How dentists learn behaviour support skills for adults with intellectual developmental disorders: A qualitative analysis.
behaviour guidance
dental education
experiential learning
focus group
intellectual disability
Journal
European journal of dental education : official journal of the Association for Dental Education in Europe
ISSN: 1600-0579
Titre abrégé: Eur J Dent Educ
Pays: England
ID NLM: 9712132
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
09
12
2019
revised:
31
03
2020
accepted:
16
04
2020
pubmed:
23
4
2020
medline:
22
7
2020
entrez:
23
4
2020
Statut:
ppublish
Résumé
An understanding of how dentists develop patient support techniques for use with adults with intellectual developmental disorders (IDD) may lead to a better understanding of how these techniques can be taught. In this study, we explored how skilled dentists developed non-physical, non-pharmacological patient support techniques (nPSTs) for use with adults with IDD. Adopting a qualitative descriptive design, a synchronous online group interview was undertaken with six dentists. Informants were subsequently contacted in pairs, or individually, for further interview. All data were analysed using thematic content analysis. Author biases and rigour are considered. Three categories emerged: Motivation to learn; Formal learning; and Informal learning, and the latter had three subcategories: Observation; Trial; and error and Experience. Motivators to learn PST skills included perceived empathy and a sense of responsibility towards patients with IDD. Formal undergraduate learning was lacking leaving dentists to rely on paediatric training "A paediatric model from your training… needs to be restructured and re-emphasised with people with disabilities as they progress through the lifespan.", whereas specialist training was reported to be helpful where available. Over time, practitioners developed an individualised skillset through observation, trial and error and experience. "You learn. Just like any job, you learn on the job. You learn a lot from experience and mistakes." Essential patient support skills appear to be acquired in an ad hoc manner. How dentists learn their skills has implications for dental training for future and current dental professionals. Specific recommendations to improve education are made.
Types de publication
Journal Article
Langues
eng
Pagination
535-541Informations de copyright
© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Références
Mac Giolla Phadraig C, Asimakopoulou K, Daly B, Fleischmann I, Nunn J. Nonpharmacological techniques to support patients with intellectual developmental disorders to receive dental treatment: a systematic review of behavior change techniques. Spec Care Dent. 2020;40(1):10-25.
Newton J. Restrictive behaviour management procedures with people with intellectual disabilities who require dental treatment. J Appl Res Intellect Disabil. 2009;22(2):118-125.
Feldberg I, Dentistry MJ. In: Health Care for People with Intellectual and Developmental Disabilities Across the Lifespan. Cham, Switzerland: Springer International Publishing. 2016;1165-1175.
Mac Giolla Phadraig C, Griffiths C, McCallion P, McCarron M, Donnelly-Swift E, Nunn J. Pharmacological behaviour support for adults with intellectual disabilities: frequency and predictors in a national cross-sectional survey. Commun Dent Oral Epidemiol. 2018;46(3):231-237.
Faulks D, Freedman L, Thompson S, Sagheri D, Dougall A. The value of education in special care dentistry as a means of reducing inequalities in oral health. Eur J Dent Educ. 2012;16(4):195-201.
Kawia HM, Mbawalla HS, Kahabuka FK. Application of behavior management techniques for paediatric dental patients by Tanzanian dental practitioners. Open Dent J. 2015;9:455-461.
Humza Bin Saeed M, Daly B, Newton JT. Knowledge and practice of behavioral management principles among dentists treating adults with learning disabilities. Spec Care Dentist. 2012;32(5):190-195.
Marks L, Adler N, Blom-Reukers H, Elhorst JH, Kraaijenhagen-Oostinga A, Vanobbergen J. Ethics on the dental treatment of patients with mental disability: results of a Netherlands - Belgium survey. J Forensic Odontostomatol. 2012;30(Suppl 1):21-28.
Dougall A, Thompson SA, Faulks D, Ting G, Nunn J. Guidance for the core content of a curriculum in special care dentistry at the undergraduate level. Eur J Dent Educ. 2014;18(1):39-43.
International Association for Disability and Oral Health. Special Care Dentistry Postgraduate Curriculum Guidance. 2014; http://iadh.org/wp-content/uploads/2014/10/iADH-post-graduate-curriculum-2014.pdf. Accessed 31 August, 2017.
Dao LP, Zwetchkenbaum S, Inglehart MR. general dentists and special needs patients: does dental education matter? J Dent Educ. 2005;69(10):1107-1115.
Casamassimo PS, Seale NS, Ruehs K. General dentists' perceptions of educational and treatment issues affecting access to care for children with special health care needs. J Dent Educ. 2004;68(1):23-28.
Ettinger RL, Chalmers J, Frenkel H. Dentistry for persons with special needs: how should it be recognized? J Dent Educ. 2004;68:803-806.
Burnard P, Gill P, Stewart K, Treasure E, Chadwick B. Analysing and presenting qualitative data. Br Dent J. 2008;204(8):429-432.
Marshall MN. Sampling for qualitative research. Fam Pract. 1996;13(6):522-526.
Janghorban R, Latifnejad Roudsari R, Taghipour A. Skype interviewing: the new generation of online synchronous interview in qualitative research. Int J Qual Stud Health and Well-being. 2014;9(1):24152.
Long T, Johnson M. Rigour, reliability and validity in qualitative research. Clin Eff Nurs. 2000;4(1):30-37.
Sherman JJ, Cramer A. Measurement of changes in empathy during dental school. J Dent Educ. 2005;69(3):338-345.
Yarascavitch C, Regehr G, Hodges B, Haas DA. Changes in dental student empathy during training. J Dent Educ. 2009;73(4):509-517.
Yeaton S, Moorthy A, Rice J, et al. Special care dentistry: how prepared are we? Eur J Dent Educ. 2016;20(1):9-13.
Smith G, Rooney Y, Nunn J. Provision of dental care for special care patients: the view of Irish dentists in the Republic of Ireland. J Irish Dent Assoc. 2010;56(2):80-84.
Lyons RA. Understanding basic behavioral support techniques as an alternative to sedation and anesthesia. Spec Care Dentist. 2009;29(1):39-50.
Kolb D. Experiential Learning: Experience as the Source of Learning and Development. 1984. http://academic.regis.edu/ed205/kolb.pdf. Accessed 18 September, 2016
Kolb DA. Experiential Learning: Experience as the Source of Learning and Development. Upper Saddle River, NJ; FT press: 2014.
Kruse AB, Heil HK-P, Struß N, et al. Working experience is not a predictor of good communication. Results from a controlled trial with simulated patients. Eur J Dent Educ. 2019;24(2):177-185. https://doi.org/10.1111/eje.12482
Mason M. Sample Size and Saturation in PhD Studies Using Qualitative Interviews. Paper presented at: Forum qualitative Sozialforschung/Forum: qualitative social research2010.
Mac Giolla Phadraig C, Griffiths C, McCallion P, McCarron M, Nunn J. Communication-based behaviour support for adults with intellectual disabilities receiving dental care: a focus group study exploring dentists' decision-making and communication. J Intellect Disabil. 2019;23(4):526-540.