Environmental Factors Influencing Adoption of Canadian Guidelines on Smoking Cessation in Dental Healthcare Settings in Quebec: A Qualitative Study of Dentists’ PerspectivesReportar como inadecuado


Environmental Factors Influencing Adoption of Canadian Guidelines on Smoking Cessation in Dental Healthcare Settings in Quebec: A Qualitative Study of Dentists’ Perspectives


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1

Centre de Recherche du CHU de Québec CRCHUQ—Hôpital St-François d’Assise, Québec, QC G1L 3L5, Canada

2

Faculty of Nursing, Laval University, Quebec, QC G1L 3L5, Canada

3

Faculty of Dental Medicine, Laval University, Quebec, QC G1L 3L5, Canada





*

Author to whom correspondence should be addressed.



Academic Editor: Patrick R. Schmidlin

Abstract Background: This study aimed to understand dentists’ perspective of the environmental determinants which positively or negatively influence the implementation of Canadian smoking cessation clinical practice guidelines 5As: Ask-Advise-Assess-Assist-Arrange in private dental clinics in Quebec. Methods: This study used a qualitative design and an integrative conceptual framework composed of three theoretical perspectives. Data collection was conducted in individual semi-directed interviews with 20 private dentists lasting between 35 and 45 min. The audio-recorded data were transcribed verbatim, followed by a directed content analysis. Results: Some of the barriers identified to counselling in smoking cessation were lack of time, patient attitude, lack of prescription of nicotine replacement therapies, lack of reimbursement, and the lack of training of the dental team. Enablers cited by participants were the style of dentist’s leadership, the availability of community, human and material resources, the perception of counselling as a professional duty, and the culture of dental medicine. In addition to these variables, dentists’ attitude and behaviour were affected by different organisations giving initial or continual training to dentists, governmental policies, and the compatibility of Canadian smoking cessation guidelines with the practice of dentistry. Conclusion: Our findings will inform the development of smoking cessation interventions in dental healthcare settings. View Full-Text

Keywords: clinical practices guidelines; smoking cessation; dentists clinical practices guidelines; smoking cessation; dentists





Autor: Pascaline Kengne Talla 1,* , Marie-Pierre Gagnon 1,2 and Aimée Dawson 3

Fuente: http://mdpi.com/



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