Expanding collaborative boundaries in nursing education and practice: The nurse practitioner-dentist model for primary care

Dolce, Maria C.; Parker, Jessica; Marshall, Charles E.; Riedy, Christine A.; Simon, Lisa; Barrow, Jane; Ramos, Catherine; DaSilva, John D.

doi:10.1016/j.profnurs.2017.04.002

Cited by 13 publications

(32 citation statements)

References 11 publications

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“…Based on a review of the literature, a 19‐item survey was developed by the research team to assess oral health integration in midwifery programs nationwide. The survey was consistent with content in 14 companion surveys concurrently distributed to physician residency program directors in pediatrics, medicine‐pediatrics, family medicine, internal medicine, and obstetrics and gynecology; directors of primary care nurse practitioner (NP) programs, physician assistant programs, and geriatric medicine fellowships; and deans of medical, osteopathic medical, and dental schools.…”

Section: Methodsmentioning

confidence: 99%

Integrating Oral Health Curricula into Midwifery Graduate Programs: Results of a US Survey

Haber

Dolce

Hartnett

et al. 2019

J Midwife Womens Health

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Introduction:Midwives are a significant segment of the US maternal and primary health care workforce and play a pivotal role in addressing women's oral health care needs during pregnancy and throughout their life span. The purpose of this research was to assess oral health curricular integration in midwifery programs and examine factors that influence integration and satisfaction with graduates' level of oral health competence. Methods:A cross-sectional, national survey of midwifery programs was conducted using an electronically distributed 19-item, self-administered questionnaire completed by the Directors of Midwifery Education. Data analysis included univariate and bivariate statistics.Results: All of the responding midwifery programs (N = 33) were educating their graduates about oral health; however, less than a quarter (22.6%) of program directors were satisfied with their graduates' competency. Significant factors promoting integration were routine teaching by a dental professional and a formal relationship with a dental school, dental residency, or dental hygiene program. Programs with 4 or more hours of oral health curriculum were more likely to have a faculty oral health champion, use simulation in evaluation of their learners, and include interprofessional oral health education. Discussion:With adequate oral health education, midwives are ideally positioned to integrate oral health in pregnancy care as well as well woman care throughout the life span, thereby expanding access to oral health care.

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Section: Methodsmentioning

confidence: 99%

Integrating Oral Health Curricula into Midwifery Graduate Programs: Results of a US Survey

Haber

Dolce

Hartnett

et al. 2019

J Midwife Womens Health

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“…In 2015, the Harvard School of Dental Medicine initiated an innovative, person‐centered care delivery model in its predoctoral dental curriculum and Harvard Dental Center's Teaching Practices. The nurse practitioner‐dentist model for primary care was designed to improve health for older adults (aged ≥65 years) living with chronic health conditions 10 . The aim of this study was to assess older adults’ experience of care in an academic dental practice to identify opportunities to improve the patient experience for older adults.…”

Section: Methodsmentioning

confidence: 99%

Older Adult Patients’ Experience of Care in a Dental School Clinic

Dolce

Parker

Savageau

et al. 2019

Journal of Dental Education

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The aim of this study was to assess older adults’ experience of care in an academic dental practice to identify opportunities to improve the patient experience for older adults. A cross‐sectional descriptive survey design with a sample of adults aged 65 and older was conducted using the Consumer Assessment of Healthcare Providers and Systems Clinician and Group (CG‐CAHPS) 12‐month survey 2.0, with supplemental survey item sets addressing cultural competence and health literacy. A total of 850 older adults were invited to participate in the survey in fall 2016, and a 43% response rate was achieved. Overall, participants reported a positive experience of care and high ratings for their dental providers. Significant differences were found based on age, education level, race, and health status. A significantly more favorable experience of care was reported by patients aged 75 and older, as well as adults without any college education. Non‐white patients were less likely to highly rate their dental providers and gave lower ratings for experiencing trust with their dental providers than white patients. Patients reporting good/fair/poor health were also less likely than those reporting very good/excellent health to highly rate their dental providers, and they gave lower ratings for patient‐provider communication. This study demonstrated the feasibility of using the CG‐CAHPS survey to assess the patient experience for older adults in an academic dental practice. Results identified opportunities for improving the dental practice and underscored the importance of enhancing dental curricula in areas of cultural competence, health literacy, and diversity.

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“…While challenges remain in coordinating curricula across disciplines to facilitate students' involvement in IPE initiatives, providing nursing students with opportunities to include oral health assessments in their assessment of overall body function would significantly improve the health outcomes of older people [32,58]. IPE models have been implemented successfully in many graduate nursing programs in addition to undergraduate nursing programs [46,[59][60][61][62][63]. The "Smile for Life-National Oral Health Curriculum" has been popular with graduate nursing students [17,59,[62][63][64].…”

Section: Summary Of Evidencementioning

confidence: 99%

“…IPE models have been implemented successfully in many graduate nursing programs in addition to undergraduate nursing programs [46,[59][60][61][62][63]. The "Smile for Life-National Oral Health Curriculum" has been popular with graduate nursing students [17,59,[62][63][64]. This comprehensive oral health curriculum was initially developed in 2005 for primary health workers.…”

Section: Summary Of Evidencementioning

confidence: 99%

Incorporating oral health care education in undergraduate nursing curricula - a systematic review

Bhagat

Hoang²,

Crocombe³

et al. 2020

BMC Nurs

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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 Cooperation 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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Expanding collaborative boundaries in nursing education and practice: The nurse practitioner-dentist model for primary care

Cited by 13 publications

References 11 publications

Integrating Oral Health Curricula into Midwifery Graduate Programs: Results of a US Survey

Integrating Oral Health Curricula into Midwifery Graduate Programs: Results of a US Survey

Older Adult Patients’ Experience of Care in a Dental School Clinic

Incorporating oral health care education in undergraduate nursing curricula - a systematic review

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