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

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

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新晋牙医向幼儿父母/照顾者提供口腔健康建议的经验-挑战和解决办法。
导言: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对话的能力。在取得资格时,英国牙医要接受为期一年的基础培训课程。本研究与基金会牙医一起探讨了与0-11岁的父母/照顾者及其子女进行口腔健康对话的障碍和促进因素。材料和方法:大约100名来自约克郡和亨伯地区的基金会牙医参加了一系列焦点小组。他们讨论了他们和他们更广泛的牙科团队如何与0-11岁幼儿的父母/照顾者进行口腔健康对话。数据采用专题分析进行分析。结果:确定了五个主题是提供口腔健康咨询的障碍和促进因素:(1)缺乏关于育儿技能和儿童发展的知识;(2)父母接受度;(3)改变行为的动机;(4)信息内容及不一致性;(5)目前国民保健服务(NHS)的一般牙科实践结构。讨论:需要采取多方面的方法来发展基金会牙医的培训,以便与父母/照顾者和儿童进行预防性口腔健康对话。这种方法有可能改善病人与医生的关系,并增加在一般牙科保健中进行的有效的行为改变对话,从而改善儿童的口腔健康。
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