The Pediatric Nurse Practitioner's Role in Reducing Oral Health Disparities in Homeless Children

DiMarco, Marguerite; Huff, Marlene; Kinion, Elizabeth; Kendra, Mary Agnes

doi:10.1016/j.pedhc.2007.12.013

Cited by 10 publications

(6 citation statements)

References 23 publications

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“…[23][24][25] Advising families in proper oral health, fluoride supplementation, prevention of damaging oral health habits and tooth decay, and the need for referrals to pediatric dentists are standard for anticipatory guidance. [23][24][25] The use of anticipatory guidance allows parents, caregivers, and children to understand how, in the case of oral health, the oral cavity changes over time and to develop age-appropriate, risk-reduction strategies for each stage of tooth development. 26 Using this approach, PNPs empower parents to be the ''health champion role model'' for their children.…”

Section: Improving Children's Oral Healthmentioning

confidence: 99%

Role of Pediatric Nurse Practitioners in Oral Health Care

Hallas

Shelley

2009

Academic Pediatrics

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Section: Improving Children's Oral Healthmentioning

confidence: 99%

Role of Pediatric Nurse Practitioners in Oral Health Care

Hallas

Shelley

2009

Academic Pediatrics

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“…As this yielded limited responses (Yousey and Carr 2005, DiMarco, Huff et al 2009, Lynam, Loock et al 2010, Wong, Lynam et al 2012) including papers without evaluation data, the search was expanded to investigate care provided by nurse practitioners for all children in communities.…”

Section: Methodsmentioning

confidence: 99%

How do nurse practitioners work in primary health care settings? A scoping review

Grant

Lines

Darbyshire

et al. 2017

International Journal of Nursing Studies

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Abstract:Objectives: This scoping review explores the work of nurse practitioners in primary health care settings in developed countries and critiques their contribution to improved health outcomes.Design: A scoping review design was employed and included development of a research question, identification of potentially relevant studies, selection of relevant studies, charting data, collating, summarising and reporting findings. An additional step was added to evaluate the methodological rigor of each study. Results: 74 articles from eight countries were identified, with the majority emanating from the United States of America. Nurse practitioners working in communities provided care mostly in primary care centres (n=42), but also in community centres (n=6), outpatient departments (n=6), homes (n=5), schools (n=3), child abuse clinics (n=1), via communication technologies (n=6), and through combined face-to-face and communication technologies (n=5). The scope of nurse practitioner work varied on a continuum from being targeted towards a specific disease process or managing individual health and wellbeing needs in a holistic manner. Enhanced skills included co-ordination, collaboration, education, counselling, connecting clients with services and advocacy. Measures used to evaluate outcomes varied widely from physiological data (n=25), hospital admissions (n=10), use of health services (n=15), self-reported health (n=13), behavioural change (n=14), patient satisfaction (n=17), cost savings (n=3) and mortality/morbidity (n=5). ConclusionsThe majority of nurse practitioners working in community settings did so within a selective model of primary health care with some examples of nurse practitioners contributing to comprehensive models of primary health care. Nurse practitioners predominantly worked with populations defined by an illness with structured protocols for curative and rehabilitative care. Nurse practitioner work that also incorporated promotive activities targeted improving social determinants of health for people rendered vulnerable due to ethnicity, Aboriginal identity, socioeconomic disadvantage, remote location, gender and aging. Interventions were at individual and community levels with outcomes including increased access to care, cost savings and salutogenic characteristics of empowerment for social change.

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“…Other professionals who are responsible for the health of children, such as family physicians and nurse practitioners, can and should incorporate oral health into their training and practice [19,[32][33][34]. Schools, via oral health education [35 ] and school-based dental services such as dental sealants [36], can have a positive effect on the health of children.…”

Section: Opportunities For Collaboration To Improve Children's Oral Amentioning

confidence: 99%