Barriers to adopting and implementing an oral health programme for managing early childhood caries through primary health care providers in Lima, Peru
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BACKGROUND: To identify barriers to participation in a primary oral health care programme aimed at preventing early childhood caries, as perceived by nurses. METHODS: Of a total of 140 randomly selected nurses employed in 40 government health centres in Lima, 123 completed a pre-tested questionnaire. Background variables were districts' 'socio-economic status' (SES) and 'years of experience'. Factor analysis was performed. ANOVA was applied for testing the influence of the background variables on the barrier factors. Chi-square test was applied to test for differences between single item barriers and the background variables. The Likert-scale (1-4) was used. RESULTS: There was no statistical significant effect of 'SES' or of 'years of experience' of nurses on any of the 7 barrier factors, nor on the 11 single item barrier factors. The highest mean score (3.81) was obtained for the barrier factor 'importance of oral health', followed by 'perceived responsibility' (3.44). The lowest mean score was (1.70) for 'knowledge on caries prevention'. CONCLUSIONS: Nurses consider oral health very important and are willing to participate actively in programmes aimed at reducing Early Childhood Caries, provided that they will be trained well and that the director and dentists of the health centre give their consent.
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According to some studies in North Carolina and Peru, primary care physicians and nurses were able to identify their role and assumed responsibility in taking care of oral health of their patients.
“According to some studies conducted in North Carolina and Peru, primary care physicians and nurses were able to identify their role and assumed their responsibility in taking care of the oral health of their patients.”
From Barriers and facilitators in the integration of oral health into primary care: a scoping review (2017) · cites this paper as [44]
The Discussion (page not supplied) says nurses in Lima perceived a role in helping maintain children's oral health and were willing to advise parents. It does not show that they had already assumed those duties: participation depended on training and consent from the health-centre director and dentist. This study concerns nurses in Peru, not physicians or providers in North Carolina. (LLM, conf=0.86)
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- Authors
- Pesaressi, E., Villena, R. S., van der Sanden, W. J., Mulder, J., & Frencken, J. E.
- Affiliations
- Universidad de San Martín de Porres (PE)
- Radboud University Medical Center (NL)
- Corresponding author
- Villena, Rita S
- Venue
- BMC Oral Health
- Published
- 2014-03-06
- Volume
- 14
- Issue
- 1
- Pages
- 17-17
- ISSN
- 1472-6831 (ISSN-L)
- PMC
- PMC4016564
- OpenAlex
- W2121393043
- Cited by
- 14
- References
- 23
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 4 · 2022: 2 · 2020: 1 · 2019: 1 · 2017: 2 · 2016: 1 · 2015: 1
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Oral Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by)
- Radboud Repository (Radboud University) (submittedVersion, other-oa)
- Greater South Information System
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- early childhood caries, primary care, nurses, dental caries prevention, nurse training, perceived responsibility, socioeconomic status, Lima
- MeSH terms
- Workforce, Attitude of Health Personnel, Child, Preschool, Counseling, Dental Caries, Education, Nursing, Female, Health Promotion, Health Services Accessibility, Humans, Infant, Male, Nurse-Patient Relations, Nurses, Oral Health, Peru, Primary Health Care, Professional-Family Relations, Surveys and Questionnaires, Social Class, Social Responsibility, Socioeconomic Factors
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