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Engaging dental professionals in residential aged-care facilities: staff perspectives regarding access to oral care

机译:让牙科专业人员进入住宅养老机构:员工对获得口腔护理的看法

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The limited access to oral care for older people living in residential aged care facilities (RACFs) has been noted repeatedly in the literature. The aim of this study was to explore RACF staff perspectives on how to engage dental professionals in the provision of oral care for RACF residents. Semi-structured interviews were conducted with 30 staff from six purposively selected RACFs located in high socioeconomic areas to gain understanding of the multidimensional issues that influenced the engagement of dental professionals from a carer perspective. Analysis revealed that staff perceived tensions regarding affordability, availability, accessibility and flexibility of dental professionals as significant barriers to better oral care for their residents. Participants raised a series of options for how to better engage dental professionals and reduce these barriers. Their ideas included: the engagement of RACF staff in collaborative discussions with representatives of public and private dental services, dental associations, corporate partners and academics; the use of hygienists/oral health therapists to educate and motivate RACF staff; the promotion of oral health information for troubleshooting and advice on how to deal with residents' dental pain while waiting for support; the encouragement of onsite training for dental professionals; and the importance of gerodontology (geriatric dentistry). Findings highlighted the need to explore alternative approaches to delivering oral care that transcend the model of private clinical practice to focus instead on the needs of RACFs and take into account quality of end-of-life oral care.
机译:文献中多次指出,居住在养老院(RACF)中的老年人获得口腔护理的机会有限。这项研究的目的是探讨RACF员工关于如何吸引牙科专业人员为RACF居民提供口腔护理的观点。对来自六个位于社会经济高度发达地区的有针对性的RACF的30名员工进行了半结构化访谈,以从护理者的角度了解影响牙科专业人士参与度的多维问题。分析显示,工作人员认为牙科专业人员的负担能力,可得性,可及性和灵活性方面的紧张关系是为其居民提供更好口腔护理的重大障碍。与会者提出了一系列选择方案,以帮助他们更好地吸引牙科专业人员,并减少这些障碍。他们的想法包括:让RACF工作人员与公共和私人牙科服务机构,牙科协会,企业合作伙伴和学者的代表进行协作讨论;使用卫生学家/口腔健康治疗师来教育和激励RACF工作人员;推广口腔健康信息,以便在等待支持时进行故障排除并提供有关如何解决居民牙齿疼痛的建议;鼓励对牙科专业人员进行现场培训;和老年医学的重要性(老年牙科)。研究结果强调,有必要探索提供口腔护理的替代方法,这些方法应超越私人临床实践的模式,而应侧重于RACF的需求,并考虑生命周期口腔护理的质量。

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