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Biomedical subjects

N Nielsen-Thompson

Publications and source records attributed to N Nielsen-Thompson.

8 recordsLinked to original sources

Expanding the physician-substitute concept to oral health care practitioners.

This position paper proposes the development of an intermediate level practitioner to increase access to primary oral health care and to maximize cost benefit factors. The proposal is built upon research which has demonstrated the feasibility of preparing baccalaureate hygienists to serve as the counterpart to the physician assistant or nurse practitioner. The role of the primary oral health care practitioner would involve locating underserved or non-user groups, assessing oral health needs, referring to appropriate care providers, and providing primary care traditionally provided by dentists. Promotion of the intermediate oral practitioner would require policy to halt erosion of the infrastructure of university-based dental hygiene education, the allocation of nationally funded financial incentives, and specified modifications in the current health care system.

Cost-Benefit Analysis↗

Dental hygiene's heritage: 1927-1970.

Original manuscripts published in the Journal of the American Dental Hygienists' Association (JADHA), (now JDH) from 1927-1970 provide a historical perspective on dental hygiene's professional development. While many of the problems facing hygiene today are not new, there is evidence of progress in addressing them. The problems considered are: (1) hygiene's unique occupational role, (2) independent practice, (3) baccalaureate education, and (4) responsibility for licensure and practice. Support is provided regarding hygiene's unique contribution to society's oral health needs. Further, the article documents progress toward assuming professional responsibility as expressed in hygiene's relationship with dentistry, and in the expansion of hygiene's educational base and research efforts.

Dental Hygienists↗

Use, need and desire for pain control procedures by Iowa hygienists.

A survey of dental hygienists licensed and residing in Iowa was conducted in the fall of 1987. The response rate after two mailings was 596 of 705 (84.5%). Of the 596, the responses of those who provided clinical services for adults in Iowa (n = 421) were analyzed for information regarding pain control. The survey was designed to collect demographic information and to determine hygienists' use and perception of the need and desire for pain control measures. Nearly 70% of the practitioners reported that their patients needed anesthesia but did not receive it. The main reason given for not asking their dentist/employer to provide pain control measures was that time did not permit. The estimated numbers of patients who received pain control measures per month was low: a mode of 1 with a median of 1 to 2 for local anesthesia, and a mode of 0 and median of 2 for nitrous oxide analgesia. Investigators examined the strength of correlations between the independent variables of practice and hygienist characteristics, and the dependent variables of use and perception of the need and desire for pain control measures. Hygienists who provided selected periodontal services and those who worked in periodontal practices were more likely to ask the dentist to provide pain control measures. Local anesthesia was used more frequently by those hygienists who saw more patients with pockets equal to or greater than 4 mm. Use of nitrous oxide analgesia in practice was highly correlated with preparation in the use of nitrous.(ABSTRACT TRUNCATED AT 250 WORDS)

Anesthesia, Dental↗

Components of nonresponse in mail surveys of dental hygienists.

PURPOSE: This study was designed to investigate the reporting of nonresponse in mail survey research and to determine if nonresponse as a result of inaccurate addresses varied by sampling frame. Nonresponse bias is defined as researchers' inability to contact some members of a sample, or the refusal of some sample members to provide information. METHODS: Published survey research articles in the Journal of Dental Hygiene from 1988 through 1992 were reviewed for nonresponse information. Thirty-nine articles described studies that met the requirements of being a mail survey of dental hygiene subjects. All 39 articles included information about the population base and the number of subjects in the sample. Descriptive statistics were used to analyze the data. RESULTS: Response rates ranging from 33% to 92% were reported in 37 articles. Only 15 of the 37 articles included information on the ability to contact subjects. The percentage of subjects who could not be contacted ranged from 1.1% to 13.3%. Professional organization membership rosters provided the most accurate mailing lists, followed by school class rosters. Least accurate were licensure lists and magazine lists. CONCLUSION: More attention to research design may help dental hygiene researchers recognize the impact of nonresponse bias.

Bias↗