Parents' experiences regarding the use of papoose boards on their children during dental services
Notice bibliographique
Résumé
ABSTRACTObjectives. Various pharmacological and non-pharmacological behaviour management techniques (BMTs) are available to increase children’s cooperation during the dental treatment. The papoose board, a non-pharmacological BMT, is a kind of physical restraint that is attached to the patient’s body to avoid sudden body movements. The literature suggests that this technique has been controversial in dentistry, due to its reported harmful consequences, but it is still widely used in many parts of the world, including Canada. To the best of our knowledge, there is no qualitative research to provide us insight of parents’ experiences. Thus, this study intended to understand the lived experiences of parents regarding the papoose boards used on their child during the dental treatment. Methods. Interpretive phenomenology is the methodology adopted as it enabled us to elicit the perceptions of the parents based on their experiences about the use of a papoose board on their child. We interviewed parents of children treated with papoose in the Montreal Children’s Hospital (MCH). The MCH was chosen to be our research partner because its dental clinic uses papoose boards on a daily basis. We adopted a purposeful sampling technique to select seven participants. The method for data collection was in-depth, semi-structured interviews, which were audio-recorded, transcribed verbatim, debriefed with research partners and interpretively analyzed.Results. We identified three main findings in our study. First, parents experiences regarding the papoose boards. Some parents were in favour of using papoose boards and considered it necessary during the treatment, whereas others were completely against it and described its use as “betraying the trust” of their children. Second, factors guiding the decision-making process. The participants who communicated and discussed their concerns regarding the use of papoose boards with their dentists were relatively satisfied as compared to those who could not communicate much. Providing sufficient time for decision-making was an important factor that affected the level of acceptance of the papoose boards by the parents. Thirdly, confrontation of expectations of the parents due to their past experiences. The parents that recently immigrated to Canada compared the dental strategies with those of their country of origin. They felt that the dentists in Canada are highly concerned of profits or tended to be more business minded and use papoose to treat more patients in less time. Conclusion. These findings will provide our partners from MCH and other dentists an enhanced understanding of the experience of parents related to the papoose boards. We hope it will help them developing strategies to better treat children, such as having detailed communication regarding the papoose boards with the parents, giving them time for decision-making, and keeping the initial visit exploratory to familiarize the family with the papoose boards and establish rapport with the children.
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Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,015 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,004 | 0,003 |
| Communication savante | 0,002 | 0,002 |
| Science ouverte | 0,001 | 0,003 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».