Date of Graduation

Fall 12-13-2019

Document Type

Project

Degree Name

Doctor of Nursing Practice (DNP)

College/School

School of Nursing and Health Professions

Department/Program

Nursing

Program

Family Nurse Practitioner

First Advisor

Dr. Alexa Curtis

Second Advisor

Dr. Jo Loomis

Abstract

Prevalence of early childhood caries (ECC) remains high even in developed countries such as the United States. An interprofessional education (IPE) project between University of San Francisco (USF) School of Nursing and Health Professions and the University of the Pacific (UoP), Arthur A. Dugoni School of Dentistry was initiated four years ago to enhance nurse practitioner (NP) and dental students’ pediatric oral-systemic health assessment and health promotion communication skills. Since then, USF NP students received pediatric oral health assessment training and spent clinical rotations at UoP to provide pediatric oral care alongside dental students. This doctor of nursing (DNP) project extends the established IPE by further developing the motivational interviewing (MI) training module incorporated in the IPE the previous year. The new MI module focuses in pediatric patients and parents/guardians scenarios. Laminated reference sheets listing key aspects of MI as well as the FRAMES (feedback, responsibility, advice, menu of options, empathy, and self-efficacy) model of brief intervention were part of this project. The Readiness for Interprofessional Learning Scale (RIPLS) was used as outcomes measure for the IPE activity, while surveys with both quantitative and qualitative questions were used for the MI portion. The RIPLS result is inconclusive and may improve with a bigger sample size. On the other hand, at least 65% of the dental student cohorts (n=55 and n=87) reported increased utilization and confidence in using MI techniques. The results reaffirm that either a single or repeat MI training among students result in improved patient and interprofessional communications, therefore, MI remains to be an important competency to include in future IPEs.

Keywords: motivational interviewing, MI, FRAMES, dental student, nurse practitioner student, interprofessional education, IPE, communication, pediatric oral health

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