Ross, A. , Sherriff, A. , Kidd, J., Gnich, W., Anderson, J.E., Deas, L. and Macpherson, L. (2018) A systems approach using the functional resonance analysis method to support fluoride varnish application for children attending general dental practice. Applied Ergonomics, 68, pp. 294-303. (doi: 10.1016/j.apergo.2017.12.005) (PMID:29409648)
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Abstract
Background: All children attending General Dental Practice in Scotland are recommended to receive twice-yearly applications of sodium fluoride varnish to prevent childhood caries, yet application is variable. Development of complex interventions requires theorizing and modelling to understand context. This study applies the Functional Resonance Analysis Method (FRAM) to produce a sociotechnical systems model and identify opportunities for intervention to support application. Methods: The FRAM was used to synthesise data which were: routine monitoring of fluoride varnish application in 2015/16; a longitudinal survey with practitioners (n= 1090); in-depth practitioner and key informant interviews (n= 43); and a ‘world café’ workshop (n= 56). Results: We describe a detailed model of functions linked to application, and use this to make recommendations for system-wide intervention. Conclusions: Rigorous research is required to produce accessible models of complex systems in healthcare. This novel paper shows how careful articulation of the functions associated with fluoride varnish application can support future improvement efforts.
Item Type: | Articles |
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Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Sherriff, Professor Andrea and Kidd, Dr Jamie and Deas, Dr Leigh and Gnich, Dr Wendy and Macpherson, Professor Lorna and Ross, Dr Alastair |
Authors: | Ross, A., Sherriff, A., Kidd, J., Gnich, W., Anderson, J.E., Deas, L., and Macpherson, L. |
College/School: | College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Dental School |
Research Group: | Community Oral Health |
Journal Name: | Applied Ergonomics |
Publisher: | Elsevier |
ISSN: | 0003-6870 |
ISSN (Online): | 1872-9126 |
Published Online: | 26 December 2017 |
Copyright Holders: | Copyright © 2017 The Authors |
First Published: | First published in Applied Ergonomics 68:294-303 |
Publisher Policy: | Reproduced under a Creative Commons License |
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