Child-friendly services require child-focused terminology

06 July 2017
Volume 31 · Issue 6

A call for the terminology of dental appointments to be made more sensitive to the needs of children has been made by Jenny Harris, a member of the BSPD executive and the society’s lead on child protection issues. She wants dentists to drop the acronym DNA, which stands for ‘did not attend’, and change to WNB for ‘was not brought’.

The reason for the change, she explains, is to remind dental teams that the child who does not turn up for an appointment is not responsible for his or her absence. To benefit from dental care they are reliant on others to bring them. If they miss an appointment without explanation, enquiries need to be made of their parent or guardian.

Jenny said, “Although the difference between the phrases DNA and WNB may seem slight, the gulf in meaning is wide. A young child cannot get to an appointment on their own – we need to stop seeing things from an adult point of view. Instead we must consider what the child is missing out on by not being brought.”

She first encountered the proposal for a change in terminology in an article published in the child protection nursing literature and has used the acronym WNB for missed appointments ever since. And recently she has gone further. With colleagues in Sheffield Community & Special Care Dentistry Service, she has devised a ‘Was not brought’ pathway.

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