Impact on interprofessional collaboration and oral health-related quality of life from a prenatal care protocol: a mixed method study
DOI:
https://doi.org/10.33448/rsd-v11i5.27559Keywords:
Interprofessional Relations; Cooperative Behavior; Primary Health Care; Prenatal Care; Quality of life.Abstract
Objective. The aim was to evaluate the potential impact on interprofessional collaboration and oral health-related quality of life from a prenatal care protocol. Method. We conducted an intervention study, with a post-test control group within a mixed-methods approach. The study population comprised 60 pregnant and health professionals enrolled in primary healthcare units. In the tested protocol, oral health technician was an important link with other members of multi-professional teams in the conversation wheels within which values, perceptions, behaviors and needs of pregnant women were shared about changes experienced during the pregnancy. Numerical data and narratives were used to assess self-rated oral health, oral health-related quality of life measured by OHIP-14, perception of pregnant women on interprofessional practices. Results. Patients were young and had incomplete or complete high school with no significant differences between the test and control groups. The perception of women in relation to interprofessional collaboration was greater in the intervention group than in control group. Self-rated oral health and oral health-related quality of life improved after intervention. Conclusions. The intervention encouraged the empowerment of the team to refocus the work process with greater involvement and collaborative professional interaction favored by oral health technician performance. The service organization protocol caused tensions and produced positive effects on interprofessional collaboration and on oral health-related quality of life. Clinical Relevance. The findings showed the relevance of the oral health technician’s performance integrating the activities between dental team and multidisciplinary professional team for quality of life related to oral health and interprofessional collaboration.
References
Aguiar, D. M., Tomita, N. E., Machado, M. F., Martins, C. L. & Frazão, P. (2014). Oral health technicians in Brazilian primary health care: potentials and constraints. Cadernos de Saúde Publica, 30(7):1560-70.
Andrade-Romo, Z., Heredia-Pi, I. B., Fuentes-Rivera, E., Alcalde-Rabanal, J., Cacho, L. B. B. & Jurkiewicz, L. (2019). Atención prenatal en grupo: efectividad y retos de su implementación. Rev. Saúde Pública, 53:85.
Barr, H. (2012). Integrated and interprofessional care. International Journal of Integrated Care, 30(12), e135.
Bauer, M. W. & Gaskell, G. (2000). Qualitative researching with text, image and sound: a practical handbook. London: Sage.
Creswell, J. W. (2003). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. (2nd ed.), Sage, 246 p.
D’Amour, D., Ferrada-Videla, M., Rodriguez, L. S. M. & Beaulieu, M. D. (2005). The conceptual basis for interprofessional collaboration: core concepts and theorical frameworks. Journal of Interprofessional Care, Suppl 1:116-31.
Erwin, P. C. & Brownson, R. C. (2017). Macro Trends and the Future of Public Health Practice. Annual Review Public Health, 38:393-412.
Faquim, J. P. S., Buiatti, N. B. P. & Frazão, P. (2018). The ZOPP method and the organization of interprofessional work focused on prenatal care in two primary care units. Saúde em Debate, 42(117):392-407.
Faquim, J. P. S & Frazão, P. (2016). Perceptions and attitudes about interprofessional relations in dental care during prenatal. Saúde em Debate, 40(109):59-69.
Faquim, J. P. S., Oliveira, A. P. L., Silva, M. J. B. & Frazão, P. (2017). Inflammation Mediators Related to Periodontal Disease and Pregnancy Outcomes: A Call for Quality of Antenatal Care While Promising Evidences Are Emerging. Global Journal of Health Science, 9(8):169-77.
Fried, J. (2013). Interprofessional Collaboration: If Not Now, When? Journal of Dental Hygiene, 87 (suppl 1) 41-43.
Gaboury, I., Bujold, M., Boon, H. & Moher, D. (2009). Interprofessional collaboration within Canadian integrative healthcare clinics: Key components. Social Science & Medicine, 69(5):707-15.
Goldman, J., Meuser, J., Rogers, J., Lawrie, L. & Reeves, S. (2010). Interprofessional collaboration in family health teams: An Ontario-based study. Canadian Family Physician, 56(10): e368-74.
Goldman, J., Zwarenstein, M., Bhattacharyya, O. & Reeves, S. (2009). Improving the clarity of the interprofessional field: implications for research and continuing interprofessional education. Journal of Continuing Education in the Health Professions, 29:151-6.
Heinneman, G. D. (2002). Teams in health care settings. In: Heinneman, G. D.; Zeis, A. M. editors. Team performance in health care. Kluwer Academin/Plenum Publishers, 3-18.
Jackson, J. T., Quinonez, R. B., Kerns, A. K., Chuang, A., Eidson, R. S., Boggess, K. A. & Weintraub, J. A. (2015). Implementing a prenatal oral health program through interprofessional collaboration. Journal of Dental Education,79(3):241-8.
Locker, D., Jokovic, A. & Clarke, M. (2004). Assessing the responsiveness of measures of oral health‐related quality of life. Community Dentistry and Oral Epidemiology, 32:10-18.
Martínez-Beneyto, Y., Montero-Martin, J., Garcia-Navas, F., Vicente-Hernandez, A., Ortiz-Ruiz, A. J. & Camacho-Alonso, F. (2019). Influence of a preventive program on the oral health-related quality of life (OHRQoL) of European pregnant women: a cohort study. Odontology,107(1):10-16.
Matuda, C., Pinto, N. R. S., Martins, C. L. & Frazão, P. (2015). Interprofessional collaboration in the Family Health Strategy: implications for care production and work management. Ciência & Saúde Coletiva, 20(8):2511-21.
Morgan, D. (1998). Practical strategies for combining qualitative and quantitative methods: Applications to health research. Qualitative Health Research;8(3), 362-76.
Morin, E. (2004). [The Well-Made Head: Rethinking Reform, Reforming Thought]. (9a ed.), Bertrand Brasil.
Musskopf, M. L., Milanesi, F. C., Rocha, J. M. D., Fiorini. T., Moreira, C. H. C., Susin, C., Rösing, C. K., Weidlich, P. & Oppermann, R. V. (2018). Oral health related quality of life among pregnant women: a randomized controlled trial. Brazilian Oral Research, 32: e002.
Oliveira, B. H. & Nadanovsky, P. (2005). Psychometric properties of the Brazilian version of the Oral Health Impact Profile–short form. Community Dentistry and Oral Epidemiology, 33:307-14.
Oral Health Care During Pregnancy Expert Workgroup (2012). Oral Health Care During Pregnancy: A National Consensus Statement - Summary of an Expert Workgroup Meeting. Washington, DC: National Maternal and Child Oral Health Resource Center.
Peduzzi, M. (2001). Multiprofessional healthcare team: concept and typology. Revista de Saúde Pública, 35(1):103-109.
Ramos, H. A. C. & Cuman, R. K. N. (2009 ). [Risk factors for prematurity: documentary research]. Escola Anna Nery, 13(2):297-304. [in Portuguese]
Reeves, S., Xyrichis, A. & Zwarenstein, M. (2018). Teamwork, collaboration, coordination, and networking: Why we need to distinguish between different types of interprofessional practice, Journal of Interprofessional Care, 32:1, 1-3.
Rocha, J. S., Arima, L., Chibinski, A. C., Werneck, R. I., Moysés, S. J. & Baldani, M. H. (2018). Barriers and facilitators to dental care during pregnancy: a systematic review and metasynthesis of qualitative studies. Cadernos de Saúde Pública, 34(8):e00130817.
Santos, M. M. A. S., Baião, M. R., Barros, D. C., Pinto, A. A., Pedrosa, P. L. M. & Saunders, C. (2012). [Pre-gestational nutritional status, maternal weight gain, prenatal care conditions, and adverse perinatal outcomes among adolescent postpartum women]. Revista Brasileira de Epidemiologia, 15(1):143-54. [in Portuguese].
Shanbhag, S., Dahiya, M. & Croucher, R. (2012). The impact of periodontal therapy on oral health-related quality of life in adults: a systematic review. Journal of Clinical Periodontology, 39(8):725-35.
Sinclair, L. B., Lingard, L. A. & Mohabeer, R. N. (2009). What’s So Great About Rehabilitation Teams? An Ethnographic Study of Interprofessional Collaboration in a Rehabilitation Unit. Archives of Physical Medicine and Rehabilitation, 90:1196-201.
Sullivan, T. J. Collaboration. (1998). A health care imperative. New York: McGraw-Hill.
Tavares, M. S. (2015). [Conversation Wheel Between Women: Complaints about the Inapplicability of the Maria da Penha Law in Salvador/BA and Disbelief in Justice]. Estudos Feministas;23(2):547-59. [in Portuguese].
Torchin, H. & Ancel, P. Y. (2016). [Epidemiology and risk factors of preterm birth]. Journal de Gynécologie, Obstétrique et Biologie de la Reproduction,45(10):1213-30. [in French].
World Health Organization. (2010). Framework for Action on Interprofessional Education and Collaborative Practice. Genebra: WHO/HRH/HPN/10.3. Retrieved from http://www.who.int/hrh/nursing_midwifery/en/.
Zwarenstein, M., Goldman, J. & Reeves, S. (2009). Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes. Cochrane Database Systematic Reviews, 8(3) CD000072.
Zwarenstein, M., Reeves, S. & Perrier, L. (2005). Effectiveness of pre-licensure interdisciplinary education and post-licensure collaborative interventions. Journal of Interprofessional Care, 19(Suppl 1):148-65.
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