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Collegial Support and Community with Trust in Swedish and Danish dentistry.

https://arctichealth.org/en/permalink/ahliterature135977
Source
Acta Odontol Scand. 2011 Nov;69(6):343-54
Publication Type
Article
Date
Nov-2011
Author
Hanne Berthelsen
Björn Söderfeldt
Rebecca Harris
Jan Hyld Pejtersen
Kamilla Bergström
Karin Hjalmers
Sven Ordell
Author Affiliation
Department of Oral Public Health, Faculty of Odontology, Malmö University, Sweden. hanne.berthelsen@mah.se
Source
Acta Odontol Scand. 2011 Nov;69(6):343-54
Date
Nov-2011
Language
English
Publication Type
Article
Keywords
Decision Making
Denmark
Dentists - psychology
Education, Dental
Efficiency, Organizational
Female
General Practice, Dental - organization & administration
Humans
Interpersonal Relations
Interprofessional Relations
Leadership
Leisure Activities
Male
Marital status
Organizational Affiliation
Organizational Culture
Organizational Objectives
Practice Management, Dental - organization & administration
Private Practice
Public Sector
Sex Factors
Social Environment
Social Values
Sweden
Time Factors
Trust
Workplace
Abstract
The aim of the study was to better understand the associations between work factors and professional support among dentists (Collegial Support) as well as the sense of being part of a work community characterized by trust (Community with Trust).
A questionnaire was sent to 1835 general dental practitioners, randomly selected from the members of dental associations in Sweden and Denmark in 2008. The response rate was 68%. Two models with the outcome variables Collegial Support and being part of a Community with Trust were built using multiple hierarchical linear regression. Demographic background factors, work factors, managerial factors and factors relating to objectives and to values characterizing climate of the practice were all introduced as blocks into the models.
A different pattern emerged for Collegial Support than for Community with Trust, indicating different underlying mechanisms. The main results were: (I) Female, married/cohabitant, collegial network outside the practice, common breaks, formalized managerial education of leader and a climate characterized by professional values, which were positively associated with Collegial Support, while number of years as a dentist and being managerially responsible were negatively associated. (II) Common breaks, decision authority and a climate characterized by professional values were positively associated with Community with Trust.
A professionally-oriented practice climate and having common breaks at work were strongly associated with both outcome variables. The study underlined the importance of managing dentistry in a way which respects the professional ethos of dentists.
PubMed ID
21426268 View in PubMed
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Dental infection control and occupational safety in the Russian Federation.

https://arctichealth.org/en/permalink/ahliterature117948
Source
J Contemp Dent Pract. 2012 Sep-Oct;13(5):703-12
Publication Type
Article
Author
Marina A Budnyak
Konstantin G Gurevich
Kate G Fabrikant
Kierste Miller
Raghunath Puttaiah
Author Affiliation
Department of Healthy Life-Styles for Sustainable Development, UNESCO, Moscow State University of Medicine and Dentistry, Moscow, Russia.
Source
J Contemp Dent Pract. 2012 Sep-Oct;13(5):703-12
Language
English
Publication Type
Article
Keywords
AIDS Serodiagnosis
Attitude of Health Personnel
Blood-Borne Pathogens
Dental Disinfectants - therapeutic use
Dental Instruments - microbiology
Dentists - psychology
Disinfection - methods
Education, Dental
Equipment Contamination - prevention & control
Ethanol - therapeutic use
Faculty, Dental
Female
Gloves, Surgical
HIV
HIV Infections - prevention & control - transmission
Humans
Infection Control, Dental - methods
Infectious Disease Transmission, Patient-to-Professional - prevention & control
Male
Moscow
Needs Assessment
Occupational Diseases - prevention & control
Occupational Exposure
Occupational Health
Protective Devices
Risk factors
Russia
Sterilization - instrumentation - methods
Abstract
In the recent past, the Russian Federation has seen a considerable increase in HIV caseload. A high level committee was formed to assess the status of dental infection control and safety (IC&S) in Russia. This article is one of the outcomes to assess the status of IC&S and is the research of a doctoral student (PhD) in public health.
To assess needs in Dental Infection Control and Occupational Safety in the Moscow Metropolitan Region of the Russian Federation.
A survey with variables assessing knowledge, attitude and practice of IC&S was administered to dentists practicing and or teaching in Moscow city and suburban areas on a convenience sample of dental practitioners.
The total number of completed questionnaires were 303. Over 67% had up to three significant exposures to blood and potentially infectious materials (OPIM), but less than 30% got tested for HIV in the previous 3 months. Use of personal protective equipment was not based on anticipated exposure. Less than 10% had an understanding of Spaulding's classification with respect to sanitization, disinfection and sterilization. Only about 34% stated that there was a potential for infectious disease transmission through a percutaneous route and about 61% double gloved while treating patients with infectious diseases. Only about 61% disinfected impressions and most (83%) used alcohol for disinfection purposes. While 34% still used glass-bead sterilizers, about 13% did not sterilize handpieces between patients.
Results from this study indicated a disparity in the practice of infection control and safety procedures requiring formulation of nationwide dental safety standards. Further, there is a need in implementation of a standardized dental safety curriculum for dental schools and continuing dental education requirements in dental safety for practicing dentists in the Russian Federation.
PubMed ID
23250179 View in PubMed
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Dentists reflect on their problem-based education and professional satisfaction.

https://arctichealth.org/en/permalink/ahliterature127904
Source
Eur J Dent Educ. 2012 Feb;16(1):e137-45
Publication Type
Article
Date
Feb-2012
Author
D. Bengmark
M. Nilner
M. Rohlin
Author Affiliation
Faculty of Odontology, Malmö University, Malmö, Sweden. daniel.bengmark@mah.se
Source
Eur J Dent Educ. 2012 Feb;16(1):e137-45
Date
Feb-2012
Language
English
Publication Type
Article
Keywords
Adult
Career Choice
Clinical Competence
Curriculum
Dentists - psychology
Education, Dental
Female
Humans
Job Satisfaction
Male
Problem-Based Learning
Questionnaires
Sweden
Abstract
To determine the way in which Malmö University dental graduates perceive their problem-based dental education and evaluate their professional satisfaction.
The first five cohorts (graduating in years 1995-1999) of the problem-based curriculum were invited to participate. Of 166 graduates, 77% responded to a questionnaire comprising 20 questions on aspects of their dental education, professional situations and interest in postgraduate education. They were asked to rank their perception of their dental education and satisfaction with their professional situation on a visual analogue scale (VAS) with endpoints ranging from 'Not at all' (1) to 'Very well' (10). For other statements, the markings were made on a Likert scale from 1 (not important/not satisfied) to 5 (very important/very satisfied). There were also open-ended questions.
Most respondents perceived their education to prepare them well for a career in dentistry (median score VAS 8), and 90% rated above six on a VAS for their professional satisfaction as dentists. Importance and satisfaction were highly correlated with principles of the curriculum: holistic view, oral health, lifelong learning, integration between theory and clinic, and clinical competence. Forty-five per cent of the graduates noted the problem-based learning approach as the most valuable asset of their education, and 19% cited training in oral surgery as a deficit. Of the respondents, 77% expressed interest in specialist training and 55% in research education.
Problem-based education was perceived to prepare graduates well for their profession, and their professional satisfaction was high.
PubMed ID
22251337 View in PubMed
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Dentists' views on fearful patients. Problems and promises.

https://arctichealth.org/en/permalink/ahliterature121803
Source
Swed Dent J. 2012;36(2):79-89
Publication Type
Article
Date
2012
Author
Carl-Otto Brahm
Jesper Lundgren
Sven G Carlsson
Peter Nilsson
Jill Corbeil
Catharina Hägglin
Author Affiliation
Department of Behavioural and Community Dentistry, Sahlgrenska Academy, Sweden. Carl-Otto.Brahm@gu.se
Source
Swed Dent J. 2012;36(2):79-89
Date
2012
Language
English
Publication Type
Article
Keywords
Adult
Aged
Attitude of Health Personnel
Attitude to Health
Dental Anxiety - psychology
Dental Care - psychology
Dentists - psychology
Education, Dental
European Union
Female
Foreign Professional Personnel - psychology
Humans
Male
Middle Aged
Occupational Diseases - psychology
Public Health Dentistry
Self Efficacy
Stress, Psychological - psychology
Sweden
Young Adult
Abstract
A large number of patients treated in the general dental health service in Western countries report dental fear to some degree. Dentists' views of treating these fearful patients are not well described in the literature.Therefore, the aims of the study were to explore dentists' attitudes towards, experience of, and feelings about treating fearful patients. The sample consisted of 1293 members of the Association of Public Health Dentists in Sweden who were asked to respond to a web survey concerning dental fear. The response rate was 69% (n = 889).The majority of the responding dentists stated that dental fear is a problem in routine dental care,treating patients with dental fear is a positive challenge and they felt they were making a contribution.They also reported that treating patients with dental fear is associated with hard work, poor revenues, and little appreciation by employers. Female dentists reported a greater proportion of patients with dental fear and greater self-efficacy regarding the treatment of these patients, compared with their male colleagues. Dentists trained in other EU countries reported stress more often and less perceived contribution when treating fearful patients, compared with colleagues trained in Sweden.
Dentists' views of treating fearful patients are mainly positive; however, it is problematic that dentists feel stress and that dentists who treat many fearful patients feel their employers do not appreciate their efforts.
PubMed ID
22876395 View in PubMed
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The influence of social, economic, and professional considerations on services offered by dentists to long-term care residents.

https://arctichealth.org/en/permalink/ahliterature221928
Source
J Public Health Dent. 1993;53(2):70-5
Publication Type
Article
Date
1993
Author
R T Weiss
B J Morrison
M I MacEntee
N E Waxler-Morrison
Author Affiliation
Department of Neurology, Addiction Research Foundation, Toronto, Ontario, Canada.
Source
J Public Health Dent. 1993;53(2):70-5
Date
1993
Language
English
Publication Type
Article
Keywords
Adult
Aged
Attitude of Health Personnel
British Columbia
Delivery of Health Care
Dental Care for Aged - statistics & numerical data
Dentists - psychology
Education, Dental
Homes for the Aged
Humans
Long-Term Care
Middle Aged
Models, Psychological
Multivariate Analysis
Nursing Homes
Physician's Practice Patterns
Questionnaires
Regression Analysis
Socioeconomic Factors
Abstract
Many studies have focused on the disabilities and behavior of the elderly population in an attempt to explain the frequent reports of poor oral health among residents of long-term care (LTC) facilities, but little attention has been given to the experiences and opinions of dentists relating to the problem. This study was conducted to discover how dentists feel about older patients and about working in LTC facilities. A response to a questionnaire was obtained from 334 (55%) of the 603 dentists in Vancouver who treated adults. The responses were subjected to bivariate and multivariate analyses. Three models were constructed from factors that might interest a dentist in attending a patient in a facility; the factors in each model were ranked in order of importance. Interest was associated significantly with lack of concern for time lost in practice, with training in managing medically compromised patients, and with a positive attitude toward elderly patients. Dentists with fewer years in practice were attracted by the economic potential of the service, while the older and busier dentists were less involved because of the disruption to their practice and leisure. Dentists who made home visits also were more likely to be interested. The model based on professional considerations was superior to either the social or economic model in explaining an interest in the service.
PubMed ID
8515414 View in PubMed
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Oral and pharyngeal cancer: practices and opinions of dentists in British Columbia and Nova Scotia.

https://arctichealth.org/en/permalink/ahliterature189367
Source
J Can Dent Assoc. 2002 Jul-Aug;68(7):421-5
Publication Type
Article
Author
Joanne B Clovis
Alice M Horowitz
Dale H Poel
Author Affiliation
School of Dental Hygiene, Faculty of Dentistry, Dalhousie University, Halifax, Nova Scotia. l.clovis@dal.ca
Source
J Can Dent Assoc. 2002 Jul-Aug;68(7):421-5
Language
English
Publication Type
Article
Keywords
Adult
Attitude of Health Personnel
British Columbia
Clinical Competence
Counseling
Dentist's Practice Patterns - statistics & numerical data
Dentists - psychology - statistics & numerical data
Education, Dental
Female
Health Knowledge, Attitudes, Practice
Humans
Male
Medical History Taking
Mouth Neoplasms - diagnosis - psychology
Nova Scotia
Pharyngeal Neoplasms - diagnosis - psychology
Risk factors
Tobacco Use Cessation
Abstract
Oral and pharyngeal cancers are associated with high mortality rates, a situation usually attributed to late-stage diagnosis. Dentists in British Columbia and Nova Scotia were surveyed regarding their practices and opinions related to oral and pharyngeal cancer. In February 1998 a pretested, 41-item survey was mailed to a random sample of dentists in British Columbia (n = 817) and the population of dentists in Nova Scotia (N = 423). A reminder postcard and one additional mailing were sent to nonrespondents. Of the 670 dentists supplying usable responses (response rate 55.2%), only 56.7% agreed that their knowledge of the subject was current. Of 8 health history items, dentists assessed 5 on average, with most (88.0%) asking about the patients' current use of tobacco. A total of 72.7% of the responding dentists performed an oral cancer examination for all edentulous patients at every appointment, but 10.9% never did so. Similarly, 70.7% of the dentists always provided an oral cancer examination at the initial appointment for patients 40 years of age and older, but 9.8% never did so. Undergraduate training related to oral cancer examination was reported as good by only 52.2% of the dentists. About three-quarters of all dentists (77.0%) were interested in taking continuing education courses on this subject. Differences between the 2 provinces were not statistically significant (p > 0.01). Dentists in British Columbia and Nova Scotia could benefit from undergraduate and continuing education courses to increase their knowledge of health history assessment, examination for oral and pharyngeal cancers, and risk reduction strategies, such as counselling about tobacco cessation.
PubMed ID
12119093 View in PubMed
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Self-perceptions of cultural competence among dental students and recent graduates

https://arctichealth.org/en/permalink/ahliterature104794
Source
J Dent Educ. 2014 Mar;78(3):389-400
Publication Type
Article
Date
Mar-2014
Author
Aleksejuniene, J
Zed, C
Marino, R
Author Affiliation
Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada V6T 1Z3; jolanta@dentistry.ubc.ca.
Source
J Dent Educ. 2014 Mar;78(3):389-400
Date
Mar-2014
Language
English
Publication Type
Article
Keywords
British Columbia
Clinical Competence
Cohort Studies
Communication
Cultural Competency - education - psychology
Cultural Diversity
Dentist-Patient Relations
Dentists - psychology
Education, Dental
Female
Humans
Language
Male
Nonverbal Communication
Patient Care Planning
Patient Participation
Professional-Family Relations
Self Concept
Sex Factors
Students, Dental - psychology
Teaching - methods
Abstract
This study assessed self-perceptions of cultural competence in dental students and recent graduates of the University of British Columbia. The sample consisted of 106 predoctoral students (response rate 98 percent) and thirty-three recent graduates (response rate 43 percent). The two cohorts completed similar questionnaires. Over 80 percent of responding predoctoral students reported encountering patients from culturally different groups, 50 percent of them admitted that their communication is not effective, two-thirds were not confident in caring for patients from diverse cultural groups, and over 60 percent perceived that sociocultural differences affect the provision of care. Some significant differences between the genders and study years were observed. Exploratory Factor Analyses validated multiple indicators in five domains: 1) encountering culturally diverse patients, 2) communication challenges in sociocultural situations, 3) cultural competence-related skills, 4) cultural competence related to diagnosis and patient treatment, and 5) training in cultural competence. Through qualitative assessments, important culturally relevant topics and interactive training methods preferred by students for developing cultural competence were identified. This study concluded that cultural competence was perceived as important by both dental students and recent graduates but also as partly deficient, particularly by predoctoral students. For teaching cultural competence, participants recommended various topics and interactive teaching modalities.
PubMed ID
24609341 View in PubMed
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7 records – page 1 of 1.