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自信心对口腔临床实践的影响。

The impact of confidence on clinical dental practice.

作者信息

Fine Peter, Leung Albert, Bentall Clare, Louca Chris

机构信息

Department of Continuing Professional Development, UCL Eastman Dental Institute, London, UK.

UCL Institute of Education, London, UK.

出版信息

Eur J Dent Educ. 2019 May;23(2):159-167. doi: 10.1111/eje.12415. Epub 2019 Jan 28.

Abstract

INTRODUCTION

Increasing confidence through learning has the potential to change General Dental Practitioners' (GDPs) perceptions of clinical practice. By examining how changes in confidence influence the clinical practice of two cohorts of GDPs, during and following an extended period of postgraduate training, we show the importance of confidence to GDPs and that a lack of confidence is a primary reason why GDPs attend postgraduate training courses.

METHODS

A mixed-method approach was adopted for this study. Quantitative data were collected via a series of linked questionnaires; qualitative data were collected using focus group discussions, interviews and contemporaneous field notes. Analysis was undertaken using SPSS software and a phenomenological approach, respectively.

FINDINGS

Participants indicated an increase in confidence in their ability to undertake dental procedures, which led to an increase in confidence in communication skills, and their ability to undertake complex restorative procedures. This led to greater treatment acceptance by patients resulting in better "job satisfaction."

DISCUSSION

A sense of confidence is central to personal development and ongoing study, leading to first, an improved capability to perform tasks (competence); second, confidence is a product of the relationship and trust of those people associated with the individual/professional and third, the correct level of challenge is important to confidence.

CONCLUSIONS

The issue of confidence has not been looked at in postgraduate dentistry, but it is well recognised in medical education fields.

摘要

引言

通过学习增强自信有可能改变全科牙医(GDPs)对临床实践的看法。通过研究自信的变化如何影响两组全科牙医在长期研究生培训期间及之后的临床实践,我们揭示了自信对全科牙医的重要性,以及缺乏自信是全科牙医参加研究生培训课程的主要原因。

方法

本研究采用混合方法。通过一系列关联问卷收集定量数据;使用焦点小组讨论、访谈和同期实地记录收集定性数据。分别使用SPSS软件和现象学方法进行分析。

结果

参与者表示他们进行牙科手术的能力信心增强,这导致沟通技巧以及进行复杂修复手术能力的信心增加。这使得患者对治疗的接受度更高,从而带来更好的“工作满意度”。

讨论

自信感对于个人发展和持续学习至关重要,首先会带来执行任务能力(胜任力)的提高;其次,自信是个人/专业人员与相关人员之间关系和信任的产物;第三,正确的挑战水平对自信很重要。

结论

自信问题在研究生牙科领域尚未得到关注,但在医学教育领域已得到充分认识。

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