Five-year follow-up of an interdisciplinary oral health education program: Clinical practice behaviors in working pediatric nurse practitioners.

Autor:	Pike NA; School of Nursing, University of California, Los Angeles, California., Love-Bibbero L; School of Nursing, University of California, Los Angeles, California., Kinsler JJ; School of Dentistry, University of California, Los Angeles, California., Verzemnieks I; School of Nursing, University of California, Los Angeles, California., Ramos-Gomez F; Division of Pediatric Dentistry, School of Dentistry, University of California, Los Angeles, California.
Jazyk:	angličtina
Zdroj:	Journal of the American Association of Nurse Practitioners [J Am Assoc Nurse Pract] 2023 Sep 01; Vol. 35 (9), pp. 552-558. Date of Electronic Publication: 2023 Sep 01.
DOI:	10.1097/JXX.0000000000000809
Abstrakt:	Abstract: Many interdisciplinary oral health education programs have been implemented for pediatric primary care providers (e.g., pediatric nurse practitioner [PNP]) to raise awareness and gain skills related to the prevention of early childhood caries (ECC). However, no studies have evaluated if these educational programs provided to PNPs during their training resulted in clinical practice behavior changes. A 33-item survey was designed on a web-based platform (Survey Monkey) and distributed to 71 PNP graduates. The survey included demographics, current clinical practice, clinical practice behaviors, and perceived barriers to practice. Descriptive statistics were used to assess the survey items and thematic analyses on the open-ended questions. The survey response rate was 70% (50/71 PNPs). Most practicing PNPs were in acute care or specialty clinics (n = 33; 66%) where oral health was not part of the focused visit. Majority used knowledge learned in assessment and anticipatory guidance skills. However, only 14% of primary care providers were applying fluoride varnish with 10% billing for this procedure. Barriers to application were time, available supplies, COVID protocols, lack of support staff, or not billing due to minimal reimbursement. Many primary care-trained PNPs were practicing in acute or subspecialty areas where prevention of ECC is not viewed as part of their focused visit. Pediatric nurse practitioners working in primary care demonstrated some clinical practice changes. However, areas for improvement are time to perform a risk assessment and application of fluoride varnish, access to these supplies, and standard billing and insurance reimbursement for these preventable services. Competing Interests: Competing interests: The authors and coauthors have no financial or conflicts of interest to disclose. The authors acknowledge the continued funding support by the Health Resources and Services Administration [Grant ID: D88HP20129 and D88HP39034]. (Copyright © 2022 American Association of Nurse Practitioners.)
Databáze:	MEDLINE
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