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Development and evaluation of standards for clinical dental hygiene practice

국내 표준 임상치위생실무지침의 개발 및 타당성 평가

  • Lee, Hyo-Jin (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Bae, Soo-Myoung (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Choi, Yong-Keum (Department of Dental Hygiene and Genome-based BioIT Convergence Institute, Sun Moon University) ;
  • Kwak, Seon-Hui (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Kim, Hyun-Sook (Department of Dental Hygiene, Gangneung Yeongdong University) ;
  • Kim, Hye-Jin (Department of Dental Hygiene, Dong-Eui University) ;
  • Lim, Keun-Ok (Department of Dental Hygiene and Genome-based BioIT Convergence Institute, Sun Moon University) ;
  • Lim, Hee-Jung (Department of Dental Hygiene, College of Health Science, Eulji University) ;
  • Jang, Sun-Ok (Department of Dental Hygiene, Hallym polytechnic University) ;
  • Han, Yang-Keum (Department of Dental Hygiene, Daejeon Health Institute of Technology) ;
  • Shin, Bo-Mi (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University)
  • 이효진 (강릉원주대학교 치과대학 치위생학과) ;
  • 배수명 (강릉원주대학교 치과대학 치위생학과) ;
  • 최용금 (선문대학교 건강보건대학 치위생학과 및 유전체 기반 바이오IT 융합연구소) ;
  • 곽선희 (강릉원주대학교 치과대학 치위생학과) ;
  • 김현숙 (강릉영동대학교 치위생과) ;
  • 김혜진 (동의대학교 치위생학과) ;
  • 임근옥 (선문대학교 건강보건대학 치위생학과 및 유전체 기반 바이오IT 융합연구소) ;
  • 임희정 (을지대학교 보건과학대학 치위생학과) ;
  • 장선옥 (한림성심대학교 치위생과) ;
  • 한양금 (대전보건대학교 치위생과) ;
  • 신보미 (강릉원주대학교 치과대학 치위생학과)
  • Received : 2020.09.03
  • Accepted : 2020.09.29
  • Published : 2020.10.30

Abstract

Objectives: The purpose of this study was to develop applicable standards for clinical dental hygiene practice in Korea and to evaluate their validity. Methods: Based on the standards for clinical dental hygiene practice developed in the United States and Canada, the standards were adapted to be applicable in Korea. The validity of the standards was evaluated by a self-writing questionnaire among 14 professors and 10 clinicians using a developed tool for evaluating the standards. A focus group interview was additionally conducted for clinicians to increase the validity of the standards. Descriptive statistics and Mann-Whitney test were performed using SPSS 25.0. To analyze the content of the focus group interviews, content analysis was conducted. Results: The standards for clinical dental hygiene practice consisted of five elements of professionalism for dental hygienists and a total of 28 items to perform the five stages of dental hygiene process of care (assessment, diagnosis, planning, implementation, and evaluation) and included conceptual meaning, clinical significance, and application methods with examples for each item. Conclusions: The standards for clinical dental hygiene practice developed in this study could contribute to standardizing dental clinical practices provided by dental hygienists. It is necessary to consistently improve the standards that are highly practical, to prevent oral diseases and maintain oral health of the public, based on the results of this validity evaluation.

Keywords

References

  1. Shin BM, Bae SM, Shin SJ, Lee HJ. Issues and challenges of dental auxiliary personnel policy in Korea. Seoul: Gunchi Dental Policy Team; 2018: 26-34.
  2. MacDonald L, Bowen DM. Theory analysis of the dental hygiene human needs conceptual model. Int J Dent Hyg 2017;15(4):e163-72. https://doi.org/10.1111/idh.12256
  3. American dental hygienists' association. Standards for clinical dental hygiene practice. Chicago: ADHA; 2016: 3-15.
  4. Canadian Dental Hygienists Association. Entry-to-practice competencies and standards for Canadian dental hygienists. Ottawa: Canadian Dental Hygienists Association; 2010: 3-55.
  5. Graham R, Mancher M, Miller Wolman D, Greenfield S, Steinberg E. Clinical practice guidelines we can trust. Washington, DC: National Academies Press; 2011: 1-28.
  6. Kim NS, Park JI, Bae HJ, Ahn HS, Lee SM, Lee SH, et al. Guide to the development of care guidelines. Seoul: Ministry of Health & Welfare, Korean Academy of Medical Science; 2009: 3-10.
  7. Coffey RJ, Richards JS, Remmert CS, LeRoy SS, Schoville RR, Baldwin PJ. An introduction to critical paths. Qual Manag Health Care 2005;14(1):46-55. https://doi.org/10.1097/00019514-200501000-00006
  8. Communication on Dental Accreditation. Accreditation standards for dental hygiene education program. Chicago: Commission on Dental Accreditation; 2016: 15-29.
  9. Chung WG, Kim EK, Choi EM, Jung JY, Kim NH, Jang SO, et al. A study on developmental direction of the dental hygiene discipline in Korea. Seoul: Korean Dental Hygienist Association; 2009: 57-8.
  10. Kim YS, Shin MW. A study on the current state and weight of dental hygienists' works. J Korean Acad Dent Hyg Educ 2008;8(3):161-75.
  11. Han YK, Kim EK, Kim SH, Bea SM, Yang JY, Yu JS, et al. Dentist's view on the actual work and legal work of dental hygienists. Seoul: Korean Dental Hygienists Association; 2017: 14-32.
  12. Kim SY, Choi MY, Shin SS, Ji SM, Park JJ, Yoo JH, et al. NECA's handbook for clinical practice guideline developer. Seoul: National Evidence-based Healthcare Collaborating Agency; 2015: 112-62.
  13. Gu MO, Cho MS, Cho YA, Jeong JS, Eun Y, Jeong IS, et al. A prioritizing for the evidence-based nursing practice guidelines development. J Korean Clin Nurs Res 2012;18(1):39-51. https://doi.org/10.22650/JKCNR.2012.18.1.39
  14. Downe-Wamboldt B. Content analysis: method, applications, and issues. Health Care Women Int 1992;13(3):313-21. https://doi.org/10.1080/07399339209516006
  15. Canadian Dental Hygienists Association. Dental hygiene: definition, scope, and practice standards. Ottawa: Canadian Dental Hygienists Association; 2002: 3-15.
  16. Korea Institute for Health and Social Affairs, National Health Insurance Service. A report on the Korea Health Panel Survey of 2015. Sejong: KIHASA; 2015: 193-210.
  17. Kitchener M, Mertz E. Professional projects and institutional change in healthcare: The case of American dentistry. Soc Sci Med 2012;74(3):372-80. https://doi.org/10.1016/j.socscimed.2010.10.005
  18. Johnson PM. International profiles of dental hygiene 1987 to 2006: a 21-nation comparative study. Int Dent J 2009;59(2):63-77. https://doi.org/10.1922/IDJ_2076Johnson15
  19. Han SY, Kim NH, Yoo JH, Kim CS, Chung WG. Current status of clinical dental hygiene education based on dental hygiene process of care. J Dent Hyg Sci 2009;9(3):271-8.
  20. Choi YK, Han YK, Bae SM, Kim J, Kim HJ, Ahn SY, et al. Study on current curriculum analysis of clinical dental hygiene for dental hygiene students in Korea. J Dent Hyg Sci 2017;17(6):523-32. https://doi.org/10.17135/jdhs.2017.17.6.523
  21. Lee JY, Han GS. A study on clinical feasibility and practical strategies for dental hygiene process (ADPIE). J Dent Hyg Sci 2014;14(4):433-41. https://doi.org/10.17135/jdhs.2014.14.4.433
  22. Yoo SH, Kwak SH, Lee SH, Song GI, Bae SM, Shin SJ, et al. Dental hygienist-led dental hygiene process of care for self-support program participants in Gangneung. J Dent Hyg Sci 2018;18(6):327-39. https://doi.org/10.17135/jdhs.2018.18.6.327
  23. Kim YR. Analysis of the factors of dental hygiene plans influencing patients of the dental hygiene program based on dental hygiene process. J Korean Soc Dent Hyg 2018;18(2):227-37. https://doi.org/10.13065/jksdh.2018.18.02.227