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The use of tobacco has been a known contributing factor in the development of disease and death since the 1960s. Unfortunately, evidence-based tobacco cessation protocol is still not effectively being taught in healthcare curriculum as evidenced by the lack of clinical competencies in many institutions. The purpose of this study was to gain an in-depth understanding of the process dental hygiene program directors use to adopt and implement tobacco dependence information into their curricula. Gaining a clearer idea of how and why dental hygiene faculty diffuse tobacco curriculum may inform future dissemination efforts leading to improved adoption and implementation of evidence-based information in healthcare education. A total of ten, one hour interview data sets of US dental hygiene program directors were chosen for this study. They were selected from a possible 14 interviews collected from a larger research project consisting of 32 one hour interview data sets. A case study research methodology was used to guide the collection of interviews. The Diffusion of Innovation, Five Stages in the Innovation Process in Organizations (Rogers, 2003) was used as the theoretical framework to inform the extraction of themes and patterns. The analysis of interview data revealed that all ten program directors reported a similar process of: learning about tobacco cessation, discussing the topic in a faculty meeting, deciding what class the topic should be taught, and that cessation should be a part of the clinical experience. What was not evident from these interviews was how and why the evidence-based tobacco cessation guideline was reduced from five essential elements to minimal implementation by most of the ten schools. Though the process of how dental hygiene programs learn of and implement tobacco cessation into their curriculum, further research is needed to explore how faculty make decisions on content and level of clinical competencies when new innovations are introduced into their program.

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Syftet med denna uppsats är att redogöra för varför tandhygienistyrket väljs och varför den två- eller treåriga utbildningen till tandhygienist söks?Uppsatsen ger en översikt hur tankegångarna tidigare har varit inför tandhygienist-utbildningens längd. Hösten 2010 ska den behörighetsutredning som regeringen tillsatt redovisa vad de kommit fram till om tandhygienistutbildningens längd. För att få svar på uppsatsens syfte har en enkät utlämnats till förstaårsstudenter på tandhygienistutbildningen i Kristianstad och Malmö. Resultaten från enkätundersökningen visar att endast hälften av tandhygieniststudenterna har utbildningen som sitt förstahandsval. Tandhygienistyrket väljs främst för att studenterna vill arbeta med människor men även för att de vill arbeta praktiskt och för att yrket har goda framtidsutsikter.Hälften av Malmöstudenterna valde Malmö just för att utbildningen där är tvåårig medan en tredjedel av Kristianstadstudenterna valde utbildningen för att den var treårig och de på så vis skulle få en bättre utbildning. / The purpose of this essay is to explain why the dental hygiene profession is chosen by dental hygiene students and why the two- or three-year program in dental hygiene is chosen. This essay provides an overview of previous ideas regarding the length of the dental hygiene education. A survey was made on first-year dental hygiene students at two universities in southern Sweden to find the answers to the purpose of this essay.The results from the survey shows that only half of the dental hygienist students put their education as the top choice when applying to university. The dental hygiene profession is chosen primarily because of the desire to work with people but also because they want to work with their hands and that the profession has good prospects.Half of the Malmo students chose Malmo just because the education is two years there while a third of the Kristianstad students chose the education there because it was three years and that they would have a better education therefore.

Quality assurance in healthcare is fundamental in ensuring the achievement of desired outcomes for patients. In 2011 a quality assurance plan was created at the East Tennessee State University (ETSU) dental hygiene program in order to meet accreditation standards. The purpose of this study was to evaluate this plan in order to determine its effectiveness in improving the quality of patient care indicators. One hundred fifty patient charts were selected and audited. Deficiencies were counted in the categories of assessment, treatment, documentation, referral, caries management, perio management, patient education, and follow-up. Research findings were varied; however, external variables with the potential to affect the study’s results were identified. Furthermore, statistical process control procedures indicated that the quality assurance program was effective or had the potential to be effective. Although further research is warranted, this study could be used to improve quality assurance practices at the ETSU dental hygiene program.