caregiver training needs to be improved. CLINICAL RELEVANCE Valid assessment of oral health by professional caregivers is essential due to the impaired accessibility of regular dental care for care-dependent older adults.
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Affiliation(s)
- Stefanie Krausch-Hofmann
- KU Leuven Department of Oral Health Sciences, Population Studies in Oral Health, Kapucijnenvoer 7/a - box 7001, 3000 Leuven, Belgium
| | - Trung Dung Tran
- KU Leuven Department of Public Health and Primary Care, Biostatistics and Statistical Bioinformatics Centre (L-BioStat), Kapucijnenvoer 35/a - box 7001, 3000 Leuven, Belgium
| | - Barbara Janssens
- Ghent University Department of Oral Health Sciences, Special Needs in Oral Health, Gerodontology, C.-Heymanslaan 10, entrance 25, 9000 Ghent, Belgium
| | - Dominique Declerck
- KU Leuven Department of Oral Health Sciences, Population Studies in Oral Health, Kapucijnenvoer 7/a - box 7001, 3000 Leuven, Belgium
| | - Emmanuel Lesaffre
- KU Leuven Department of Public Health and Primary Care, Biostatistics and Statistical Bioinformatics Centre (L-BioStat), Kapucijnenvoer 35/a - box 7001, 3000 Leuven, Belgium
| | - Johanna de Almeida Mello
- KU Leuven LUCAS, Centre for Care Research and Consultancy, Minderbroedersstraat 8 - box 5310, 3000 Leuven, Belgium
| | - Anja Declercq
- KU Leuven LUCAS, Centre for Care Research and Consultancy, Minderbroedersstraat 8 - box 5310, 3000 Leuven, Belgium
- KU Leuven CESO, Center for Sociological Research, Parkstraat 45 - box 3601, 3000 Leuven, Belgium
| | - Jan De Lepeleire
- KU Leuven Department of Public Health and Primary Care, Academic Centre for General Practice, Kapucijnenvoer 33/j - box 7001, 3000 Leuven, Belgium
| | - Joke Duyck
- KU Leuven Department of Oral Health Sciences, Biomaterials/BIOMAT, Kapucijnenvoer 7/a - box 7001, 3000 Leuven, Belgium
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Ahmad MS, Abuzar MA, Razak IA, Rahman SA, Borromeo GL. Oral health education in the undergraduate nursing curriculum of Australian and Malaysian institutions. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2021; 25:350-359. [PMID: 33021010 DOI: 10.1111/eje.12611] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 09/23/2020] [Accepted: 09/26/2020] [Indexed: 06/11/2023]
Abstract
INTRODUCTION A high degree of training is necessary to prepare student nurses for their roles as oral healthcare partners that can promote a holistic approach to health in the community. This study aims to determine the extent of oral health education in Australian and Malaysian nursing institutions, as well as investigate educators' perceptions of education and practice in this area of care. METHODOLOGY An audio-recorded, semi-structured qualitative phone interview was conducted with the heads of 42 nursing schools across Australia (n = 35) and Malaysia (n = 7) during the 2015 academic year. Qualitative data were analysed via thematic analysis. Quantitative data, wherever appropriate, were measured for frequencies. RESULTS The response rate was 34.2% (n = 12) and 71.4% (n = 5) for the Australian and Malaysian subjects, respectively. Findings revealed that although all the nursing schools measured provided didactic and clinical training in oral health, curriculum content, expected learning outcomes, amount of clinical exposure and assessment approach lacked consistency. Most nursing educators across both countries perceived an overloaded curriculum as a barrier to providing oral health education. Whilst educators demonstrated their support for training in this area of care, they expressed the need for an established national guideline that highlights the educational requirement for future nurses in oral health maintenance and their scope of practice. CONCLUSION This study provides valuable information for further developing oral health education for nurses, to improve their competency and ultimately the health of the communities that they will serve.
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Affiliation(s)
- Mas S Ahmad
- Universiti Teknologi MARA, Selangor Branch, Sungai Buloh Campus, Sungai Buloh, Malaysia
| | | | | | - Sabariah A Rahman
- Universiti Teknologi MARA, Selangor Branch, Sungai Buloh Campus, Sungai Buloh, Malaysia
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Bhagat V, Hoang H, Crocombe LA, Goldberg LR. Incorporating oral health care education in undergraduate nursing curricula - a systematic review. BMC Nurs 2020; 19:66. [PMID: 32684840 PMCID: PMC7359291 DOI: 10.1186/s12912-020-00454-6] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2020] [Accepted: 06/28/2020] [Indexed: 01/08/2023] Open
Abstract
Background The recognised relationship between oral health and general health, the rapidly increasing older population worldwide, and changes in the type of oral health care older people require have raised concerns for policymakers and health professionals. Nurses play a leading role in holistic and interprofessional care that supports health and ageing. It is essential to understand their preparation for providing oral health care.Objective: To synthesise the evidence on nursing students' attitudes towards, and knowledge of, oral healthcare, with a view to determining whether oral health education should be incorporated in nursing education. Methods Data sources: Three electronic databases - PubMed, Scopus, and CINAHL.Study eligibility criteria, participants and interventions: Original studies addressing the research objective, written in English, published between 2008 and 2019, including students and educators in undergraduate nursing programs as participants, and conducted in Organisation of Economic Co-operation and Development countries.Study appraisal and synthesis methods: Data extracted from identified studies were thematically analysed, and quality assessment was done using the Mixed Methods Appraisal Tool. Results From a pool of 567 articles, 11 met the eligibility criteria. Findings documented five important themes: 1.) nursing students' limited oral health knowledge; 2.) their varying attitudes towards providing oral health care; 3.) the need for further oral health education in nursing curricula; 4.) available learning resources to promote oral health; and 5.) the value of an interprofessional education approach to promote oral health care in nursing programs.Limitations: The identified studies recruited small samples, used self-report questionnaires and were conducted primarily in the United States. Conclusions The adoption of an interprofessional education approach with a focus on providing effective oral health care, particularly for older people, needs to be integrated into regular nursing education, and practice. This may increase the interest and skills of nursing students in providing oral health care. However, more rigorous studies are required to confirm this. Nursing graduates skilled in providing oral health care and interprofessional practice have the potential to improve the oral and general health of older people.
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Affiliation(s)
- Vandana Bhagat
- Centre for Rural Health (CRH), E Block, Newnham Campus, University of Tasmania (UTas), Launceston, Australia
| | - Ha Hoang
- CRH, E block, Newnham Campus, UTas, Launceston, Australia
| | - Leonard A Crocombe
- CRH, ABC Building, 1 Liverpool Street, Hobart, Hobart CBD Campuses, UTas, Hobart, Australia
| | - Lynette R Goldberg
- Wicking Dementia Research & Education Centre, Room 421C (Level 4), Medical Science 1, UTas, Hobart, Australia
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