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DH Practice Philosophy - Coggle Diagram

- - - - Individual needs determine the treatment plan.
      - If the dentist's treatment plan is unclear, I decide how much effort to give.
      - The patient has to do their part.
      - There needs to be honesty between the hygienist and the patient which will develop trust.
      - Patient education improves outcomes.
      - Patients need guidance to make good decisions.
      - Patients make good good decisions when they have knowledge.
      - Treatment recommendation changes how I do things, but I don't follow all the recommendations.
      - I support patient centered goals even when I don't agree.
      - I alter my expectations based on what I know about the patient.
      - Patients need knowledge before we can be a good team.
      - It's best when patients take control of their health and I just support; assist.
      - I support patients in achieving their health goals.
      - Patients receive information better when it is formatted specifically for them.
      - what patients do at home matters most.
      - Good care also requires knowledge about a patient’s personal situation.
      - All treatment options should be discussed with the patient.
      - There is not enough time during appointments to inform patients about oral hygiene.
      - During an appointment, there is not enough time to discuss all the treatment options with the patient.
      - I dislike clinical guidelines preferring to make my own decisions.
      - Clinicians must speak to each patient as an individual.
      - It’s mt responsibility to give people the tools to make good choices and avoid problems.
      - It’s their mouth I just try and help them as much as I can.
      - There is not enough time during appointments to inform patients about oral hygiene (Repetition).
      - You’ve got to speak to each patient as an individual
  - - - • Hygienists recommend treatment, but the dentist approves it (Supports Justice by adhering to established hierarchy/roles).
      - • Dental hygienists must plan to help those who need it most (Directly supports equitable distribution and universalism).
      - • Dentists should diagnosis periodontal disease (Supports Justice by maintaining traditional professional role boundaries).
      - • If it's too expensive I alter recall frequency to meet reality (Supports Justice by adapting care to available resources and financial reality).
      - • The dentist makes new product recommendations and treatment modalities (Supports Justice by adhering to established processes).
      - • I am paid to treat disease and not to provide prevention (A strong, albeit traditional, positive alignment with the existing economic distribution structure).
      - • I would do prevention only if I was properly paid for the time it takes (A strong positive alignment with Self-Enhancement and perceived professional compensation/fairness).
      - Mild Positive (1 Statement)
      - • When time is limited, I do what I can (Acceptance of resource limits, a mild reflection of Justice by managing constraints).
      - Mild Negative (1 Statement)
      - This statement expresses a barrier related to cost that impacts who receives care:
      - • Patients don’t want to pay for oral hygiene advice (Highlights an economic barrier that impedes fair distribution of information/care).
      - Strong Negative (5 Statements)
      - These statements highlight significant issues regarding the unequal or unfair distribution of time and resources, or unfair conditionality in receiving care:
      - • Patients must demonstrate good oral hygiene before being allowed to begin treatment (Strong Negative reflection on Justice, imposing conditions on who receives the benefit of care).
      - • It is not worth offering prevention to un-motivated patients (Strong Negative reflection on Justice, as it makes resource allocation conditional based on predicted success/effort, aligning with professional Self-Enhancement).
      - • There is not enough time during appointments to inform patients about oral hygiene (A clear resource constraint that violates the requirements of Justice).
      - • During an appointment, there is not enough time to discuss all the treatment options with the patient (A clear resource constraint that violates the requirements of Justice).
      - • There is not enough time during appointments to inform patients about oral hygiene (Repetition of the resource constraint, classified again as Strong Negative).
  - - - • Examples of Strong Positive Beneficence:
        
        ◦ Individual needs determine the treatment plan.
        
        ◦ Oral hygiene instruction is more important than calculus removal.
        
        ◦ Follow up appointments and disclosing plaque improve long term outcomes.
        
        ◦ Early intervention improves outcomes.
        
        ◦ Working collaboratively makes me a better clinician.
        
        ◦ I refer patients to medical and dental specialists when concerned more than dental hygiene is needed.
        
        ◦ Dental hygienists must look at the whole body.
        
        ◦ It is better to refer patients to specialists for complex treatment.
        
        ◦ I try to do the least invasive thing that works.
      - These statements express a positive action related to welfare, but the alignment is less direct or less impactful than those classified as strong:
      - • Dental hygiene exams offer important information for the dental exam.
      - • you have to be a bit persistent and stubborn and not give up (The professional drive [SE] is used to achieve a beneficial outcome, classified as a weak positive for B).
      - • It takes time to do quality work. (While relevant to the quality required for beneficence, the statement itself is a neutral observation about effort/time.)
      - This statement reflects a failure to fully maximize the "positive duty" required by Beneficence:
      - • I tell patients how to care for their teeth but don't always demonstrate. (Failure to fully follow through on the active duty to help.)
      - This statement represents a direct conflict where the professional's desire for success (Self-Enhancement) or resource efficiency dictates when and if Beneficence is applied, thereby limiting the positive duty to help:
      - • Patients must demonstrate good oral hygiene before being allowed to begin treatment. (Making treatment conditional limits the unconditional positive duty of Beneficence.)
  - - - • It's important to use the same terminology for continuation of care (Ensures clear communication to prevent errors).
      - • Having a universal standard of care helps me do better work (Adherence to safe, proven practices).
      - • Dental hygienists are not trained enough to diagnose periodontal disease (Refraining from action outside competence to avoid harm).
      - • After SRP patients must be monitored closely until they are healthy (Ongoing duty to prevent worsening conditions).
      - • I refer patients to medical and dental specialists when concerned more than dental hygiene is needed (Avoiding harm by referring complex issues to experts).
      - • I like to make sure that there’s evidence and research to back new products before using them in practice (Strong Conservation alignment to prevent unproven harm).
      - • I try to do the least invasive thing that works (Actively minimizing harm).
      - • A restoration is the beginning of the end for that tooth (Acknowledging inherent harm in restorative procedures, promoting prevention/less invasive approaches).
      - • I don’t want to be the first person to jump out and try new treatment (Resistance to change driven by security/avoidance of harm).
      - • As a hygienist, you should only suggest treatments that are scientifically proven.
      - Mild Positive (2 Statements)
      - These statements show a weaker or indirect alignment with preventing harm:
      - • A diagnosis makes treatment planning easier (Easier planning mildly reduces risk of error).
      - • Everybody needs to be on the same page (Cooperation mildly reduces risk of confusion/error).
      - Strong Negative (2 Statements)
      - No statements were classified as Mild Negative. The statements classified as Strong Negative concerning NM are cases where the clinician risks harm by failing to acknowledge limits or challenges established safe practice:
      - • Patient center care means compromised results (While primarily classified as a negative reflection on Autonomy/ST, if a compromise leads to a result that is professionally substandard, it risks harm, classifying it as a Strong Negative regarding NM/B).
      - • I am not knowledgeable enough to refer patients outside of dental (This lack of action and self-imposed limitation could cause significant long-term harm to the patient if a serious non-dental condition goes unaddressed, therefore it strongly violates the duty of Non-Maleficence).
- - - - • Dental hygienists should diagnose periodontal disease in general practice (Challenges established roles).
      - • Continuing education is critical to getting the best clinical outcomes (Supports readiness for change/new knowledge).
      - • If the dentist's treatment plan is unclear, I decide how much effort to give (Asserts independence of action/professional autonomy).
      - • Dental hygienists are really good at diagnosing periodontal disease (Challenges traditional constraints).
      - • Early intervention improves outcomes (Readiness to adopt proactive, sometimes newer, strategies).
      - • Treatment recommendation changes how I do things, but I don't follow all the recommendations (Emphasizes independence of thought/action).
      - • Dental hygienists have to do more than splash a little fluoride around (Advocacy for expanding scope/change).
      - • Dental hygienists must look at the whole body (Expanding traditional boundaries/scope).
      - • Dental hygienists in medical teams will improve health outcomes (Advocating for significant structural change/collaboration).
      - • The current treatment guidelines are not feasible in practice (Directly challenging the existing order/conventions).
      - • I dislike clinical guidelines preferring to make my own decisions (Strong emphasis on independence and rejection of conformity).
      - • I use continuing education to inform new treatment and product implementations.
      - Since Openness to Change is defined in direct opposition to Conservation, a statement can be strongly negative toward OC if it is strongly positive toward Conservation and explicitly expresses resistance to change or innovation that challenges the individual's role:
      - • I am not knowledgeable enough to refer patients outside of dental. (This statement implies a strong adherence to existing security and boundaries [Conservation], acting as a strong inhibitor against professional expansion or "change," thus reflecting a Strong Negative opposition to Openness to Change.)
  - - - • If the dentist's treatment plan is unclear, I decide how much effort to give (Asserting independence and determining personal effort/interest).
      - • Patients must demonstrate good oral hygiene before being allowed to begin treatment (Prioritizes professional success/efficacy by imposing conditions).
      - • Dentists value dental hygienists' unique skill set (Focus on professional achievement/recognition).
      - • Patient center care means compromised results (Prioritizing ideal professional outcome/achievement over patient interests).
      - • The time it takes to motivate the patient isn't always appreciated (Focus on personal recognition/worth).
      - • The technical aspects of the work, such as calculus removal, are satisfying (Satisfaction derived from personal technical achievement).
      - • I am paid to treat disease and not to provide prevention (Focus on personal compensation tied to traditional economic structure).
      - • It is not worth offering prevention to un-motivated patients (Prioritizing efficient use of resources based on expected success).
      - • It’s frustrating when patients aren't motivated (Frustration arising from failure to achieve desired professional outcome/success).
      - These statements show a weaker or indirect link to professional success or interest:
      - • I need to feel confident I am delivering the best treatment for the patient (Confidence [Achievement/SE] supports Beneficence).
      - • you have to be a bit persistent and stubborn and not give up (Persistence [Achievement/SE] supports action).
      - These two statements align with Self-Enhancement but are classified as strongly negative because they represent the opposing value, Self-Transcendence (ST), being prioritized over Self-Enhancement:
      - • I support patient centered goals even when I don't agree (Subordinates professional opinion/achievement to patient Autonomy/ST).
      - • I try to help but it breaks my heart when patients don’t listen (Emotional investment in others' welfare [ST] that causes personal distress, demonstrating that ST is paramount).
  - - - • It's important to use the same terminology for continuation of care (Emphasizes order and conformity).
      - • Hygienists recommend treatment, but the dentist approves it (Supports existing professional hierarchy/order).
      - • Having a universal standard of care helps me do better work (Reliance on established standards/conformity).
      - • Experience makes me confident making clinical decisions (Preservation of the past/reliance on experience).
      - • Dental hygienists are not trained enough to diagnose periodontal disease (Supports professional boundaries/security).
      - • I like to make sure that there’s evidence and research to back new products before using them in practice (Strong resistance to untested change/prioritizing security).
      - • A restoration is the beginning of the end for that tooth (Reliance on long-held wisdom/tradition regarding restorative harm).
      - • I don’t want to be the first person to jump out and try new treatment (Explicit resistance to change).
      - These statements align with Conservation through less explicit support for order or through accepting external limits:
      - • Dental hygienists should plan the treatment for periodontal disease but not diagnose it (Maintains traditional role limits).
      - • When time is limited, I do what I can (Accepts external order/constraints).
      - • There should be more guidelines for dental hygiene care (Desire for greater order/conformity, but weak in certainty).
      - No statements mapped to Conservation were classified as Neutral.
      - No statements mapped to Conservation were classified as Mild Negative.
      - Statements strongly negative toward Conservation are those that express a powerful challenge to the existing order or structure, which the statements categorized as High Openness to Change (OC) often do:
      - • If the dentist's treatment plan is unclear, I decide how much effort to give. (This reflects High OC/Low C by asserting professional independence and rejecting the mandated order of the dentist's plan, classifying it as strongly negative against the principle of Conservation).
  - - - • Individual needs determine the treatment plan.
      - • Oral hygiene instruction is more important than calculus removal.
      - • Dental hygienists must plan to help those who need it most.
      - • I support patient centered goals even when I don't agree.
      - • I refer patients to medical and dental specialists when concerned more than dental hygiene is needed.
      - • Guiding patients to better oral hygiene is satisfying (A strong alignment, finding reward in the welfare of others).
      - • I try to help but it breaks my heart when patients don’t listen (An emotional reflection of deep concern for others' welfare).
      - • It's rewarding when one person improves out of ten (Finding value in helping others, even if limited).
      - These statements show a weaker or conditional form of commitment to others' welfare:
      - • Patients need constant nudging in the right direction until they're willing to change.
      - • Dental hygiene exams offer important information for the dental exam.
      - These two statements align with Self-Transcendence but are classified as strongly negative because they explicitly prioritize the opposing value of Self-Enhancement (SE) or self-interest over the welfare of the patient:
      - • Patients must demonstrate good oral hygiene before being allowed to begin treatment (Conditionality prioritizes professional efficacy/success [SE] over unconditional benevolence [ST]).
      - • Patient center care means compromised results (Prioritizes the clinician's ideal outcome/achievement [SE] over accommodating the patient's interests/welfare [ST]).