{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T11:02:10Z","timestamp":1777806130392,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"University of California at Los Angeles School of Dentistry"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["JDR Clinical &amp; Translational Research"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>In 2011, the Institute of Medicine (IOM) recommended a minimum of 4 clinical oral health competencies for nondental professionals to promote optimal oral health, including (1) recognizing risk for oral disease through competent oral examinations and (2) making and tracking referrals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>We determined whether California school nurses (SNs) knew about specific components of the 2 IOM competencies mentioned above using 3 clinical case scenarios following the Association of State and Territorial Dental Directors Basic Screening Survey Methodology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this cross-sectional study, a 23-item pilot-tested online survey was completed by 358 active California School Nurses Organization members between April and June 2023. We conducted univariate, bivariate, and multivariable linear regression analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>For the first scenario, 61% of SNs correctly identified the condition as \u201croot tips,\u201d with 93% indicating correctly that such a case should be referred immediately. In the second scenario, almost 77% of SNs correctly identified \u201cuntreated tooth decay,\u201d with 50% correctly suggesting that a child with untreated tooth decay without dental pain should visit a dental office within several weeks. In the third scenario, almost 50% correctly identified an abscessed tooth, with 75% indicating that a child with this condition should be referred immediately. Multivariable adjusted linear regression analysis showed that SNs with a bachelor\u2019s degree or lower had significantly lower overall knowledge in accurately identifying dental conditions and choosing appropriate dental referrals ( P = 0.02).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>At least half of the participating SNs accurately identified the dental conditions and chose the appropriate dental referrals. The educational status of SNs was a strong predictor of SNs\u2019 overall knowledge of identifying oral health conditions and appropriate dental referrals. SNs, when adequately trained, can assess oral health needs and make appropriate dental referrals as part of school-linked dental programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Knowledge Transfer Statement:<\/jats:title>\n                    <jats:p>SNs can identify common dental conditions in children and appropriately refer them to a dental professional. When adequately trained, they can be a valuable resource in implementing school-linked dental programs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23800844241273782","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T03:00:32Z","timestamp":1731985232000},"page":"41S-49S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["California School Nurses\u2019 Knowledge in Identifying Common Dental Conditions and Making Appropriate Dental Referrals"],"prefix":"10.1177","volume":"9","author":[{"given":"C.","family":"Neapole","sequence":"first","affiliation":[{"name":"Dental Student, University of California at Los Angeles School of Dentistry, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Bhoopathi","sequence":"additional","affiliation":[{"name":"Associate Professor, Section of Public and Population Oral Health, University of California at Los Angeles School of Dentistry, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,11,19]]},"reference":[{"key":"bibr1-23800844241273782","volume-title":"Basic screening survey, an approach to monitoring community oral health: head start and school children","author":"Association of State and Territorial Dental Directors","year":"2022"},{"key":"bibr2-23800844241273782","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-020-00546-6"},{"key":"bibr3-23800844241273782","doi-asserted-by":"publisher","DOI":"10.1177\/1942602X09353053"},{"key":"bibr4-23800844241273782","unstructured":"California Department of Public Health. 2018. California oral health plan 2018-2028. Oral Health Program. [accessed 2023 September 15]. https:\/\/www.cdph.ca.gov\/Programs\/CCDPHP\/DCDIC\/CDCB\/CDPH%20Document%20Library\/Oral%20Health%20Program\/FINAL%20REDESIGNED%20COHP-Oral-Health-Plan-ADA.pdf ."},{"key":"bibr5-23800844241273782","unstructured":"California Department of Public Health, Office of Oral Health. 2020. School linked dental program: a guide for local dental programs. [accessed 2023 September 20]. https:\/\/oralhealthsupport.ucsf.edu\/sites\/g\/files\/tkssra861\/f\/wysiwyg\/SCHOOL%20LINKED%20DENTAL%20PROGRAM%20A%20GUIDE%20FOR%20LOCAL%20ORAL%20HEALTH%20PROGRAMS.pdf."},{"key":"bibr6-23800844241273782","unstructured":"Centers for Disease Control and Prevention. 2021. Oral health surveillance report: trends in dental caries and sealants, tooth retention, and edentulism, United States, 1999\u20132004 to 2011\u20132016. [accessed 2023 October 13]. https:\/\/www.cdc.gov\/oralhealth\/publications\/OHSR-2019-index.html."},{"key":"bibr7-23800844241273782","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2010.12.002"},{"key":"bibr8-23800844241273782","doi-asserted-by":"publisher","DOI":"10.1080\/19424396.2021.12222711"},{"key":"bibr9-23800844241273782","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12063"},{"key":"bibr10-23800844241273782","volume-title":"Mail and internet surveys: the tailored design method","author":"Dillman DA","year":"2009","edition":"3"},{"key":"bibr11-23800844241273782","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2012.05.025"},{"key":"bibr12-23800844241273782","volume-title":"Improving access to oral health care for vulnerable and underserved populations","author":"Institute of Medicine and National Research Council","year":"2011"},{"key":"bibr13-23800844241273782","doi-asserted-by":"publisher","DOI":"10.1097\/NNR.0000000000000690"},{"key":"bibr14-23800844241273782","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-0382"},{"key":"bibr15-23800844241273782","doi-asserted-by":"publisher","DOI":"10.11613\/BM.2012.031"},{"key":"bibr16-23800844241273782","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/dag016"},{"key":"bibr17-23800844241273782","volume-title":"Oral health in America: advantages and challenges","author":"National Institutes of Health","year":"2021"},{"key":"bibr18-23800844241273782","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746-1561.1999.tb06371.x"},{"key":"bibr19-23800844241273782","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12925"},{"key":"bibr20-23800844241273782","first-page":"827670","volume":"2013","author":"Salamone K","journal-title":"Nurs Res Pract"},{"key":"bibr21-23800844241273782","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300478"},{"key":"bibr22-23800844241273782","doi-asserted-by":"publisher","DOI":"10.1177\/10598405050210050901"},{"key":"bibr23-23800844241273782","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"key":"bibr24-23800844241273782","doi-asserted-by":"publisher","DOI":"10.1177\/1942602X15578455"}],"container-title":["JDR Clinical &amp; Translational Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23800844241273782","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23800844241273782","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23800844241273782","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T20:45:26Z","timestamp":1777495526000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23800844241273782"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":24,"journal-issue":{"issue":"1_suppl","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1177\/23800844241273782"],"URL":"https:\/\/doi.org\/10.1177\/23800844241273782","relation":{},"ISSN":["2380-0844","2380-0852"],"issn-type":[{"value":"2380-0844","type":"print"},{"value":"2380-0852","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]}}}