Edorium Journal of

Dentistry

 
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Original Article
 
Improvement of dental nurses awareness of school dental sealant quality following the audit and feedback system: First phase of implementation
Sukanya Tianviwat1, Janpim Hintao1, Virasakdi Chongsuvivatwong2, Songchai Thitasomakul3
1DDS, PhD, Assisting Professor, Department of Preventive Dentistry, Faculty of Dentistry, Prince of Songkla University, Songkhla, Thailand, Common Oral Diseases and Epidemiology Research Center, Faculty of Dentistry, Prince of Songkla University, Songkhla, Thailand.
2MD, PhD, Professor, Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
3DDS, PhD, Associate Professor, Department of Preventive Dentistry, Faculty of Dentistry, Prince of Songkla University, Songkhla, Thailand, Common Oral Diseases and Epidemiology Research Center, Faculty of Dentistry, Prince of Songkla University, Songkhla, Thailand.

Article ID: 100004D01AM2015
doi:10.5348/D01-2015-4-OA-2

Address correspondence to:
Sukanya Tianviwat
Department of Preventive Dentistry, Faculty of Dentistry
Prince of Songkla University, Hatyai, Songkhla, 90112
Thailand
Phone: 66 74 429875
Fax: 66 74 429875

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How to cite this article
Tianviwat S, Hintao J, Chongsuvivatwong V, Thitasomakul S. Improvement of dental nurses awareness of school dental sealant quality following the audit and feedback system: First phase of implementation. Edorium J Dent 2015;2:7–14.


Abstract
Aims To examine whether an audit and feedback system administered to groups of dental nurses could improve their awareness of dental sealant quality.
Methods: A randomized cluster trial was performed among 45 dental nurses in 12 hospitals (6 control and 6 intervention hospitals). The dental nurses' baseline awareness about sealant effectiveness was ascertained by self-administered questionnaires. Dental nurses applied dental sealant to 1703 children 4121 teeth as their routine works. All sealed children were examined for sealant retention and caries. The audit and feedback system consisted of an examination of sealed teeth followed by confidential feedback of the data collected to the dental nurses who had applied the sealant. Logistic regression was used to estimate the influence of baseline awareness on sealant effectiveness. After the audit and feedback, focus group discussions (FGD) were conducted in the intervention hospitals to establish the dental nurses' awareness about service quality, and thematic content analysis was performed.
Results: Forty percent of the dental nurses had low awareness about the effectiveness of sealant application. The rate of complete sealant retention and the rates of caries on sealed surfaces were poor at 41.2% and 4.2%, respectively. The dental nurses' baseline awareness had significant effect on sealant effectiveness. The results from the FGDs showed an improvement in the subjects' awareness of dental service quality.
Conclusion: The intensive audit and feedback system was able to improve the dental nurses' awareness of dental service quality.

Keywords: Audit and feedback, Children, Cluster trial, Dental sealant, Dental nurses' awareness, Focus group discussion, Logistic regression, Service quality

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Author Contributions:
Sukanya Tianviwat – Substantial contribution to conception and design, Acquisition of the data, Analysis and interpretation of the data, Drafting the article, revising it critically for important of intellectual content, Final approval of the version to be published
Janpim Hintao – Substantial contribution to conception and design, Acquisition of the data, Analysis and interpretation of the data, Drafting the article, Final approval of the version to be published
Virasakdi Chongsuvivatwong – Substantial contribution to conception and design, Drafting the article, Final approval of the version to be published
Songchai Thitasomakul – Substantial contribution to conception and design, Drafting the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Sukanya Tianviwat et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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