Dental screening in schools: the views of parents, teachers and school nurses.
OBJECTIVE
To obtain insight into the views of relevant 'stakeholders' (parents, teachers and school nurses) in dental screening in schools.


METHODS
Eight schools in Chester and Ellesmere Port in the UK formed the setting of this study. A teacher from each school participated in one-to-one interviews, and focus groups for parents were carried out in each school. A focus group for school nurses working in the locality was also held. The same trained researcher undertook the interviews and focus groups; all interviews and focus groups were tape recorded, transcribed verbatim and thematically analysed independently by two trained individuals.


RESULTS
Teachers, school nurses and parents all perceived the process of negative consent and the current dental examination as acceptable. The follow up procedure for identification of screened positive children was seen as inadequate. There was a strong feeling within each group that parents were ultimately responsible for their children's oral health and that state institutions had a limited role in ensuring children attended and received dental treatment.


CONCLUSIONS
All of the groups considered it was primarily the responsibility of parents to take screened positive children to see a dentist. The NHS has limited influence on this process. This fact represents a significant challenge to improving the effectiveness of school dental screening.
Tickle
M
M
Oral Health Unit of the National Primary Care R&D Centre, University Dental School of Manchester, Higher Cambridge Street, Manchester, M15 6FH. martin.tickle@manchester.ac.uk
Milsom
K M
KM
Buchanan
K
K
Blinkhorn
A S
AS
D002648:Child; D003753:Dental Health Surveys; D005178:Faculty; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007258:Informed Consent / Q000523:psychology*; D007407:Interviews as Topic; D010290:Parents / Q000523:psychology*; D012573:School Nursing; D006113:United Kingdom