Overcoming Historical Separation between Oral and General Health Care: Interprofessional Collaboration for Promoting Health Equity

Simon, Lisa

doi:10.1001/journalofethics.2016.18.9.pfor1-1609

Cited by 53 publications

(7 citation statements)

References 39 publications

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“…In this sense, other studies that were conducted not only with midwives [ 22 , 24 , 25 , 26 , 27 , 28 , 29 , 30 ] but also with other antenatal care providers, such as general practitioners [ 22 , 24 , 31 , 32 ], nurses [ 22 , 25 ], and gynecologists/obstetricians [ 24 , 27 , 30 , 33 ], have highlighted that they have insufficient knowledge about oral health and its influence on systemic health, despite the incorporation of oral health into health-promoting strategies and practices [ 34 ]; moreover, this is highly recommended [ 35 , 36 ]. The high level of specialization required by healthcare professionals together with a population- versus an individual-focused health delivery system have contributed to the separation between oral and general healthcare [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes, and Practices of Spanish Midwives and Midwifery Students toward Oral Healthcare during Pregnancy

Touriño

Suárez-Cotelo

Núñez-Iglesias

et al. 2021

IJERPH

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Pregnancy can affect the mother’s oral health, increasing their susceptibility to oral diseases that have been associated with harmful effects on the newborn. Despite the severity of oral diseases during pregnancy, the demand for dental care during the gestational period is low, which may improve with the participation of midwives in promoting oral health activities. The objectives of this study were: (i) to determine the knowledge, attitudes, and practices of Spanish midwives and midwifery students regarding oral health in pregnant women; and (ii) to identify the barriers faced by these healthcare professionals in addressing oral health promotion during pregnancy. An observational cross-sectional descriptive study was conducted. A total of 128 midwives and/or midwifery students ≥18 years old and of both sexes were invited to self-complete a questionnaire between January and April 2020. A total of 85 people participated in the study. Participants had a regular level of knowledge about oral health during pregnancy (overall knowledge score: 6.53), and although they were interested in activities that promote oral healthcare, their oral healthcare practices during pregnancy were limited. As midwives play an important role in promoting health, their training in oral healthcare could help to improve pregnant women’s oral health.

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Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes, and Practices of Spanish Midwives and Midwifery Students toward Oral Healthcare during Pregnancy

Touriño

Suárez-Cotelo

Núñez-Iglesias

et al. 2021

IJERPH

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“…In this research, rural nurses struggled to educate medical residents in busy routine work, which should be communicated to medical residents for their effective work and education. The involvement of not only nurses and medical teachers but also social workers and therapists in educational processes can be effective if their specialties are respected [ 13 , 49 , 50 ]. In addition, other people in communities can be involved in education, which can be effective in rural medical education [ 51 , 52 , 53 ].…”

Section: Discussionmentioning

confidence: 99%

Nurses’ Contributions in Rural Family Medicine Education: A Mixed-Method Approach

Ohta¹,

Maejma²,

Sano

2022

IJERPH

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Family medicine residents frequently collaborate with nurses regarding clinical decisions and treatments, which contributes to their education. In rural areas, these residents experience a wider scope of practice by collaborating with nurses. However, nurses’ contributions to rural family medicine education have not been clarified. This study measured the contributions of 88 rural community hospital nurses to family medicine education using a quantitative questionnaire and interviews. The interviews were recorded, transcribed verbatim, and analyzed using the grounded theory approach. Nurses’ average clinical experience was 20.16 years. Nurses’ contributions to the roles of teacher and provider of emotional support were statistically lower among participants working in acute care wards than those working in chronic care wards (p = 0.024 and 0.047, respectively). The qualitative analysis indicated that rural nurses’ contributions to family medicine education focused on professionalism, interprofessional collaboration, and respect for nurses’ working culture and competence. Additionally, nurses struggled to educate medical residents amid their busy routine; this education should be supported by other professionals. Rural family medicine education should incorporate clinical nurses as educators for professionalism and interprofessional collaboration and as facilitators of residents’ transition to new workplaces. Subsequently, other professionals should be more actively involved in improving education quality.

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“…Simon advocates in the AMA Journal of Ethics [6] for integration and increased collaboration as a way to promote health equity, mentioning areas in which physician training can incorporate areas of oral health education, and vice versa, but does not cover the role of an EMR.…”

Section: Brief Summary Of the History Of The Divide Between Oral Healmentioning

confidence: 99%

Implementation of an EMR System for a Comprehensive Dental Service within a Large Regional Hospital Network: Challenges and Opportunities Presented by the Introduction of new Technology

Swanik

2019

OJPHI

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Objectives: The development of new information technology has significant effects on the health care system, and its implementation and the associated change management process can bring some positive changes and gains in understanding, but there are challenges with making the transition. These benefits and challenges are explored in the context of a hospital based dental department. Additionally, the concept of the integration of oral health to overall systemic health is explored in context with an Electronic Medical Records system implementation, and the American Dental Association’s recent recognition of dental anesthesiology as a clinical subspecialty.Method: Qualitative survey of attending dental faculty members of the department, who represent a broad range of dental specialties and experience in private practice, hospital based practice, teaching, and public health practice.Results: The faculty survey yielded some consistent themes, ranging from enhanced information to make better diagnoses, to challenges in transitioning to EMR, as well as concerns about data security and too much time and effort in front of a computer screen.Discussion: A brief summary of the history of the stand-alone development of dentistry is given, which contributed to the separate development of dental EMRs from hospital EMRs. The various modalities of clinical care provided by the Department of Dentistry at Advocate Illinois Masonic Medical Center, Chicago, IL are presented to give a scope of the areas of need a successful EMR solution must meet in a hospital based dental setting. Public health aspects are included in the discussion.Conclusion: Macro level health data sets (ie NHANES, state level datasets) have the potential to be expanded to include more thorough data, combining medical health data and oral health data in the same datasets.

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Overcoming Historical Separation between Oral and General Health Care: Interprofessional Collaboration for Promoting Health Equity

Cited by 53 publications

References 39 publications

Knowledge, Attitudes, and Practices of Spanish Midwives and Midwifery Students toward Oral Healthcare during Pregnancy

Knowledge, Attitudes, and Practices of Spanish Midwives and Midwifery Students toward Oral Healthcare during Pregnancy

Nurses’ Contributions in Rural Family Medicine Education: A Mixed-Method Approach

Implementation of an EMR System for a Comprehensive Dental Service within a Large Regional Hospital Network: Challenges and Opportunities Presented by the Introduction of new Technology

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