Understanding dental students’ knowledge and perception of older people: toward a new model of geriatric dental education

Advanced Education in General Dentistry Program, Department of Restorative Dentistry, School of Dental Medicine, University at Buffalo, 215 Squire Hall, 3435 Main Street, Buffalo, NY 14214, USA.
Journal of dental education (Impact Factor: 0.97). 05/2005; 69(4):419-33.
Source: PubMed


Increasing numbers of older people and the decreasing rates of edentulism highlight the importance of dental education that focuses on oral health and aging. This evaluation study assessed dental students' knowledge and beliefs about older people as well as their awareness of the biopsychosocial concerns that are potential barriers to oral health care. Dental students' (N=202) knowledge and perceptions of older people were evaluated before and after the first year of a new educational program. Students completed the Palmore Facts on Aging Quiz II (FAQ II) and answered questions about health problems and social concerns that may influence patient care. The intervention was twofold: 1) the CARES (Counseling, Advocacy, Referral, Education, and Service) Program, a clinical collaboration between the schools of Dental Medicine and Social Work, was initiated; and 2) all students were exposed to geriatric educational interventions. FAQ II scores did not significantly change, but dental students' awareness of mental health, independence, and social concerns increased between Times 1 and 2. The results of the study suggest that positive interactions with older adults by health care providers may depend more on positive perceptions toward older people than increased knowledge about aging. Future research will focus on positive experiences with older adults and attitudes of dental students toward the elderly.

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    • "Knowledge about older people was measured using Palmore's (1980) Facts on Aging Quiz, which is a list of 25 true-and-false statements to identify general knowledge about older people. Palmore's Facts on Aging Quiz has been used extensively and has demonstrated both reliability and validity (Fabiano et al., 2005; Hawk et al., 2001; Palmore, 2001). In this study, the Cronbach's alpha was .73. "
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    ABSTRACT: With an aging population, the majority of nurses will spend their careers working with older people. Currently, there is scant research about clinical instructors' knowledge and perceptions about nursing care of older people despite their instrumental role in preparing nurses for practice. The purpose of this study was to explore clinical instructors' knowledge and perceptions about nursing care of older people. A mixed methods approach was used. Fifteen clinical instructors and 15 nurse educators employed on specialized units for older people completed questionnaires. Independent t-tests were administered. Five of the clinical instructors also participated in semi-structured interviews, which were analyzed using thematic analysis. Findings indicated that clinical instructors had significantly lower scores on knowledge and perceptions about nursing care of older people than practice-based nurse educators. Further, clinical instructors found it difficult to integrate specialized knowledge about nursing care of older people along with other aspects of their teaching. They also reported that it was challenging to support learning about best practices for older people within the current clinical context, which was complex and fast-paced. This study reinforces the need for professional development opportunities for clinical instructors to support their instrumental role in preparing students for practice with older people.
    Nurse education in practice 08/2014; 14(4). DOI:10.1016/j.nepr.2014.03.001
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    • "This is a list of 25 true and false statements to identify knowledge about older adults as a group. Palmore's Facts on Aging Quiz has been used extensively and has been found to be reliable and valid in numerous studies of student learning in nursing and other health disciplines (Edwards et al. 1992, Palmore 2001, Fabiano et al. 2005). Beliefs about older adult care were measured using the Perceptions of Caring for Older People Scale (Burbank et al. 2002 "
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    ABSTRACT: baumbusch j., dahlke s. & phinney a. (2012) Nursing students’ knowledge and beliefs about care of older adults in a shifting context of nursing education. Journal of Advanced Nursing68(11), 2550–2558. Aim. To a report a study of improvements in students’ knowledge and beliefs about nursing care of older adults following completion of an introductory course with integrated adult/older adult content. Background. Nursing schools are under pressure to provide accelerated programmes to meet growing workforce demands and provide students with the knowledge they require to care for an ageing population. Thus, stand-alone courses in gerontological nursing are being eliminated and integrated with general adult content. The effect of this approach remains poorly understood. Design. A one-group pretest-post-test design was used. Methods. Data were collected between September–December 2010. Students completed the Palmore Facts on Aging Quiz, the Perceptions of Caring for Older People Scale, and open-ended questions about their experiences before and after completing a course with integrated adult/older content. Results. Students’ knowledge and beliefs about nursing care of older adults demonstrated an important improvement following completion of the course. Qualitative findings reflected three themes: relating to older people; neglect by the system; having time to learn. Conclusions. Findings from this study suggest that even when integrated with general adult content, students’ knowledge and beliefs about older adult care can be positively influenced. Furthermore research is needed to examine long-term integration of students’ learning about older adult care. Nursing faculty with expertise in nursing care of older adults must develop resources and supports for their colleagues to build capacity among nurse educators and integrate older adult content throughout nursing programmes to enhance nursing practice with an ageing population.
    Journal of Advanced Nursing 02/2012; 68(11):2550-8. DOI:10.1111/j.1365-2648.2012.05958.x · 1.74 Impact Factor
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    ABSTRACT: The objective of this study was to evaluate the effectiveness of the teaching-learning process involved in the geriatric oral health community programme for final year dentistry students which was introduced by the Faculty of Dentistry, Universiti Kebangsaan Malaysia. The geriatric oral health community programme formed part of the curriculum for final year students and involved the division of the students into small groups. The groups were facilitated by their instructors to prepare an activity which was to be conducted at various community geriatric institutions. These group activities required the students to apply the oral health planning and promotion concepts they had been taught prior to the activity. At the end of an eight-week long preparation period, the students implemented a day-long programme at the institution. The effectiveness of the teaching-learning process involved in the programme was evaluated using a self-administered questionnaire measuring three segments: fulfilment of programme objectives, assessment of facilitators and programme processes and overall satisfaction regarding the conducted programme. Data was collected two weeks after the completion of each student group's visit. Fifty of the total fifty-two participating students (96.2%) responded. Of these, forty-nine students (98%) were either 'somewhat satisfied' or 'satisfied' with the programme conducted. The majority of the students agreed that the programme had managed to achieve the following objectives: (1) sensitized them towards harbouring a caring attitude towards the elderly, (2) enabled them to better their interaction with the elderly, and (3) made them realize the importance of teamwork in executing a community project. Despite the certain administrative weaknesses encountered in conducting the program, the students agreed with the relevance and importance of the inclusion of community geriatric dental education in their curriculum.
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