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- Herausgeber: John Wiley & Sons
- Kategorie: Fachliteratur
- Serie: How To (Dentistry)
- Sprache: Englisch
Documents the challenges, benefits, and progression opportunities of a career in dental nursing How to Develop Your Career in Dental Nursing provides practical information on how to progress your career in dental nursing. Guidance is included throughout, and the reader should use the book to make informed decisions and conduct further research for the benefit of their own career. The book considers the historical context, along with reviewing the current position of dental nursing and considering the future of the field, all with the overarching theme of helping dental nurses further their career in modern dentistry. Topics covered include: * Dental Nursing from a profession and social context, as well as gender perspectives * Differences in dental nursing worldwide * Formal and informal training and education * Pros and cons for dental nurses and dentistry as the profession has developed * The impact of working in a modern environment * How dental nurses can become agents for change * Dental nursing as an academic versus vocational endeavor Written by highly qualified authors, How to Develop Your Career in Dental Nursing is an invaluable resource for Dental Nurses, as well as students beginning their professional journey.
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Seitenzahl: 239
Veröffentlichungsjahr: 2023
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Table of Contents
Cover
Title Page
Copyright Page
Dedication Page
About the authors
Foreword
Preface
Acknowledgements
Chapter 1: Introduction
References
Chapter 2: Early history of dental nursing
The nineteenth century
The twentieth century
Role of the world wars
Women in employment – twentieth and twenty‐first centuries
The twenty‐first century
References
Chapter 3: The rise of the profession
North America
New Zealand
Canada
United Kingdom
Republic of Ireland
Europe
Australia
Worldwide
References
Chapter 4: Training and qualifications
Professional registration and dental nurse qualifications
Dental nursing qualifications
Additional duties
Impact of registration and education
Continuing professional development (CPD)
Reflective practitioner
References
Chapter 5: Career development
Clear understanding of self
Knowledge of the dental landscape
Conditions of success
Lead roles
Other opportunities
Examples of career pathways
Shape of your career
Developing a professional portfolio
Curriculum vitae design
Promoting yourself
References
Chapter 6: The future
The world outside dentistry
The future of dentistry
The profession of dental nursing
Individual dental nurses
Thoughts on future training
The advanced dental nurse practitioner
Twenty‐first century skills
Examples to build your working portfolio and progress your career
References
Chapter 7: Discussion and conclusions
References
Appendix 1: Timeline of important events in dentistry in the UK
Index
End User License Agreement
List of Tables
Chapter 2
Table 2.1 Highlights in the history of dentistry.
Table 2.2 UK census by year, search term ‘dental nurse’, by age and marital...
Table 2.3 UK census: individuals reported as working in the dental industry...
Chapter 3
Table 3.1 Basic dental nurse duties comparison – North America, Canada and ...
Chapter 4
Table 4.1 Additional duties, adapted from GDC Scope of Practice document.
Table 4.2 Initial CPD requirements adapted from GDC (2008).
Table 4.3 Current CPD requirements adapted from GDC (2017).
Table 4.4 GDC development outcomes.
Chapter 6
Table 6.1 Technological advances (a few).
Table 6.2 Portfolio career ideas.
List of Illustrations
Chapter 2
Figure 2.1 Infection control progression linked to major infections.
Chapter 4
Figure 4.1 Updated ECPD scheme.
Chapter 5
Figure 5.1 Dental nurse clinical opportunities.
Figure 5.2 Lead clinical roles in primary care.
Figure 5.3 Non‐clinical and academic roles.
Figure 5.4 Career progression within a dental school.
Figure 5.5 Dental settings.
Figure 5.6 Climbing frame.
Figure 5.7 The ladder.
Chapter 6
Figure 6.1 Our careers – 40 years.
Figure 6.2 Future impacts across dentistry.
Figure 6.3 Career pathways for dental professionals.
Figure 6.4 Career opportunities.
Figure 6.5 Being the full package.
Figure 6.6 Impacts on individual dental nurses.
Guide
Cover Page
Title Page
Copyright Page
Dedication Page
About the authors
Foreword
Preface
Acknowledgements
Table of Contents
Begin Reading
Appendix 1 Timeline of important events in dentistry in the UK
Index
Wiley End User License Agreement
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How to Develop Your Career in Dental Nursing
Janine Brooks MBE, DMedEth, MSc, FFGDP(UK), MCDH, DDPHRCS, BDS, FAcadMEd
CEO of Dentalia Coaching and Training Consultancy, co-founder of Dental Mentors UK and registration assessment panellist for the General Dental Council
Fiona Ellwood BEM, MEd LM, PG Cert HF/E, PG Cert PH, PG Cert DMent, BA (Hons) Ed S, (Hon) FFGDP, former FDTF RCS (Ed), MAadMEd, NSCTS practitioner, mental health first aider
Specialist expert advisor at Bangor University, education associate and registration panel member for the General Dental Council
This edition first published 2023© 2023 John Wiley & Sons Ltd
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Library of Congress Cataloging‐in‐Publication Data applied forISBN: 9781119861706; ePDF: 9781119861713; epub: 9781119861720; oBook: 9781119861737
Cover Design: WileyCover Image: © Feodora/Adobe Stock Photos
‘… We shall not cease from explorationAnd the end of all our exploringWill be to arrive where we startedAnd know the place for the first time.’
T.S Eliot (1888–1965)
Dedication
To all those early dental nurses who paved the way for today. To all the dental nurses of today who are paving the way for the future of the profession. Be proud.
About the authors
Fiona Ellwood BEM
General Dental Council registrant and mental health wellness campaigner
MEd LM, PG Cert HF/E, PG Cert Public Health, PG Cert Mentoring in Dentistry, BA (Hons) Ed S, PG Cert Ed (PGCE), (Hon) FFGDP (UK), FDTF (RCS Ed) IAM and RSPH fellowships, NCSCT practitioner, doctoral student, trustee of Dentaid
Fiona is a member of the Executive Board and elected President 2019–22 of the Society of British Dental Nurses, leading on Education Governance and Quality Assurance with a special interest in public health matters. She is the Immediate Past Chair of the National Oral Health Promotion Group and is a key opinion leader and an advisor. She writes extensively for a number of journals. Fiona has been a dental nurse for 37 years, although she first entered the field 40 years ago. She speaks nationally and internationally on related topics. She is immensely proud to have been involved in the Scottish Dental Clinical Effectiveness Programme (SDCEP) research during the pandemic and many key stakeholder meetings.
Fiona is a trained and practising mentor and mental health first aider, with many years of experience. She has studied and been successful at Masters level and is a doctorate student. She is a subject expert at Bangor University, Wales, and part of the innovative work that is rethinking and redesigning dental education and training. Fiona is an external examiner in the Republic of Ireland and is a member of the Human Factors Advisory Board. She is co‐chairing a four‐nation mental health wellness framework for adoption in primary and secondary care, across all dental professional groups, having gained the support of chief dental officers and the Royal Colleges, as well as the regulators.
In 2019 Fiona was appointed to the Interim Education Advisors Board, RCS Edinburgh, and represents the Dental Dean on the One Voice work; she is also a regional ambassador for RCS Edinburgh. She was the first dental care professional to receive an honorary fellowship from the FGDP (UK) RCS England and one of the first to be awarded the fellowship of the Faculty of Dental Trainers, RCS Edinburgh. Fiona was also privileged to be appointed the (Hon) Vice President of the British Society of Dental Hygiene and Therapy (BSDHT). Fiona is a former President of the British Association of Dental Nurses and an examiner for the National Examining Board of Dental Nurses and the Oral Health Education Examining Board.
Fiona is an education associate for the GDC and a member of the Registration Panel; she has also advised for Quality and Qualifications Ireland (QQI) Republic of Ireland. She is a trustee at Dentaid and supports the Mouth Cancer Foundation on education matters. To this end, she has also been working on an implementation programme for sustainable oral health in Nepal via RCS Edinburgh. Fiona has been instrumental in setting up the Dental Professional Alliance, a group where all dental care professional presidents meet to discuss matters of interest and to work together when the need arises. She is also proud to have brought to fruition the ‘SafeSpace’ initiative for dental nurse students.
In June 2019 Fiona was awarded the British Empire Medal in the Queen’s Birthday Honours for her contribution to dentistry. On 12 March 2021, Fiona was very proud to co‐announce the launch of the International Federation of Dental Assistants and Nurses in which she, on behalf of the Society of British Dental Nurses, has played an instrumental part.
In 2021 she was presented with an award from the NEBDN for her contribution to dental nurse education and spoke on advocacy for the British Fluoridation Society. Fiona is currently a co‐investigator as part of an NIHR research project with Newcastle University.
Dr Janine Brooks MBE
DMed Eth, MSc, FFGDP(UK), MCDH, DDPH(RCS), BDS, FAcadMEd, CEO of Dentalia Coaching and Training Consultancy, Director of the Dental Coaching Academy, co‐founder of Dental Mentors UK, private coach and mentor (Remediation, Career and Personal Development), registration assessment panellist for the General Dental Council, trustee of the Dentists’ Health Support Trust, expert witness, trustee of the NHS Retirement Fellowship and honorary fellow, Society of British Dental Nurses.
Janine enjoys a portfolio career working across a number of roles and organisations. Themes running through her work include education, mentoring and coaching. She launched her own coaching and training consultancy, Dentalia, in July 2011, providing coaching and mentoring to dental professionals and a broad range of education and training topics. She writes extensively and has published several books, plus a number of articles and papers over the years.
Janine qualified from University of Birmingham dental school in 1983 and spent 19 years working as a community dentist in Herefordshire and Warwickshire before taking on national roles. She has Masters degrees in community dental health and health informatics and a doctorate in medical ethics. Since 2011 she has been a sole trader and has enjoyed expanding her portfolio of work. Her main interests lie in bio‐ethics, professionalism, leadership in dentistry and mentoring.
Janine was thrilled to receive an MBE for services to dentistry in 2007.
Fiona and Janine share a deep interest in education and training within dentistry – their paths initially crossed whilst working with National Vocational Qualifications. The history and development of dental nursing is another area of shared interest for them.
Foreword
Janine and Fiona have set out to spotlight the development and changes in dental nursing over the last 150 years. In this book, they not only capture the history of dental nursing, they also share comparisons of progress, inside and outside the United Kingdom, and celebrate success. So often information or comment on dental nursing is integrated to texts on dentists so it was pleasing to read their ‘focused’ approach.
When I reflect on the detailed timelines they have constructed, I was reminded of the term ‘living memory’. In the early 1980s, when I qualified, the acronym ‘DSA’ and the phrase ‘The Girls’ were common parlance in dental surgeries and practices in reference to dental team members. In my early career, I was an associate dentist in a branch practice with a young unqualified dental assistant. I turned to Fiona to help me engage this young, willing woman to train, develop and qualify. I could not believe what was involved – not only in specific clinical tasks but in background reading and knowledge. Good grounding to be involved with the Greater Manchester team organising the first course for dental nurses in England to apply fluoride varnish in Salford three decades later. Dental nurses must now be viewed and respected as assets to dentistry and patients, not just employees ‘assisting with specific tasks’ in surgeries. I think this book will lead readers to that conclusion.
Disease experience and patient values are changing. There is an increasing emphasis on a preventive and personalised approach to dental care provision. Why is it taking so long for dental nurses to gain career development opportunities, structure and reward in clinical posts? The authors celebrate successes. A growing number of dental nurses have progressed their careers and been appointed to senior leadership positions, often due to their experience and responsibilities outside the clinical environment. I witnessed the high regard and respect that dental nursing skills and knowledge attracted outside dentistry when some were redeployed in the COVID‐19 pandemic to intensive treatment units, general wards and vaccination centres. Fiona and Janine’s book reminds us that it is time for the profession as a whole to put in place measures that will allow greater opportunity for career progression within the clinical sphere of dentistry and beyond.
Fiona has worked untiringly to raise the profile of dental nurses and steer career pathways and opportunities, with many still to come. Janine has worked tirelessly on personal development, coaching and workforce development in her distinguished career. She and Fiona remind us in this book that we must learn from what has gone before. Despite the acknowledged challenges within the dental system, and in the NHS dental contracting environment in particular, there are no two people better placed than the authors to take the ‘how to do it’ discussion on career progression, respect and reward for clinical dental nurses forward. I agree with their assumption that dental nurses who qualify in 2023 will be very different from dental nurses who are about to retire. I look forward to the sequel to this book!
Colette Bridgman MBERetired Consultant in Dental Public HealthCDO Wales 2016–2021
Preface
When the idea for this book was first conceived, we wanted to write about a topic that was dear to both our hearts – dental nurses. We felt that while there were books that included dental nurses, there were few that majored on them. We were also conscious that the history of dental nurses was not always well appreciated, even by those within the profession. We are advocates for the value that dental nurses bring to the dental team and for their advancement to expand their role to undertake expanded duties.
It sometimes takes time before it’s possible to write about something and both Janine and Fiona have certainly served time within dentistry. From early on in their careers, they showed their support and encouragement for the advancement of dental nurses. Fiona began working as a dental nurse back in 1979, the same year that Janine entered University of Birmingham dental school. However, it was not until 2000 that their paths crossed in Nottingham. They were both working with National Vocational Qualifications, Fiona as an internal verifier and Janine as an external verifier.
Their history of working with dental nurse qualifications goes back further than that. Janine was an examiner for the NEBDN Dental Nurse qualification from 1986. She also introduced an evening class for trainee dental nurses to prepare for their examination. She taught on the course and guided about 50 dental nurses to successful completion. She continued her interest with dental nurse education when she was part of the team who developed and introduced the Foundation Degree for Dental Nursing at the University of Northampton. For about 20 years Janine worked clinically in community dentistry, treating special needs adults and also honing her general management skills. More recently, she launched her own consultancy and training business, Dentalia, providing postqualification training and education alongside coaching and mentoring.
Fiona was a practising dental nurse in the Lake District and moved to Manchester where she eventually pursued her dental nursing career and qualification. Having completed her qualification, she began training and mentoring student dental nurses as a senior dental nurse. One student led to another and education became a key component of her work. Over the years, she has taught many dental nurses across a number of different courses and levels of qualifications, at one point running a dental nurse training business. She too was an examiner for the NEBDN for both the primary qualification and the oral health examinationm and a tutor and internal verifier for the City and Guilds programme where she took pride in supporting other dental nurses. Fiona went on to develop the Foundation Degree at Chester University and co‐lead on several of the modules. Since then, Fiona has taken on mentorship roles to support dental nurses in becoming tutors and has acted as a supervisor for a number of dental nurses undertaking higher education qualifications. In 2017 Fiona joined the University of Bangor and with colleagues developed the first Welsh dental nursing qualifications, at levels 3 and 4. More recently, she has been leading projects which help dental nurses make good career choices and has acted as a facilitator for international collaboration work. Fiona has been instrumental as a founder of the Society of British Dental Nurses and a co‐founder of the International Federation of Dental Assistants and Dental Nurses, always placing dental nurses at the heart of everything she does.
Both Fiona and Janine have been educational associates for the General Dental Council for a number of years, a quality assurance role working with providers of dental education and training. We have worked both clinically and in national, strategic positions, allowing us to develop a broader overview of the profession. This has greatly enlarged our personal networks, which have proved extremely useful in gathering information for the book.
We have built upon these years of experience and expert knowledge in the writing of the book. We hope it will spark an interest within readers to look more deeply at the profession of dental nursing and the potential it offers as we move into the future. This is not just a look back on important history, it is also an analysis of what we have today, in the form of opportunities for career advancement. Even more than that, we have scanned the horizon to try to open a window on the future.
We have offered a great deal of food for thought throughout the book and have an eye on the future too – there are other actors who can help to enable dental nurses to reach new heights and be the professionals that they aspire to be. We still have a long way to go and perhaps this book simply scratches the surface. However, we hope that it will be a catalyst to stimulate debate, provoke high‐level discussions and ultimately bring about transformation and change.
Acknowledgements
Foremost, we would like to express our gratitude to a number of colleagues for their encouragement, guidance and insight as each chapter unfolded and without whom the chapters would have had a much narrower focus.
We would like to thank Robynn Rixse BS, CDA, EFDA, MADAA, FAADOM, CDIPC, the former president of the American Dental Assistants Association, who guided us through the world of dental assisting in America and helped to navigate the way through the comparative clinical activity and qualifications.
We would also like to thank Stephanie Kavanagh, former Executive Director of the Canadian Dental Assistants Association, for her direction and guidance as we unpicked the world of dental assisting in Canada. Additional thanks goes to both Robynn and Stephanie for their part in the evolution of the International Federation of Dental Assistants and Dental Nurses.
This book could not have been completed without the kindness of Helen Nield, Head of Library and Knowledge Services of the British Dental Association, Stanley Gelbier, emeritus professor of dental public health at King’s College London, Brian Williams of the Lindsay Society and Paul Langmaid, former Chief Dental Officer of Wales and trustee of the Dentists’ Health Support Trust.
A further thank you goes to all those colleagues who have answered endless questions and provided insight into their view of dentistry and dental nursing.
Finally, we would like to thank Colette Bridgman, former Chief Dental Officer of Wales and consultant in dental public health, for her generous foreword. Throughout her extensive career, she not only recognised the skills and abilities of dental nurses, but also ensured change happened and left doors open for others to continue in the same vein, as she retired in July 2021.
Chapter 1Introduction
‘The farther backward you can look, the farther forward you can see.’
Winston Churchill (Smith 2021/Winston Churchill)
What a great sentiment from Winston Churchill. We hope we can do justice to the quote as we look back on the growth of dental nursing and shine a spotlight on both the past and the present, whilst importantly pointing to the future.
Both of us have been fortunate to enjoy long careers in dentistry, Fiona as a dental nurse and Janine as a dentist. Even after 40 years, we continue to enjoy our work. Our paths first collided when we were both involved in National Vocational Qualifications (NVQ) and since then we have often found ourselves working on similar aspects of dentistry. It has been a pleasure working together to write this book and we both feel it is important to bring together the history of dental nursing, both ancient and modern. Building on the history, we discuss the modern landscape of dental nursing and bring in a flavour of the profession across the globe. We hope we can speak to an interest within the reader for this important and sometimes less well‐covered member of the dental family.
We aim to explore the history, current position and possible futures for individual dental nurses and the profession of dental nursing within dentistry in the UK and worldwide. Social and gender considerations will be included as well as the position of dental nursing within dentistry as a whole. An important aspect will be the role of dental nursing and how this has changed over time. We hope to present a retrospective account of dental nursing over time, consolidate that into the current perspective and to open minds and thoughts in taking the profession forward into the future.
The book has been structured into seven chapters. This introductory chapter introduces the topics and issues which will be more deeply discussed in each subsequent chapter. In Chapter 2, the history of dental nursing and the dental nurse from early history to the present day will be explored. This sets the scene for the profession as we see it in the twenty‐first century. Next, the current situation worldwide will be outlined and discussed. This is followed by chapters on training and qualifications; career development opportunities; followed by horizon scanning for the future. The final chapter will cover discussion and conclusions.
We are keen that the book celebrates dental nursing and recognises the considerable achievements that have been made over the past 125 years. It is true that there have been obstacles along the way and the current situation is far from perfect, but we do not want to forget that progress builds on the past. Dental nurses of the twenty‐first century stand on the shoulders of those who went before.
Dental nurses, currently and historically, generally assist clinicians and have very little true clinical autonomy, but there are signs that this is changing. Since mandatory registration with the General Dental Council (GDC) in 2008, dental nurses take full responsibility for their own professionalism. They must conform to the same ethical principles as all categories of dental professional (GDC 2013). Within this book, the role of the dental nurse as we know it now and the earlier perspectives will be unveiled and the changes over the years examined. Key milestones will be highlighted with a view to the future in mind.
It is clear to see that the role and position of dental nursing has changed over time and particularly since mandatory registration was introduced in the UK. However, this is not the same for dental nurses in North America and Canada nor indeed other countries who recognise the role of the dental nurse. Change has occurred across the globe but not always in the same manner. We will highlight some of these differences in Chapter 3.
Dental nurses hold a crucial role within the dental profession and society of the UK. They are often seen by patients as the bridge between themselves and the dental surgeon. It is usually the dental nurse that greets the patient in reception and guides them into the
