Developing an innovative clinical governance assessment framework for Dental Schools in Iran (original) (raw)
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Journal of Contemporary Medical Sciences, 2021
This study aimed to design a valid questionnaire to evaluate knowledge, attitude, and practice (KAP) of Mashhad Dental school staff about oral health care and to assess the validity and reliability of this instrument. Methods: The "Dental Staff Awareness of Oral Health Care" (DSAOHC) was divided into three concepts; knowledge, attitude and practice. Ten experts of Mashhad Dental School contributed to design the questionnaire and assessed the face and content validity (I-CVI and S-CVI/ AV) in two rounds. The necessity of each item was evaluated according to Lawshe's Content Validity Ratio (CVR). Construct validity, internal consistency, and reliability were assessed using confirmatory factor analysis, homogeneity coefficients, and test-retest by distributing the instrument among 207 dental staff working in other dental schools and private clinics. Results: Based on the acceptable results of I-CVI, S-CVI/AV (>0.7), and CVR (>0.62), the final version of DSAOHC was approved with 34 questions, including 10 questions about background information, 8 questions for the knowledge, 5 questions for attitude and 11 questions related to practice. Cronbach's alpha coefficients were acceptable for all domains. The RMSEA criterion was ≤ 0.05 and its upper band confidence interval (CI 90%) was ≤ 0.1. Also, CFI indicated the suitability of the model (the desired value of CFI>0.9). Inter-Class Correlation/ ICC revealed the appropriate measure (ICC = 0.998). Conclusion: The measures showed that this instrument is valid and reliable, also culturally adjusted to and acceptable for this community. It may adequately evaluate staffs' knowledge, attitude, and practice toward oral health.
Barriers to standard precautions adherence in a dental school in Iran: A qualitative study
American Journal of Infection Control, 2014
This study was conducted at the Dental School of Shiraz University of Medical Sciences. Because many of the factors in uencing DHCWs compliance to SP are subjective, a qualitative exploratory design was chosen for this study in order to obtain an in-depth understanding of human nature and social construction. 15-17 Data were collected from separate focus group discussions (FGDs) of students, residents, and faculty members. In-depth interviews were conducted with faculty members who could not attend FGDs because of time constraints or who would prefer to speak individually. Students who had completed the third year of education and residents at all levels were eligible if they had worked in clinical wards. Faculty members were eligible if they had at least 2 years of teaching experience. Each FGD consisted of 6-7 participants, lasted about 1 hour, and was conducted by the same moderator and notetaker. The FGD questions were constructed to elicit participants experiences of barriers in infection control strategies in dental practice. The questions addressed 3 domains: performance, subjective norms, and behavioral control, which were considered the main in uences of behaviors. 18 Probing questions were asked when necessary to expand participants responses. In-depth interviews were done individually using a semistructured interview guide that was similar to the FGD questions. Recruitment for FGDs and in-depth interviews was done until data saturation was achieved, where the last FGD session and interview did not add any new information to the data. All FGDs and interviews were voice recorded and transcribed verbatim. Thematic analysis was used to identify barriers and facilitators of SP compliance. The transcripts were coded separately by 2 persons. Four persons categorized the open codes and extracted themes separately; the themes were discussed together to achieve consensus. This study was approved by the Ethics Committee of Shiraz University of Medical Sciences.
Qualitative assessment of the dental health services provided at a dental school in Kerman, Iran
Brazilian Oral Research, 2009
Increasing the quality of the services provided in a Dental School can raise the satisfaction level of patients and consequently increase the level of their oral health. This study was conducted to evaluate the quality of dental care and services provided to patients referred to a Dental School in Kerman, Iran. In this qualitative study, face-to-face, in-depth interviews were conducted with 41 participants [25 patients (P), 5 nurses (N), 6 dental academic staff (AS), and 5 dental students (S)]. Then, the interviews were transcribed and ...
Evaluation of a comprehensive clinical dentistry course at dental schools in Saudi Arabia
Introduction: This study aimed to evaluate a Comprehensive Clinical Dentistry Course conducted at two dental schools in Saudi Arabia. Materials and Methods: This cross-sectional cohort study was conducted in two dental schools: King Saud University (KSU) and University of Dammam (UOD). The study subjects were students (42 UOD and 30 KSU), patients (32 UOD and 46 KSU), and faculty members (8 UOD and 7 KSU). Evaluations were collected using self-administered surveys. Results: The response rates were 72%, 78%, and 32% for students, patients, and faculty members, respectively. The students' evaluations demonstrated that case acceptance by supervisors was one of the difficulties facing 57.14% of UOD students compared to 30% of KSU students. The majority of faculty members (39%) were restorative specialists (25% UOD, 42.86% KSU). The overall evaluation of UOD faculty members was fair (50%) or good to very good (50%). For KSU faculty members, the overall evaluation was good (50%) or very good (50%). The mean age of the patients was 33.26 years. The level of education of the study subjects was either secondary school (43.6%) or university level (35.9%). Most of the study subjects knew about the program from their friends (57.7%). Approximately 96.1% of the study subjects were satisfied with the overall treatment of students. Discussion: The fundamental aim of the students was to have their cases accepted as early as possible to complete requirements on time. Conclusion: Dental students displayed relatively high psychological stress in relation to case acceptance by their supervisors. Demonstrating good attitude and quality treatment can increase the flow of patients.
A needs assessment for a master’s program in dental public health in Jeddah Saudi Arabia
Advances in Medical Education and Practice, 2013
A needs assessment survey or situational analysis is typically recommended as the foundation of any curriculum development process. We conducted this survey to understand the level of DPH expertise existing in the country, to identify needs and gaps, and to explore perceptions in the area of DPH. Methods: A DPH competency based survey was emailed to all onsite Saudi faculty members, all DPH practitioners in Jeddah city, and a random sample of dental interns (n = 122). The questionnaire collected information about participants' demographics, knowledge of DPH, preferred method for gaining knowledge about DPH, perceptions about a new master's program in DPH, preferred teaching and delivery methods, prerequisite education, and self-assessment of participants' own DPH competency levels. Descriptive statistics, chi-square or Fisher's exact statistics, and proportional odds ratios were calculated to analyze data. Results: There was a total of 105 respondents (86.1%). About 98% had some knowledge of DPH. The most preferred method to gain knowledge on DPH was seminar series (47.6%). The most preferred methods for teaching instruction were using a "list of discussion topics" and "providing examples," and the most preferred method for delivery of coursework was "face-to-face classroom activities with online readings and assignments." The most preferred prerequisite education was having a bachelor's degree in dentistry. Most participants considered themselves as having moderate experience and basic range of knowledge of DPH practices and competencies. Conclusion: The survey has helped assess the participants' views on the need for a graduate program in DPH. It is a preliminary step in designing a well-structured program, which will address the needs and gaps in oral public health in the country and inform the development of course content.
Comparison of General Dentistry Curriculum in Iran with Eight of the World's Top Dental Faculties
Maedica, 2019
Background and objectives:A curriculum is a general and immense outline of an educational activity. A curriculum defines teaching content, student and curriculum assessment methods, and ultimately defines the framework for each activity in the curriculum. Given the importance of training in medicine and dentistry, the purpose of this study was to compare Iran's general dentistry curriculum with eight of the world's top dental faculties. Materials and methods:In descriptive-comparative research, the important components and parameters of the curriculum of the PhD in dentistry at several universities in the world were studied and compared with Iranian curriculum. The present study was conducted in two stages: The first phase included finding the best dental faculties in the world; the second phase was to identify and examine the various components of the curriculum of the PhD in Public Dentistry in Iran and the 8th highest dental faculties in the world and compare them accordi...
Assessment of pediatricians dental knowledge, attitude and behavior in Jeddah, Saudi Arabia
The Journal of clinical pediatric dentistry, 2011
Early assessment of the oral health status of children has the potential to reduce or even eliminate oral diseases. Parents rarely take their children to dentist early enough to control dental diseases. However, parents contact pediatricians several times even before the child is born and during the child's early life. Accordingly, pediatricians are considered a perfect and reliable source for oral health control and prevention. To measure the dental knowledge, attitude and behavior (KAB) of pediatricians in the City of Jeddah regarding oral health status and methods for prevention of dental diseases in children. Questionnaires consisting of 40 demographic and KAB's questions were distributed to all pediatricians in Jeddah city (605 pediatricians). The KABs' questions consisted of general dental knowledge, preventive dental measures, timing for referral, diet counseling, parafunctional habits and handling of traumatized teeth. A score was given for each question. Percent...
Open Access Macedonian Journal of Medical Sciences, 2021
BACKGROUND: Overall body health is influenced a lot by teeth and mouth. Dental health education in schools through total quality management (TQM) is a non-formal education system for school communities by learning by doing to change their behavior from being less profitable to be beneficial for their oral health. AIM: This study aims to analyze the effect of dental health education with a TQM approach on the behavior of dental and oral health management, and the status of the oral hygiene index simplified (OHIS) in elementary school students. MATERIALS AND METHODS: The design of that project was a quasi-experimental design with a pre-post-test design with a control group design. The number of study population was 80 children that were selected. The sample was divided into two groups, the intervention group consisted of 40 children who were given intervention (dental health education with TQM approach) and the control group consisted of 40 children who were not given intervention. Da...
Attitude towards preventive dentistry among Iranian senior dental students
Journal of dentistry (Tehran, Iran), 2012
To investigate attitudes of Iranian senior dental students towards preventive dentistry in relation to their background factors and self-perceived competency in providing preventive care. In spring 2008, a questionnaire survey was conducted with all the senior dental students of seven randomly selected state dental schools in Iran. In addition to the respondents' age and gender, the voluntary questionnaire assessed the students' attitudes towards preventive dentistry by means of a seven-point semantic differential scale of nine qualities and their opposites, and their self-perceived competency in providing preventive care by five separate questions. To identify the underlying dimensions for attitude, a factor analysis with principle component method and varimax rotation was applied. Independent sample t-test served for statistical analysis. Of the 242 students receiving the questionnaire, 182 students (75%) responded. The mean age of the participants was 26 years and 42% of ...