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Managing dental emergencies: A descriptive study of the effects of a multimodal educational intervention for primary care providers at six months

机译:处理牙科紧急情况:描述性研究对六个月时初级保健提供者进行多模式教育干预的效果

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Background Clinicians providing primary emergency medical care often receive little training in the management of dental emergencies. A multimodal educational intervention was designed to address this lack of training. Sustained competency in managing dental emergencies and thus the confidence to provide this care well after an educational intervention is of particular importance for remote and rural healthcare providers where access to professional development training may be lacking. Methods A descriptive study design with a survey instrument was used to evaluate the effectiveness of a brief educational intervention for primary care clinicians. The survey was offered immediately before and at six months following the intervention. A Wilcoxon signed rank test was performed on pre and six month post-workshop matched pair responses, measuring self-reported proficiency in managing dental emergencies. The level of significance was set at p? Results The educational intervention was associated with a significant and sustained increase in proficiency and confidence to treat, especially in oral local anaesthesia, management of avulsed teeth and dental trauma, as reported by clinicians at six months after the education. This was associated with a greater number of cases where dental local anaesthesia was utilised by the participants. Comments from participants before the intervention, noted the lack of dental topics in professional training. Conclusions The sustained effects of a brief multimodal educational intervention in managing dental emergencies on practice confidence and proficiency demonstrates its value as an educational model that could be applied to other settings and health professional groups providing emergency primary care, particularly in rural and remote settings.
机译:背景技术提供初级紧急医疗服务的临床医生通常在牙科紧急情况的管理方面很少接受培训。设计了一种多模式的教育干预措施来解决这种培训不足的问题。对于可能缺少专业发展培训的偏远和农村医疗保健提供者而言,在管理牙科紧急情况方面的持续能力以及因此在进行教育干预后提供良好护理的信心尤其重要。方法采用描述性研究设计与调查工具,以评估对初级保健临床医生的简短教育干预的有效性。该调查是在干预之前和之后六个月进行的。在工作前和工作后六个月的配对对中进行了Wilcoxon签署的等级测试,以衡量自我报告的牙科紧急情况处理能力。显着性水平定为p?结果教育干预六个月后,临床医生报告说,教育干预与治疗能力和信心的持续显着提高有关,特别是在口腔局部麻醉,撕脱牙齿的处理和牙齿创伤方面。这与参与者使用牙齿局部麻醉的更多病例有关。干预前参与者的评论指出,在专业培训中缺乏牙科主题。结论简短的多模式教育干预措施在管理牙科急诊中对实践信心和熟练度的持续影响证明了其作为一种教育模型的价值,该模型可应用于提供紧急初级护理的其他机构和医疗专业人员,特别是在农村和偏远地区。

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