Danish dentists’ knowledge, attitudes and management of procedural dental pain in children: association with demographic characteristics, structural factors, perceived stress during the administration of local analgesia and their tolerance towards pain

Rasmussen, Jason; Frederiksen, Jesper Allan; Hallonsten, Anna‐Lena; Poulsen, Sven

doi:10.1111/j.1365-263x.2005.00635.x

Cited by 28 publications

(56 citation statements)

References 5 publications

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“…Different researchers have reported the existence of outdated belief systems such as the ideas that pain during routine procedures are unavoidable and over quickly, children learn to cope with pain as part of life, and the complete absence of pain is a Utopia (Meunier-Sham & Ryan, 2003;Rasmussen et al, 2005). Various qualitative studies reported similar perceptions of pain management in healthcare providers.…”

Section: Attitudes Related To Pediatric Procedural Pain In the Emergementioning

confidence: 76%

“…The empirical literature demonstrates that healthcare provider attitudes and preconceived notions about the patient's age, behaviors, diagnoses and personalities may influence pain management practices (Brockopp, Ryan, & Warden, 2003;Broome & Huth, 2003;Hennes et al, 2005;Jones & Machen, 2003;Kim et al, 2003;Melhuish & Payne, 2006;Miner, Biros, Trainor, Hubbard, & Beltram, 2006;Rasmussen, Frederiksen, Hallonsten, & Poulsen, 2005;Twycross, 2002;Twycross, 2007b;Twycross, 2008;Vincent, 2005;Woodgate & Kristjanson, 1996a). Studies have demonstrated that numerous assumptions and personal beliefs by healthcare professionals may interfere with the optimal recognition and treatment of pain.…”

Section: Attitudes Related To Pediatric Procedural Pain In the Emergementioning

confidence: 99%

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An Ethnography of the Culture of Pain in a Non-Pediatric Emergency Department

Cummings¹

2013

Journal of Pediatric Health Care

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Rationale for the Study: Despite the exponential growth in pharmacological and nonpharmacological methods for the treatment of pediatric procedural pain there remains a gap between available interventions and actual practice in the emergency department clinical setting. Researchers have recommended the examination of unit culture since culture is proposed to be a major factor that affects the implementation of pain management practices. Method:Ethnography was employed to gain access to the beliefs and practices of healthcare participants in a Northeastern non-pediatric emergency department. Data were collected for 5 months with over 100 hours of observation. Six key informants were interviewed and 44 pediatric procedural interactions with 27 healthcare providers during the treatment of children two to eight years of age undergoing procedures were observed.Other information gathered included documents from the institution, and pain related information from the patient's medical record. All interviews were recorded and transcribed verbatim. Data were managed using the Ethnograph 6.0 and analyzed using the procedure developed by Leininger and McFarland (2006). Results:Seven major themes with categories were discovered that included assessment, ii procedural pain, treatment of pain, communication related to comfort, fragmentation of care in the emergency department, healthcare provider attitudes, and environmental issues and policies. Conclusion:The results of this study suggest that practice environment of the emergency department and organizational culture exerted a significant degree of influence over healthcare providers' pediatric pain management practices. Nurses' did not use pain measurement tools as they were intended to be used and instead improvised measurement by observing the child's behavior. The management of children during painful procedures consisted of an array of behaviors and practices. The use of physical restraint during painful procedures was a common practice. Participants continue to hold many assumptions and misconceptions about pediatric pain assessment and management. The findings of this study provide insight to the everyday practice of emergency department healthcare providers for pediatric pain in a non-pediatric setting.iii Acknowledgments and Dedication

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Section: Attitudes Related To Pediatric Procedural Pain In the Emergementioning

confidence: 76%

Section: Attitudes Related To Pediatric Procedural Pain In the Emergementioning

confidence: 99%

An Ethnography of the Culture of Pain in a Non-Pediatric Emergency Department

Cummings¹

2013

Journal of Pediatric Health Care

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“…In our questionnaire, the ownership of a practice was not determined; however, it may be related to that female dentists were less likely than male dentists to own the practice as shown in other studies. [6][7][8] Instead, female dentists were more likely to be employed in a large practice with several dental staff. Relatively more female dentists were currently finishing or had completed a specialty program in conservative dentistry.…”

Section: ⅳ Discussionmentioning

confidence: 99%

“…One study showed that female dentists reportedly applied topical anesthesia more often than male dentists before needle injection. 6) Regarding operative procedures, it is challenging to extract relevant variables for differentiating the individual performances of multiple practitioners. For example, restorative treatment, which comprises the major part of a dentist' s workload, may be divided into several procedural steps, including cavity preparation, base or liner placement, filling with restorative materials, etc.…”

Section: ⅰ Introductionmentioning

confidence: 99%

“…[4][5][6][7][8][9] Furthermore, several specified studies based on dental work models have mentioned a gender difference in terms of occupational relationships, professional attitudes, academic contributions, treatment decisions, etc. 4,5,7,8,[10][11][12][13] However, it has been rarely studied on gender difference related to dental operation per se.…”

Section: ⅰ Introductionmentioning

confidence: 99%

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Comparison of operative techniques between female and male dentists in class 2 and class 5 resin composite restorations

Chang

Kim

Son

2010

J Korean Acad Conserv Dent

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This study aimed to assess whether the gender of the dental practitioner affects operative techniques in class 2 and class 5 resin composite restorations. In 2008, a nationwide survey was given to Korean dentists. Total 12,193 e-mails were distributed, 2,632 were opened by recipients, and 840 responses were collected. Of the respondents, 78.9% were male and 21.1% were female. The gender distribution in the age groups between respondents and the total population did not differ (p > 0.05). A chi-square test was used to compare technical differences between female and male dentists. A multiple logistic regression analysis was performed to assess the association between gender and operative techniques in resin composite restoration. For class 2 resin composite restoration, female dentists were 1.87 times more likely than male dentists to do multiple incremental fillings (four layers or more) and 2.72 times more likely than males to spend 30 minutes or more for the treatment (p < 0.05). For class 5 resin composite restoration, female dentists were 2.69 times more likely than their male counterparts to use a cavity base or liner, 1.83 times more likely to do multiple incremental fillings (four layers or more) and 1.63 times more likely to spend 20 minutes or more for the procedure (p < 0.05). The gender factor was influential to individual operative techniques in restorative treatment. [J Kor Acad Cons Dent 35(2):116-124, 2010]

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