Br Dent J. 2021 Jul 20; doi: 10.1038/s41415-021-3130-9. Epub 2021 Jul 20.
Supporting dentists' health and wellbeing - workforce assets under stress: a qualitative study in England.
British dental journal
Jennifer E Gallagher, Fiorella B Colonio-Salazar, Sandra White
Affiliations
Affiliations
- Dean for International Affairs, Newland-Pedley Professor of Oral Health Strategy/Honorary Consultant in Dental Public Health, King´s College London, Faculty of Dentistry, Oral & Craniofacial Sciences, Centre for Host Microbiome Interactions, Denmark Hill Campus, Bessemer Road, SE5 9RS, London, UK. [email protected].
- Former Post-Doctoral Research Associate, King´s College London, UK.
- Former National Lead for Dental Public Health, Health Intelligence, Health Improvement Directorate, Public Health England, Skipton House, Area B, 2nd floor, 80 London Road, SE1 6LH, London, UK.
PMID: 34285387
PMCID: PMC8294242 DOI: 10.1038/s41415-021-3130-9
Abstract
Background Multiple determinants influence dentists' health and wellbeing. In light of recent concerns, the aim of this research was to explore contemporary influences on dentists' health and wellbeing in England, drawing on their lived experience.Methods Semi-structured interviews were conducted with a purposive sample of dentists working in England, taking into account age, gender, career stage, work sector, geographical area, position and route of entry to registration. A topic guide, informed by the literature, was used to guide the discourse. Dentists were approached via gatekeepers, supported by snowball sampling. Interviews were recorded and transcribed for analysis. Framework analysis was used, taking an interpretative phenomenological approach to develop theory.Results Twenty dentists, from a range of backgrounds, participated in this research. While health and wellbeing was reported to be more positive among dentists in their later career, those in their early career and/or with high NHS work commitments shared concerns about their physical, psychological and emotional health. Influences ranged from macro-level issues relating to professional regulation and health systems, through meso-level, notably their workplace and job specification, to micro-level issues relating to their professional careers, relationships and personal life. Dentists highlighted ethical concerns and feeling driven to deliver, together with being demoralised by a survival culture, all leading to perceived lack of control and reduced professional fulfilment. In contrast, being able to deliver quality care, innovate and effect change, as well as being valued for their delivery, were perceived to positively contribute to general health and wellbeing.Conclusion Dentists have a vital role in providing care for patients, so there are serious public health implications if urgent action is not taken to improve and sustain their health and wellbeing. This study confirms that dentists are affected by multiple contemporary influences, and although greater support is needed for individuals, organisational, system and policy changes may be required to fully address the challenges they face.
© 2021. The Author(s), under exclusive licence to the British Dental Association.
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