• Refine Query
  • Source
  • Publication year
  • to
  • Language
  • 61
  • 5
  • 4
  • 2
  • Tagged with
  • 74
  • 74
  • 23
  • 15
  • 12
  • 11
  • 9
  • 8
  • 7
  • 7
  • 4
  • 4
  • 4
  • 4
  • 4
  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
71

A participação do técnico em saúde bucal na estratégia saúde da família: um olhar em municípios estruturados / The participation of oral health technician in the teams of family health strategy: a look on structured municipalities

Dulce Maria de Lucena Aguiar 27 October 2010 (has links)
Introdução - O técnico em saúde bucal (TSB) é um profissional da equipe de saúde bucal (ESB), a quem compete a execução de ações diretas na assistência odontológica individual e nas ações coletivas de prevenção e promoção da saúde. Embora sua presença possa elevar cobertura e qualidade das ações, estudos apontam para sua subutilização, o que enseja dificuldades no campo da gestão do trabalho. Objetivo - Compreender os fatores que influenciam a prática do TSB na estratégia saúde da família. Procedimentos Metodológicos estudo descritivo, onde foram selecionados quatro municípios que se beneficiaram de Portaria do Ministério da Saúde (MS) que destinava um equipamento odontológico para as ESB com TSB: Maracanaú (CE), Recife (PE), Belo Horizonte (MG) e Curitiba (PR). A amostra intencional foi composta por cirurgiões-dentistas (CD) e TSB de duas ESB de cada município, sendo uma considerada mais afastada e outra mais próxima pelo coordenador municipal de saúde bucal, segundo o modelo proposto pelo MS. Entrevistaram-se ainda gestores mais próximos da dinâmica das ESB. Analisou-se o material discursivo das 24 entrevistas em profundidade, segundo o referencial de Pierre Bourdieu. Os dados foram cotejados com o conteúdo de orientações sobre a prática do TSB e a programação das ESB, quando presentes em documentos normativos dos municípios. Resultados - A maioria dos entrevistados eram mulheres e a idade média foi 38 anos. Entre os CD, 60 por cento possuíam tempo de formação entre 5- 10 anos e 50 por cento eram especialistas em saúde coletiva. Entre os TSB, 50 por cento possuíam tempo de formação entre 2-5 anos. Em alguns casos, foi observada a existência de 6 relação entre a fala de alguns agentes e sua trajetória social. Em nível interpessoal, as principais barreiras para a participação do TSB foram relacionadas ao sentimento de incompetência do CD para supervisionar sua atividade, aliado a reduzida disposição para o trabalho compartilhado. Em nível organizacional, destacaram-se: falta de clareza quanto ao projeto de trabalho proposto para a ESB e incapacidade para colocá-lo em prática, combinado à inexistência de ações de apoio voltadas à superação dos nós críticos. Em nível geral, embora a regulamentação da profissão representasse um expressivo elemento de apoio para sua atuação, as entrevistas refletiram disputas de diferentes projetos para o TSB nos sistemas de educação e no de profissões. Conclusões a participação do TSB na estratégia saúde da família decorre de determinantes interacionais, organizacionais e sistêmicos, mediados pelos interesses e habilidades expressas pelo TSB e pelo cirurgião-dentista. A compreensão desses aspectos pode auxiliar a condução do trabalho nas unidades de atenção primária / Introduction - The oral health technician (TSB) is a professional who takes part in the oral health team (ESB) and is responsible for carrying out direct actions in both the individual dental care as in collective actions of prevention and health promotion like a dental hygienist. Although his presence may raise both the coverage and the quality of developed actions, studies in Brazil have pointed out to his underutilization, which entails difficulties in the field of labor management. Aim - To understand the factors that influence the participation of TSB in the teams of family health strategy. Methodological Procedures Descriptive study were we selected four Brazilian cities that have benefited from the decree of the Ministry of Health (MS) 74/2004 which meant dental equipment for the ESB with TSB: Maracanaú (CE), Recife (PE), Belo Horizonte (MG) and Curitiba (PR). The intentional sample was comprised by dentists (CD) and two TSB from each municipality, being one considered more distant and the other considered closest to the model proposed by MS according to the knowledge and view of municipal coordinator of oral health, according to the model proposed by MS. We interviewed the managers of health units to whom the team reported. The discursive material 8 from 24 in-depth interviews was analyzed, considering the referential of Pierre Bourdieu. The data were compared with the contents of the guidelines on the practice of TSB and programming of ESB when present in the normative documents of each municipality. Results - Most respondents were female and the average age was 38 years. Among the CD, 60per cent of respondents had training time between 50-10 years and 50per cent had a specialization in public health. Among the TSB, 50per cent had training time between 2-5 years, 37.5per cent had between 19 and 20 years of training time and one of the interviewees did not answer, saying no recollection of the year when she finished her course. In some cases, relationship was observed between the discourses of some agents and their social trajectory. On the interpersonal level, the main barriers to the participation of TSB were related to feelings of incompetence of the CD to supervise their activity, combined with low degree of intersectoral cooperation. On the organizational level, highlighted a lack of clarity about the work project proposed for the ESB in the ESF, the inability to put it into practice, combined with the lack of support actions aimed at overcoming the bottleneck. On a most general level, although the regulation of the profession has represented a significant element of support for their actions, some of the speeches reflected the disputes of different projects for these professionals in the education system and the system of professions. Conclusions TSBs participation in family health strategy stems from interactional determinants, organizational and systemic, mediated by the interests and abilities expressed by the TSB and dentist. Understanding these aspects may help the conduct of work in primary care
72

Uppsökande tandvård och upplevelser om dess effekt på oral hälsa hos beroende äldre

Czarnecka, Anna January 2017 (has links)
Syfte: Syftet med studien var att undersöka tandhygienisters erfarenheter av uppsökande tandvård och deras upplevelser om dess effekt på oral hälsa hos beroende äldre. Metod: Studien bygger på en kvalitativ metod med en induktiv ansats. Nio legitimerade tandhygienister som arbetar med uppsökande tandvård inkluderades i studien. Inklusionskriterier var tandhygienister som arbetade med uppsökande tandvård i minst sex månader och minst två år som tandhygienist. Exklusionskriterien var tandhygienister som arbetade mindre än tre dagar i veckan med uppsökande tandvård. Intervjuer utfördes och analyserades med hjälp av kvalitativ innehållsanalys. Resultat: Uppsökande tandvård upplevdes höja engagemanget hos vårdpersonalen gällande den orala hälsan. En tanke har väckts att den orala hälsan tillhör resten av kroppen. Okunskap och attityder kunde dock begränsa effekten av arbetet med munvård. Känsla av frihet samt meningsfullhet nämndes som fördelar med arbetet med uppsökande tandvård. Faktorer som behövde förändras för att arbetet med uppsökande tandvård skulle vara mer effektivt och den orala hälsan bättre hos de äldre var större samverkan mellan professioner, bättre ergonomiskt stöd samt stöd till vårdpersonal som upplevdes för stressad. Slutsats: Äldre individer på vårdboende upplevs fortfarande ha en eftersatt munhygien. Uppsökande tandvård uppfattas vara en insats som sätter den orala hälsan i fokus, men det finns faktorer som försvårar arbetet med munvård på vårdboenden, främst på organisationsnivå. Trots detta finns möjligheter för att kunna erbjuda en mer adekvat munvård.
73

The Knowledge and Attitudes of Dental Hygiene Students: Smokeless Tobacco

Biernat, Kathy Ann 12 1900 (has links)
The use of smokeless tobacco products is increasing among teenagers and young adults in the United States. Community health professionals play a vital role in educating the public about these products, and in this regard the dental hygienist is of critical importance. This study evaluated the knowledge and attitudes towards smokeless tobacco among a representative sample of dental hygiene students in the United States. The dental hygiene schools were divided into six geographical regions and a total of 34 schools and 722 students participated. Seniors were found to score significantly higher than non-seniors both in knowledge and attitude. Furthermore, some significant differences in attitude were discovered between regions. In general, students scored poorly on both knowledge and attitude despite reporting having received classroom instruction on smokeless tobacco.
74

Understanding the Influence of State Policy Environment on Dental Service Availability, Access, and Oral Health in America's Underserved Communities

Maxey, Hannah L. January 2014 (has links)
Indiana University-Purdue University Indianapolis (IUPUI) / Oral health is crucial to overall health and a focus of the U.S. Health Center program, which provides preventive dental services in medically underserved communities. Dental hygiene is an oral health profession whose practice is focused on dental disease prevention and oral health promotion. Variations in the practice and regulation of dental hygiene has been demonstrated to influence access to dental care at a state level; restrictive policies are associated lower rates of access to care. Understanding whether and to what extent policy variations affect availability and access to dental care and the oral health of medically underserved communities served by grantees of the U.S. Health Center program is the focus of this study. This longitudinal study examines dental service utilization at 1,135 health center grantees that received community health center funding from 2004 to 2011. The Dental Hygiene Professional Practice Index (DHPPI) was used as an indicator of the state policy environment. The influence of grantee and state level characteristics are also considered. Mixed effects models were used to account for correlations introduced by the multiple hierarchical structure of the data. Key findings of this study demonstrate that state policy environment is a predictor of the availability and access to dental care and the oral health status of medically underserved communities that received care at a grantee of the U.S. Health Center program. Grantees located in states with highly restrictive policy environments were 73% less likely to deliver dental services and, those that do, provided care to 7% fewer patients than those grantees located in states with the most supportive policy environments. Population’s served by grantees from the most restrictive states received less preventive care and had greater restorative and emergency dental care needs. State policy environment is a predictor of availability and access to dental care and the oral health status of medically underserved communities. This study has important implications for policy at the federal, state, and local levels. Findings demonstrate the need for policy and advocacy efforts at all levels, especially within states with restrictive policy environments.

Page generated in 0.0825 seconds