Nursing, medical, and dental students can work as a team to improve their knowledge of pediatric oral health and how to work with their fellow health professionals, according to the New York University (NYU) Rory Meyers College of Nursing.
Caries are the most common chronic childhood disease, the researchers report, and reports and policies have called for pediatric primary care providers to incorporate oral health into their well visits over the past two decades, including screening and referring children to dentists.
Despite these efforts, the researchers add, many primary care providers aren’t integrating oral health into patient visits, and some report feeling unprepared or uncomfortable in this role.
To improve interprofessional skills and collaboration between primary care and dental providers, NYU Meyers’ Oral Health Nursing Education and Practice (OHNEP) program, which works to help nurses and other health professionals incorporate oral health into patient care, developed a pediatric oral health clinical experience.
In the interprofessional experience, family nurse practitioners, medical, and dental students work as a team to assess patients. Together they review a patient’s chart, take a patient’s medical and dental history, perform an oral assessment, apply fluoride varnish, and educate children and parents.
Students also learn to identify the connection between oral health and overall health, such as how certain diseases or medications can affect oral health. The goal is to increase the oral health knowledge and skills of non-dental primary care providers while boosting dental students’ knowledge about the link between oral and systemic health.
“Collaborative, workplace-ready students are valuable assets to any clinical team. Our goal is for team-based, whole person care to become the norm for promoting children’s oral health and preventing cavities,” said Erin Hartnett, DNP, PPCNP-BC, CPNP, director of OHNEP at NYU Meyers and the study’s lead author.
Over three semesters, 162 family nurse practitioners, dental, and medical students participated in this interprofessional experience at a New York City hospital. Students completed surveys before and after their participation to evaluate whether their interprofessional competencies had changed.
All of the students had significantly improved interprofessional competency scores after the team-based experience, including improvements in important factors for working with other professionals such as communication, collaboration, conflict management, team functioning, and using a patient-centered approach.
“Our findings suggest that a team-based, clinical approach can be an effective strategy to help health professional students develop interprofessional competencies,” said Judith Haber, PhD, APRN-BC, FAAN, the Ursula Springer Leadership Professor in Nursing at NYU Meyers, executive director of OHNEP, and the study’s coauthor.
The study, “The Impact of an Interprofessional Pediatric Oral Health Clerkship on Advancing Interprofessional Education Outcomes,” was published by the Journal of Dental Education.