Implementing and evaluating the effectiveness of an oral health module for the bachelor of midwifery program at an Australian university

Ajesh George; Ariana C Kong; Amy Villarosa; Margaret Duff; Athena Sheehan; Elaine Burns; Holly Priddis; Clarity Chua; Hannah G Dahlen

doi:10.1016/j.nedt.2020.104457

Implementing and evaluating the effectiveness of an oral health module for the bachelor of midwifery program at an Australian university

Nurse Educ Today. 2020 Apr 29:90:104457. doi: 10.1016/j.nedt.2020.104457. Online ahead of print.

Authors

Ajesh George¹, Ariana C Kong², Amy Villarosa³, Margaret Duff⁴, Athena Sheehan⁵, Elaine Burns⁶, Holly Priddis⁷, Clarity Chua⁸, Hannah G Dahlen⁹

Affiliations

¹ Centre for Oral Health Outcomes and Research Translation (COHORT), School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia; South Western Sydney Local Health District, Liverpool, NSW 2170, Australia; Ingham Institute for Applied Medical Research, Liverpool, NSW 2170, Australia; School of Dentistry, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW 2006, Australia; Translational Health Research Institute, Campbelltown, NSW 2560, Australia. Electronic address: a.george@westernsydney.edu.au.
² Centre for Oral Health Outcomes and Research Translation (COHORT), School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia; South Western Sydney Local Health District, Liverpool, NSW 2170, Australia; Ingham Institute for Applied Medical Research, Liverpool, NSW 2170, Australia. Electronic address: ariana.kong@westernsydney.edu.au.
³ Centre for Oral Health Outcomes and Research Translation (COHORT), School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia; South Western Sydney Local Health District, Liverpool, NSW 2170, Australia; Ingham Institute for Applied Medical Research, Liverpool, NSW 2170, Australia. Electronic address: amy.villarosa@westernsydney.edu.au.
⁴ School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia. Electronic address: M.Duff@westernsydney.edu.au.
⁵ School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia. Electronic address: A.Sheehan@westernsydney.edu.au.
⁶ School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia. Electronic address: E.Burns@westernsydney.edu.au.
⁷ School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia. Electronic address: H.Priddis@westernsydney.edu.au.
⁸ Centre for Oral Health Outcomes and Research Translation (COHORT), School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia.
⁹ Ingham Institute for Applied Medical Research, Liverpool, NSW 2170, Australia; School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia. Electronic address: H.Dahlen@westernsydney.edu.au.

PMID: 32388200
DOI: 10.1016/j.nedt.2020.104457

Abstract

Objective: Although guidelines recommend antenatal care providers such as midwives promote oral health during pregnancy, oral health training is not routinely provided in undergraduate midwifery curricula. The aim of this study was to implement an oral health module into an Australian undergraduate midwifery program, and evaluate its effectiveness in improving the oral health knowledge and confidence of midwifery students.

Design: Pre-test post-test study (2015-2017).

Setting: An undergraduate midwifery program within an Australian university.

Participants: All first-year undergraduate midwifery students enrolled in two core units at the above university (N = 56).

Methods: Oral health modules were implemented into each of the two core units within the first year of the Bachelor of Midwifery course. Changes in knowledge and confidence were measured using a standardised questionnaire, administered at baseline, immediately following module completion, and at 2 and 3 years following module completion.

Results: 44 students participated in the baseline survey (79% response rate), of which 41 completed the first post-module questionnaire, 21 completed the second post-questionnaire, and 24 completed the third post-questionnaire. Knowledge scores significantly increased from baseline (mean 13.12) to follow-up (mean 17.78, p < 0.001), with increases being retained through to the 3-year mark (mean 18.29, p < 0.001). Confidence scores also showed a sustained increase following the module, particularly regarding introducing oral health in the first antenatal appointment (62.1% increase, p < 0.001) and referring pregnant women to a dentist (48.2% increase, p < 0.001). However, the 48.2% increase (p < 0.001) in confidence in conducting a visual mouth check on a pregnant woman following the module was not sustained at subsequent time points, reducing to a 31.5% increase (p = 0.118) by the third year post-module.

Conclusions: The module is effective in improving and sustaining the knowledge and confidence of midwifery students to promote maternal oral health. Ongoing updates may be required to keep confidence high regarding visual mouth checks.

Keywords: Midwifery; Nursing; Oral health; Students; Universities.