Management of Dental Avulsion Injuries: A Survey of Dental Support Staff in Cairns, Australia

Background/Aim: The aim of this study was to assess the knowledge of dental support staff in providing appropriate first-aid advice regarding dental avulsion emergencies. Methods: This study was reported according to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines for cross-sectional studies. Dental support staff (includes dental assistants, administrative staff and other non-clinical staff) were contacted and data were collected from 50 private dental clinics across the Greater Cairns Area, Queensland, Australia. These data were collected through an online survey throughout 2020. Descriptive statistics and Pearson’s Chi-squared test was used to analyze the data and any associations between categorical outcomes. Results: This survey yielded a response rate of 34.1% with a margin of error of 10.3%. More than four-tenths of participants (42%) reported that they had received some form of dental avulsion management training previously. All but five participants (92%) denoted that they would immediately replant an avulsed permanent tooth. More than half of all participants would choose to rinse a soiled avulsed tooth with fresh milk (55%) and transport that tooth in fresh milk (65%) should they not be able to replant the tooth at the site. Almost nine in every ten participants (85%) expressed willingness to further their training in this area. Knowledge in replanting avulsed permanent teeth was found to be significantly impacted by gender, age, years of experience and participation in formal avulsion training. Male participants were found to be significantly more likely (p = 0.025) to replant a permanent avulsed tooth than their female counterparts. Participants who were 40 years of age and above were found to be significantly more likely to choose fresh milk to transport avulsed teeth (p = 0.0478). Older participants (p = 0.0021), alongside those who had greater years of experience (p = 0.0112) and those who had undertaken formal avulsion training (p = 0.0106) were all significantly more likely to express greater confidence in their ability to manage dental avulsion injuries. Participants who had previously received some form of education regarding avulsion injury management were also most likely to warrant further education and training in this area (p < 0.0001). Conclusion: This study demonstrated that dental support staff in the Greater Cairns Area seem to have a fair grasp of first-aid knowledge regarding the management of dental avulsion injuries. This result indicates that this knowledge has been picked up through years of experience, rather than a formal education. Despite this, one would expect people who work in the dental industry to be able to provide accurate and appropriate assistance during dental emergencies, hence, further training is warranted to ensure optimum patient outcomes.

Download Full-text

Evaluation of Pharmacists' Knowledge of Centers for Medicare and Medicaid Services Medication Drug Plan Star Ratings

INNOVATIONS in pharmacy ◽

10.24926/iip.v8i4.934 ◽

2017 ◽

Vol 8 (4) ◽

pp. 8

Author(s):

Alyson O'Leary ◽

Bella Mehta ◽

Brianne Porter ◽

Amy Lehman ◽

Jennifer L. Rodis

Keyword(s):

Online Survey ◽

Community Setting ◽

Further Education ◽

Self Assessment ◽

Chi Square ◽

Cross Sectional ◽

Actual Knowledge ◽

Drug Plan ◽

Knowledge Based ◽

High Knowledge

Objectives: 1) Evaluate Ohio pharmacists’ awareness about Centers for Medicare and Medicaid Service’s (CMS) Medication Drug Plan (MDP) Star Ratings, 2) identify gaps in knowledge about CMS MDP Star Ratings, and 3) determine interest in continuing education (CE) opportunities with CMS PDP Star Ratings. Methods: A cross-sectional, online survey was conducted in February 2015. The 16-question, pilot-tested survey targeted licensed pharmacists in Ohio practicing in the ambulatory care or community setting. Respondents were surveyed on their self-assessed and actual knowledge on CMS MDP Star Ratings. Respondent’s interest in and preferred source and delivery of CE were evaluated. Data were collected in aggregate; descriptive statistics, ANOVA and chi-square tests were used to characterize and evaluate data. Responses were summarized for all 16 questions using frequencies and percentages. Results: Of 13,235 licensed Ohio pharmacists, 913 pharmacists completed the survey (6.9% response rate). 454 (49.7%) respondents were eligible to complete the survey based on practice setting and of those, 390 (85.9%) were aware of CMS’s MDP Star Ratings. Respondents’ self-assessment of their knowledge regarding CMS Star Ratings aligned with their actual knowledge as defined by performance on three multi-statement knowledge-based assessments. Significant differences existed between self-assessed knowledge groups in their ability to answer greater than 50% of questions correctly (p < .001). The majority of respondents (81.2%) indicated interest in receiving further education on CMS Star Ratings. Conclusions: Survey respondents are aware of CMS MDP Star Ratings, yet few indicated high knowledge levels on the topic. Gaps in knowledge were identified in development and utilization of the rating system, identifying quality measures, and sources utilized to measure achievement of ratings. Respondents indicated interest in opportunities to improve knowledge on the subject and would prefer education provided by their employer with a live presentation. Type: Student Project

Download Full-text

PP26 Knowledge, attitudes and practices of UK paramedics regarding pharmacology and the legal, management and administration aspects of medicines: a cross-sectional online quantitative survey

Emergency Medicine Journal ◽

10.1136/emermed-2020-999abs.26 ◽

2020 ◽

Vol 37 (10) ◽

pp. e12.2-e12

Author(s):

Samantha Laws ◽

Mary Halter ◽

Chao Wang

Keyword(s):

Online Survey ◽

Care Quality ◽

Further Education ◽

Medicines Management ◽

Cross Sectional Survey ◽

Perceived Knowledge ◽

Cross Sectional ◽

Attitudes And Practices ◽

The Impact ◽

Knowledge Attitudes And Practices

BackgroundChanges in the paramedic profession have seen an increased range of medicines available within UK ambulances services. However, poor practice in medicines management has been identified by the Care Quality Commission. Literature in this area is sparse. This study aimed to determine the perceived knowledge, attitudes and practices of paramedics regarding pharmacology and the legal and regulatory issues of medicines management and administration.MethodsThe study utilised a cross-sectional survey design, administering an anonymous online survey to all (approximately 1000) paramedics within one UK NHS ambulance trust. The survey focused on paramedic knowledge on pharmacology, legal supply and administration; self-assessment of knowledge and confidence related to medicine management and administration; and personal characteristics. The primary outcome was percentage of (pre-determined) correct answers.Results251 responses were received. The mean percentage of correct answers was 79.0% (SD 10.0), with variation by question observed, from 34.7 to 97.2% correct responses. A higher correct knowledge was associated with: higher self-rated confidence, lower self-reported knowledge, being less likely to report errors and higher education-based initial route into the paramedic profession.ConclusionThis single-site UK-based survey highlighted variation in medicines knowledge amongst self-selecting paramedic respondents. The results indicate a need for medicines-specific further education for all paramedics, particularly those who have not experienced longer formal education entry routes, integrating a focus on confidence and self-perceived knowledge, and enhancing and embedding integrated improvement strategies. Further research is required with larger, multi-site samples, and to evaluate the impact of education packages developed.

Download Full-text

Knowledge and Attitude of Guardians in Management of Avulsion of Primary and Permanent Teeth of Children: A Questionnaire-Based Study

European Journal of Dental and Oral Health ◽

10.24018/ejdent.2021.2.5.99 ◽

2021 ◽

Vol 2 (5) ◽

pp. 19-25

Author(s):

Hira Abbasi ◽

Abhishek Lal ◽

Ammara Shamim Jaffrani

Keyword(s):

Dental Trauma ◽

Cross Sectional Study ◽

Original Position ◽

Permanent Teeth ◽

Common Finding ◽

Chi Square ◽

Cross Sectional ◽

Adequate Knowledge ◽

Knowledge And Attitude ◽

Dental Avulsion

Aims: This study aims to assess knowledge and attitude of guardians in management of dental avulsion of the children. Materials and Methods: This cross-sectional study was carried out at Altamash Institute of Dental Medicine, Pakistan, from April to May 2021. A total of 400 parents were recruited. An online self-administered questionnaire was circulated to the parents after taking the informed consent. 17 questions regarding demographics, knowledge and attitude were included. Chi-square test was used for association between demographics and responses of the participants. Results: Of the 400 participants, there were 140 (35%) males and 260 (65%) females. Most of the 180 (45%) participants belonged to 18-30 years age bracket. About 63% of the children did not have past dental trauma history. Predominantly, 80% chose dentists being most appropriate of emergency treatment. 33% believed to visit the dentist within 30minutes for treatment. About 50% participants agreed avulsed teeth can be placed back into its original position. More than half knew different transport mediums, with milk (21%) and Hanks Balanced Salt Solution (19%) being commonly selected. Younger age group and females were more knowledgeable regarding emergency management. Conclusion: Dental avulsion is a common finding in childhood, which mandates proper knowledge for the guardians. There is still a gap present in adequate knowledge for management of such emergencies which mandates organizations of education and awareness programs for both children and adults.

Download Full-text

Perceptions of hospital medical personnel on disaster preparedness

F1000Research ◽

10.12688/f1000research.8738.1 ◽

2016 ◽

Vol 5 ◽

pp. 1938 ◽

Cited By ~ 1

Author(s):

Maciej Walczyszyn ◽

Shalin Patel ◽

Maly Oron ◽

Bushra Mina

Keyword(s):

Natural Disasters ◽

Disaster Management ◽

Disaster Preparedness ◽

Online Survey ◽

Medical Training ◽

Healthcare Providers ◽

Management Training ◽

Physician Assistants ◽

Cross Sectional ◽

Hospital System

Objective: Natural disasters, domestic terrorism and other forms of catastrophe, though rare, pose a significant public health challenge when they do occur. Hospital personnel must have the appropriate training to identify, treat, and possibly even oversee local disaster preparedness initiatives. Insufficient resources have been placed on the education received by healthcare providers in tertiary medical institutions. We intended to assess the current state of knowledge and interest in disaster preparedness among different tiers of hospital staff and training levels in order to identify potential barriers and areas for further training. Design: A cross-sectional online survey was given to hospital attending physicians, subspecialty fellows, residents, nurses, physician assistants, and their respective students. The survey questions were disseminated throughout the Society of Critical Care Medicine (SCCM) Members and the North Shore Long Island Jewish (NSLIJ) hospital system via e-mail newsletters. Main results: A total of 572 individuals participated between October 2013 and May 2014. 85% of respondents expected to be dealing with a disaster during their career. 61.5% of respondents noted they would not feel comfortable leading and directing a local disaster management initiative. Yet 51.9% of respondents treated victims of natural disasters, 56.5% of transportation disasters and 34.8% of a structural collapse. When asked about level of formal disaster management training: 27.5% noted that no training was provided and 33% noted that they received 12 hours of training and only a quarter had more than 48 hours of formal training. 86.6% of respondents noted an interest in participating in a disaster management training workshop. Conclusions: Many of our respondents had low level of disaster management training, did not feel comfortable leading a disaster initiative, however many have had to take care of victims of disasters. Based on our findings, hospital professionals feel under prepared for disaster management, and disaster preparedness should be considered an integral part of medical training.

Download Full-text

Knowledge, attitudes and practices of UK paramedics regarding pharmacology and the legal, management and administration aspects of medicines: a cross-sectional online quantitative survey

British Paramedic Journal ◽

10.29045/14784726.2020.09.5.2.1 ◽

2020 ◽

Vol 5 (2) ◽

pp. 1-9

Author(s):

Samantha Laws ◽

Chao Wang ◽

Mary Halter

Keyword(s):

Online Survey ◽

Care Quality ◽

Further Education ◽

Medicines Management ◽

Cross Sectional Survey ◽

Perceived Knowledge ◽

Cross Sectional ◽

Attitudes And Practices ◽

The Impact ◽

Knowledge Attitudes And Practices

Introduction: Changes in the paramedic profession have seen an increased range of medicines available within UK ambulances services. However, poor practice in medicines management has been identified by the Care Quality Commission. Literature in this area is sparse. This study aimed to determine the perceived knowledge, attitudes and practices of paramedics regarding pharmacology and the legal and regulatory issues of medicines management and administration.Methods: The study utilised a cross-sectional survey design, administering an anonymous online survey to all (approximately 1000) paramedics within one UK NHS ambulance trust. The survey focused on paramedic knowledge on pharmacology, legal supply and administration; self-assessment of knowledge and confidence related to medicine management and administration; and personal characteristics. The primary outcome was percentage of (pre-determined) correct answers.Results: 251 responses were received. The mean percentage of correct answers was 79.0% (SD 10.0), with variation by question observed, from 34.7 to 97.2% correct responses. A higher correct knowledge was associated with: higher self-rated confidence, lower self-reported knowledge, being less likely to report errors and higher education-based initial route into the paramedic profession.Conclusion: This single-site UK-based survey highlighted variation in medicines knowledge among self-selecting paramedic respondents. The results indicate a need for medicines-specific further education for all paramedics, particularly those who have not experienced longer formal education entry routes, integrating a focus on confidence and self-perceived knowledge, and enhancing and embedding integrated improvement strategies. Further research is required with larger, multi-site samples, and to evaluate the impact of education packages developed.

Download Full-text

The Relationships of Age and Years of Experience to Professional Development for Athletic Trainers Employed in the Collegiate Setting

Athletic Training Education Journal ◽

10.4085/150119102 ◽

2020 ◽

Vol 15 (3) ◽

pp. 194-200

Author(s):

Christianne M. Eason ◽

Jessica L. Barrett ◽

Stephanie H. Clines

Keyword(s):

Professional Development ◽

Professional Identity ◽

Athletic Training ◽

Online Survey ◽

Athletic Trainers ◽

Years Of Experience ◽

Demographic Information ◽

Cross Sectional ◽

Web Based ◽

Pearson Correlations

Context Professional identity is a process in which individuals forms a self-concept in the context of their profession, and includes an ability to articulate a professional philosophy. Professional identity relates to many aspects of a profession, including practices, ethics, and the requirements for success. Professional development is a component of professional identity and represents the growth of professionals as they acquire skills and confidence in autonomous practice. Currently, little is known in regard to the role age and years of experience play in the professional development of athletic trainers (ATs). Objective To determine the relationships of age and years of experience to professional development. Design Cross-sectional online survey. Setting Collegiate athletic training clinical setting. Patients or Other Participants Four hundred twenty-three (193 men, 230 women) ATs. Intervention(s) Data were collected via a Web-based survey instrument consisting of demographic and Likert-scale questions relating to professional development. Main Outcome Measure(s) Likert responses were summed, and demographic information was analyzed for frequency and distribution. Pearson correlations were run to evaluate the relationships between variables and linear regression was used to determine if age or years of experience could predict professional development scores. Results A positive relationship exists between professional development scores and both age and years of experience. Both age (R2 = 0.066) and years of experience (R2 = 0.075) were statistically significant predictors of variance in overall professional development scores. Conclusions Although age and years of experiences were both positively correlated with, and predicted variance in, overall professional development scores, the predicted variance of both variables was relatively small. Although we can say that both age and years of experience are prognostic in the professional development of collegiate ATs, their impact is statistically minimal.

Download Full-text

EP.TH.336Surgeons' Knowledge Of Characteristics of Mesh Used in Groin Hernia Repair- A Cross Sectional Survey

British Journal of Surgery ◽

10.1093/bjs/znab309.045 ◽

2021 ◽

Vol 108 (Supplement_7) ◽

Author(s):

Maitreyi Patel ◽

Naveed Kirmani

Keyword(s):

Tensile Strength ◽

Hernia Repair ◽

Pore Size ◽

Online Survey ◽

Groin Hernia ◽

Years Of Experience ◽

Groin Hernia Repair ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional

Abstract Aims We aim to assess the surgeons’ awareness of mesh characteristics by way of an online survey. Methods A cross sectional survey of surgeons routinely performing groin hernia repairs was conducted across five NHS hospitals using an online questionnaire. Surgeon’s experience in groin hernia repair was taken in account. The data was analyzed using Microsoft Excel. Descriptive statistics was used. Results 37 surgeons responded to the survey.6 surgeons had more than 20 years of experience. 8 (21.62%) performed >50 hernia repairs annually. When compared with years of experience, knowledge of material was 100% with >10 years experience. Knowledge of tensile strength was 50% in those with > 20 years experience, while 83% of respondents with >20 years experience were aware of the weight and pore size of the mesh they used. In comparison with the number of groin hernia repairs done annually, all respondents performing >50 repairs knew the material they used. Amongst these respondents, knowledge of tensile strength, weight and pore size was 38%, 75% and 63% respectively. Conclusions Our study suggests that the level of knowledge regarding mesh is inadequate among surgeons, falling short of the minimum expected of surgeons performing groin hernia repair.

Download Full-text

The Changing Nature of Palliative Care: Implications for Allied Health Professionals’ Educational and Training Needs

Healthcare ◽

10.3390/healthcare7040112 ◽

2019 ◽

Vol 7 (4) ◽

pp. 112 ◽

Cited By ~ 1

Author(s):

Deidre D. Morgan ◽

Deb Rawlings ◽

Carly J. Moores ◽

Lizzie Button ◽

Jennifer J. Tieman

Keyword(s):

Professional Development ◽

Palliative Care ◽

Clinical Practice ◽

Health Professionals ◽

Online Survey ◽

Allied Health ◽

Further Education ◽

Allied Health Professionals ◽

Cross Sectional ◽

Education Access

CareSearch is an Australian Government Department of Health funded repository of evidence-based palliative care information and resources. The CareSearch Allied Health Hub was developed in 2013 to support all allied health professionals working with palliative care clients in all clinical settings. This cross-sectional online survey sought to elicit allied health professionals palliative care experiences and subsequent considerations for educational and clinical practice needs. The survey was disseminated nationally via a range of organisations. Data was collected about palliative care knowledge, experience working with palliative care clients and professional development needs. Data were evaluated by profession, experience and practice setting. In total, 217 respondents answered one or more survey questions (94%). Respondents (65%) reported seeing >15 palliative care clients per month with 84% seen in hospital and community settings. Undergraduate education underprepared or partially prepared allied health professionals to work with these clients (96%) and 67% identified the need for further education. Access to postgraduate professional development was limited by available backfill and funding. Study findings support the importance of free, accessible, relevant educational and professional development resources to support clinical practice. This is particularly relevant for allied health professionals who have limited opportunities to attend formal professional development sessions.

Download Full-text

Who Struggles Most in Making a Career Choice and Why? Findings From a Cross-Sectional Survey of Australian High-School Students

Journal of Psychologists and Counsellors in Schools ◽

10.1017/jgc.2015.7 ◽

2015 ◽

Vol 25 (2) ◽

pp. 133-151 ◽

Cited By ~ 5

Author(s):

Natal’ya Galliott ◽

Linda J. Graham ◽

Naomi Sweller

Keyword(s):

High School Students ◽

Career Choice ◽

Online Survey ◽

Career Aspirations ◽

Individual Characteristics ◽

Further Education ◽

Cross Sectional Survey ◽

School Students ◽

Parental Occupation ◽

Cross Sectional

This article reports findings from an empirical study examining the influence of student background and educational experiences on the development of career choice capability. Secondary school students attending Years 9–12 (N = 706) in New South Wales, Australia, were invited to participate in an online survey that sought to examine factors influencing their readiness to make a career choice. The survey included questions relating to student demographics, parental occupation, attitudes to school and to learning, career aspirations, and students’ knowledge of the further education or skills required to achieve their desired goal. We found no significant differences in the proportions of students who were ‘uncertain’ of their future career aspirations with respect to their individual characteristics, such as age and gender. There were, however, significant differences in relation to students’ family background, and their perceptions associated with their own academic abilities and self-efficacy.

Download Full-text

Future Proofing Applied Epidemiology Workforce Training for Emergency Response. A Global Survey of Applied Epidemiologists, 2019-2020

10.21203/rs.3.rs-122029/v1 ◽

2020 ◽

Author(s):

Amy Elizabeth Parry ◽

Martyn D Kirk ◽

David N Durrheim ◽

Babatunde Olowokure ◽

Samantha Colquhoun ◽

...

Keyword(s):

Public Health ◽

Emergency Response ◽

Work Experience ◽

Online Survey ◽

Management Training ◽

Workforce Training ◽

Cross Sectional ◽

Health Security ◽

Online Social Media ◽

Public Health Epidemiology

Abstract BackgroundRapid and effective emergency response to address health security relies heavily on a competent and suitably trained local and international workforce. The COVID-19 pandemic has highlighted the need to ensure that the health security workforce is well equipped to tackle current and future challenges. We conducted a survey to understand whether applied epidemiology training was meeting the needs of the field epidemiological workforce.MethodWe conducted a cross sectional online survey. Purposive sampling and snowballing techniques were used to identify survey respondents. Inclusion criterion was any person who self-identified as working in an applied epidemiology role. We recruited survey respondents through an online social media campaign and partnered with the Training Programs in Epidemiology and Public Health Interventions Network (TEPHINET) to directly reach field epidemiology training programme (FETP) alumni networks. Survey topics included participant demographics, technical background, formal education level, year of epidemiology training, topics studied during epidemiology training, years of experience as an epidemiologist, and their public health/epidemiology learning. The survey was available in English and French. ResultsWe received 282 responses from people with a range of formal public health and epidemiology training backgrounds. Applied epidemiology work experience of respondents spanned almost 30 years from across 64 countries. FETP alumni made up 74% (n=210) of the total. Basic outbreak and surveillance training was well reported by the respondents, however training in specialised techniques related to emergency response was not as common. Less than 50% of respondents reported receiving training in leadership and management. Training in emergency response and communications scored low across most categories. Fifty-six per cent of respondents reported learning evidence-based decision-making. FETP graduates reported higher levels of formal training in all survey topics. ConclusionA specific aim of our survey was to identify the training needs of the applied epidemiology workforce. Training gaps identified included leadership, communication and social skills, as well as emergency response capacity. Our survey showed that applied epidemiology workforce training must evolve to remain relevant to current and future public health challenges.

Download Full-text