Holt Vernon P, Ladwa Russ
The Holt Dental Practice, Holt, Northfolk, UK.
Prim Dent Care. 2008 Oct;15(4):141-6. doi: 10.1308/135576108785891088.
This paper introduces the concept of mentoring and its use in dental practice. It explains how there has been a drive for quality in all areas of healthcare in the United Kingdom (UK), and that clinical audit and clinical governance are two of the quality assurance tools that have been developed. It suggests that the most important factor in the provision of quality care is the dentist and that it is therefore essential that dentists are given support and encouragement by their peers, together with recognition of good performance. The next section of the paper considers factors that hinder a dentist's quality of performance. It explains that there are multiple stresses in dental practice and, if they are not managed and controlled, that they can lead to professional burnout, anxiety and depression. One of the most important stressors that can impact on the quality of patient care is the constraint of time, which can frequently result from pressure from third parties such as managers and administrators. Dentists often feel isolated. The final section of the paper describes how dentists may be supported. Techniques include developing special interests within oral healthcare, career development, good human resource management, peer review and study groups, and coaching and mentoring. The nature of these last two techniques is discussed and the authors conclude that the best tool for supporting the quality of performance of dentists is mentoring.
本文介绍了指导的概念及其在牙科实践中的应用。它解释了英国医疗保健各个领域如何推动质量提升,以及临床审计和临床治理是已开发的两种质量保证工具。它表明,提供优质护理的最重要因素是牙医,因此牙医必须得到同行的支持和鼓励,以及对良好表现的认可。本文的下一部分考虑了阻碍牙医绩效质量的因素。它解释说,牙科实践中存在多种压力,如果这些压力得不到管理和控制,可能会导致职业倦怠、焦虑和抑郁。影响患者护理质量的最重要压力源之一是时间限制,这常常源于经理和管理人员等第三方的压力。牙医常常感到孤立无援。本文的最后一部分描述了如何支持牙医。技术包括在口腔保健领域培养特殊兴趣、职业发展、良好的人力资源管理、同行评审和学习小组,以及辅导和指导。讨论了最后这两种技术的性质,作者得出结论,支持牙医绩效质量的最佳工具是指导。