Shared decision-making in scaling and root planing.
dental hygiene
informed consent
paternalism
patient choice
patient compliance
shared decision-making
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:
12 Aug 2023
12 Aug 2023
Historique:
revised:
22
05
2023
received:
03
02
2023
accepted:
08
07
2023
medline:
12
8
2023
pubmed:
12
8
2023
entrez:
12
8
2023
Statut:
aheadofprint
Résumé
Estimate proportion of various approaches used by dental hygienists for engaging patients in decisions commonly arising during scaling and root planing. Distribution of approaches was compared across various task components in this procedure, practice experience of dental hygienists and patient compliance. Survey of graduates from and students in a baccalaureate dental hygiene program. Paternalism (tell then do) and informed consent (give choices and reasons and ask for permission) were more common than shared decision-making (discuss alternatives, solicit patient input and arrive at a mutual decision) and disengagement (patient refusing offered service or avoiding further involvement) by a ratio of 4 to 1 for the first 2 compared with the latter 2. This relationship was held across selecting treatment, procedural adjuncts, homecare instructions and financial arrangements. Dental hygienists exhibited a range of personal preferences for engagement approaches. No-show rate, patient disengagement outside the office, was high (20%). Dental hygienists reported using 'more controlled' approaches to engaging patients in decisions regarding treatment. Patients may prefer to engage in more shared decisions and choose this approach by staying away from the office. This may underestimate patients' decisions to stay away from treatment, for example by not showing for completion of the treatment or disregarding homecare routines.
Types de publication
Journal Article
Langues
eng
Informations de copyright
© 2023 The Authors. European Journal of Dental Education published by John Wiley & Sons Ltd.
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