RT Journal Article SR Electronic T1 A Qualitative Study of Extended Care Permit Dental Hygienists in Kansas JF American Dental Hygienists Association JO J Dent Hyg FD American Dental Hygienists Association SP 160 OP 172 VO 88 IS 3 A1 Janette Delinger A1 Cynthia C. Gadbury-Amyot A1 Tanya Villalpando Mitchell A1 Karen B. Williams YR 2014 UL http://jdh.adha.org/content/88/3/160.abstract AB Purpose: Currently, 37 states allow some type of alternative practice settings for dental hygienists. This qualitative study was designed to explore the experiences of the Extended Care Permit (ECP) dental hygienist in the state of Kansas. As a first ever study of this workforce model, a qualitative research design was chosen to illuminate the education and experiences of extended dental hygiene practitioners in order to understand the impact ECP legislation has had on increasing the public's access to oral health care services and define the advantages and limitation of this model as one potential solution to access to oral care. Snowball sampling was used to identify study participants who were actively engaged in extended care practice. Nine subjects, which included one ECP consultant and eight ECP providers, participated in this study. Data obtained via personal interviews and through document analysis data were subsequently coded and thematically analyzed by three examiners. An independent audit was conducted by a fourth examiner to confirm dependability of results. Seven major categories emerged from the data analysis: entrepreneur dental hygienist, partnerships, funding, barriers, sustainability, models of care and the impact of the ECP. The findings of this study revealed that ECP hygienists are making an impact with underserved populations, primarily children, the elderly and special needs patients.