Assessing dentist and dental student knowledge of and attitudes towards shared decision‐making in the United Kingdom

Sin, Melissa; Butt, Sara Ayaz; Barber, Sophy

doi:10.1111/eje.12656

Cited by 2 publications

(4 citation statements)

References 18 publications

(36 reference statements)

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“…Data are useful in describing current practices and estimating the influence of clinical training on practice patterns. The only empirical research on SDM practices in oral health settings have been conducted in Europe 19–29 . In the United Kingdom, two studies reported that roughly a quarter of practising dentists had experienced training in SDM 20,22 .…”

Section: Discussionmentioning

confidence: 99%

“…The only empirical research on SDM practices in oral health settings have been conducted in Europe. [19][20][21][22][23][24][25][26][27][28][29] In the United Kingdom, two studies reported that roughly a quarter of practising dentists had experienced training in SDM. 20,22 But there are no reports of the extent to which SDM is part of practice protocol.…”

Section: Discussionmentioning

confidence: 99%

“…All research has been conducted with reference to decisions made in the professional's offices. There are only nine research‐based papers on SDM in oral health 19–29 …”

Section: Introductionmentioning

confidence: 99%

“…There are only nine research-based papers on SDM in oral health. [19][20][21][22][23][24][25][26][27][28][29] In the 40 years since the term was introduced, there has been continual discussion of its alternative definitions. 2 Makoul and Clayman's 2006 review article 3 identified multiple definitions and concluded that 'there is no shared definition of shared decision making' (p. 304).…”

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confidence: 99%

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Shared decision‐making in scaling and root planing

Verdugo

Laughter

Chambers

2023

Eur J Dental Education

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IntroductionEstimate proportion of various approaches used by dental hygienists for engaging patients in decisions commonly arising during scaling and root planing. Distribution of approaches was compared across various task components in this procedure, practice experience of dental hygienists and patient compliance.Materials and MethodsSurvey of graduates from and students in a baccalaureate dental hygiene program.ResultsPaternalism (tell then do) and informed consent (give choices and reasons and ask for permission) were more common than shared decision‐making (discuss alternatives, solicit patient input and arrive at a mutual decision) and disengagement (patient refusing offered service or avoiding further involvement) by a ratio of 4 to 1 for the first 2 compared with the latter 2. This relationship was held across selecting treatment, procedural adjuncts, homecare instructions and financial arrangements. Dental hygienists exhibited a range of personal preferences for engagement approaches. No‐show rate, patient disengagement outside the office, was high (20%).ConclusionDental hygienists reported using ‘more controlled’ approaches to engaging patients in decisions regarding treatment. Patients may prefer to engage in more shared decisions and choose this approach by staying away from the office. This may underestimate patients' decisions to stay away from treatment, for example by not showing for completion of the treatment or disregarding homecare routines.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…All research has been conducted with reference to decisions made in the professional's offices. There are only nine research‐based papers on SDM in oral health 19–29 …”

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Shared decision‐making in scaling and root planing

Verdugo

Laughter

Chambers

2023

Eur J Dental Education

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New dental graduates transition into UK professional practice; a longitudinal study of changes in perceptions and behaviours through the lens of evidence-based dentistry

Al-Yaseen,

Nanjappa,

Jindal-Snape

et al. 2024

BMC Med Educ

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Background This longitudinal study using qualitative methodology aims to investigate the perceptions, and implementation, of evidence-based guidelines into practice among new dental graduates (NDGs) during their transition from university into professional practice, by identifying factors that influence the adoption of evidence-based practice (EBP) in dental practice. Methods The study invited NDGs from one UK dental school (N = 66) and employed longitudinal, multiple qualitative methodologies for data collection, throughout the participants’ Vocational Dental Training (VDT) year. Initial interviews (Interview 1) conducted upon graduation and follow-up interviews (Interview 2) carried out between six and nine months into professional practice were combined with participants longitudinal audio diaries (LADs) recorded between the interviews. The study. Results A total of 12 NDGs agreed to participate. For Interview 1, twelve participants were interviewed, seven of whom agreed to participate in Interview 2 and six recorded the LADs. Interview 1 exposed diverse views among NDGs about EBP, acknowledging its significance but facing obstacles in implementation due to time and financial constraints. They intended to use evidence selectively, often aligning with trainers’ or NHS treatment options, while hesitating to fully embrace EBP in a busy dental practice. During VDT, LAD entries showed initial enthusiasm for EBP, but integrating evidence-based guidelines within the NHS system led to pragmatic treatment decisions, balancing gold-standard and cost-effective options. Over time, NDGs became more comfortable with alternative treatments, considering patients’ financial constraints, yet they expressed frustration with external pressures limiting their clinical decision-making autonomy. In Interview 2, after six to nine months in practice, NDGs exhibited mixed attitudes towards EBP. Some actively used dental guidelines like SDCEP, others associated EBP with hi-tech or expensive materials, while others would thought to rely on colleagues’ recommendations. None consistently sought direct evidence for treatment decisions. Conclusion NDGs’ attitudes towards EBP changed and became more negative over their first year in professional practice, leading to challenges in their applying it. It questions the assumption that teaching EBP during undergraduate education ensures its implementation. Further understanding the influences on the development of attitudinal challenges will help to devise effective strategies for fostering lifelong learning and supporting evidence-based practice in dentistry.

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Assessing dentist and dental student knowledge of and attitudes towards shared decision‐making in the United Kingdom

Abstract: Introduction: Shared decision-making (SDM) is a partnership between healthcare professionals and patients when choosing care.

Cited by 2 publications

References 18 publications

Shared decision‐making in scaling and root planing

Shared decision‐making in scaling and root planing

New dental graduates transition into UK professional practice; a longitudinal study of changes in perceptions and behaviours through the lens of evidence-based dentistry

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