Patient‐centred care: barriers and opportunities in the dental surgery

Asimakopoulou, Koula; Gupta, Adyya; Scambler, Sasha

doi:10.1111/cdoe.12120

Cited by 27 publications

(18 citation statements)

References 21 publications

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“…Findings revealed that dentists rated themselves positively as communicators and they tried to adjust their communication style and service to patients' needs. In line with previous research (e.g., Asimakopoulou et al, 2014) all dentists in the current study,…”

Section: Discussionsupporting

confidence: 92%

‘You have to treat the person, not the mouth only’: UK dentists’ perceptions of communication in patient consultations

Nowak

Buchanan

Asimakopoulou

2018

Psychology, Health & Medicine

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Effective communication between patients and health professionals is a key component of patient-centred care. Although there is a large body of literature focusing on doctor-patient communication, there has been limited research related to dentist-patient communication, especially presented from the dentists' perspective. The aim of our study was to explore UK dentists' perceptions of communication in their consultations, and the factors they perceive may influence this. We conducted semi-structured interviews with eight dentists in UK dental NHS practices. Thematic analysis revealed three themes ('Treating the whole person', 'Barriers to patient-centred communication' and 'Mutuality of communication'), which reflected the dentists' perceptions of their own communication during consultations, the patients' interaction skills, attitudes (and characteristics that may affect them), and external factors, such as time constraints, that can influence dentist-patients' encounters. These in-depth accounts are valuable, in that we see what dentists perceive is important, obstructive and facilitative. They report using a patient-centred approach in their everyday dental practice; however this is often difficult due to factors such as time constraints. Although they emphasized that the patient has an active role to play in the communication process, it may be the case that they also need to play their part in facilitating this.

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Section: Discussionsupporting

confidence: 92%

‘You have to treat the person, not the mouth only’: UK dentists’ perceptions of communication in patient consultations

Nowak

Buchanan

Asimakopoulou

2018

Psychology, Health & Medicine

Self Cite

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“…al. barriers in involving patients, were linked to difficulties with overly engaged patients (asked to many questions, came with so much questions, came with too much information, were to demanding and took up to much time) or less keen patients not interested in joining in with decision-making (Asimakopoulou et al, 2014). What these studies miss are to take into account the meaning of the individuals' habitual dispositions and the different strategies they apply as a consequence of that.…”

Section: Accepted Articlementioning

confidence: 99%

Relatives’ strategies in subacute brain injury rehabilitation: The warrior, the observer and the hesitant

Guldager

Willis

Larsen

et al. 2018

Journal of Clinical Nursing

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“…62 For example, the dentist will try to help the patient control his/her disease, but the patient may choose not to cooperate, leaving the dentist feeling out of control of the situation and with the possible threat of malpractice hanging over him/her. Shared decision-making 63 and the focus on patient centred care 64 are to be welcomed as entirely appropriate, but are other potential sources of threat to the dentist's sense of control and hence stress. 65 This can occur when there is a mismatch between a patient's preferred decision-making style and the one encountered in practice 66 65 Clinician uncertainty appears to be influenced by patient uncertainty.…”

Section: Clinical Situations (Code 21)mentioning

confidence: 99%

A study to explore specific stressors and coping strategies in primary dental care practice

Bretherton

Chapman

Chipchase³

2016

Br Dent J

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Background and Aims: It is widely acknowledged that dentists experience occupational stress. This qualitative study aimed to explore previously identified specific stressors in more detail in order to inform the development of a future stress management programme. Method: Two focus groups of dentists (N: 7 & 6) were conducted to explore, in more detail, nine specific stressors and concepts; being out of one's comfort zone, zoning out from the patient, celebrating the positive aspects of work, thinking aloud, the effect of hurting patients, the impact of perfectionism, responsibility for patient's self-care, the emotional impact of difficult situations as a foundation dentist. Participants were also asked for their views on the structure and contents of the proposed stress management package. Verbatim transcripts were subjected to thematic analysis. Results and Discussion: Dentists described the impact of these stressors and their current coping methods; thematic analysis revealed 9 themes which covered the above concepts and a further overall theme of need for control. The findings are elaborated in connection to their relevant stress, coping and emotion psychological theory. Their implications for personal well-being and clinical outcomes are discussed. Conclusion: Dentists' stressful and coping experiences are complex and it is essential that any stress management programme reflects this and that the skills are easily accessible and sustainable within the context of a busy dental practice.

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Patient‐centred care: barriers and opportunities in the dental surgery

Cited by 27 publications

References 21 publications

‘You have to treat the person, not the mouth only’: UK dentists’ perceptions of communication in patient consultations

‘You have to treat the person, not the mouth only’: UK dentists’ perceptions of communication in patient consultations

Relatives’ strategies in subacute brain injury rehabilitation: The warrior, the observer and the hesitant

A study to explore specific stressors and coping strategies in primary dental care practice

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