Stankiewicz Nikolai
Bramcote Dental Practice, Castle Cary, England.
J Infect Prev. 2019 Jan;20(1):25-31. doi: 10.1177/1757177418795044. Epub 2018 Sep 29.
Understanding the collective sociotechnical experiences of the staff in dental practices with automatic washer disinfectors (AWDs) may help shape future strategies that encourage the transition towards best practice in dental instrument decontamination and reprocessing.
To find the emerging themes that reflect the experience of working with an AWD in dental practice. To compare the experience of practice owners to that of the dental nurses.
A qualitative semi-structured interview-based methodology was applied using a convenience sample of dentists and dental nurses. Verbatim transcripts of audio recordings underwent thematic analysis.
Dental practice owners and dental nurses were interviewed. Four themes were common to both groups: impact on daily routine; mundane technology; the decontamination cycle; and safety. Three themes were unique to the dentists: impact on the business; professionalism; and external motivators for change.
AWDs are a mundane form of technology that dental nurses find simple to operate. The extended time it takes to reprocess instruments using an AWD means that dental nurses must adapt their daily working practices to accommodate this. Initial funding to purchase an AWD, especially where there is a professional expert leading a campaign championing their use, can be effective.
了解牙科诊所工作人员使用自动清洗消毒器（AWD）的社会技术综合体验，可能有助于制定未来策略，以鼓励向牙科器械去污和再处理的最佳实践过渡。
找出反映在牙科诊所使用AWD工作体验的新出现主题。比较诊所所有者与牙科护士的体验。
采用基于定性半结构化访谈的方法，对牙医和牙科护士进行便利抽样。对录音的逐字记录进行主题分析。
对牙科诊所所有者和牙科护士进行了访谈。两组共有的四个主题：对日常工作的影响；普通技术；去污周期；以及安全性。牙医特有的三个主题：对业务的影响；专业性；以及变革的外部推动因素。
AWD是一种普通的技术形式，牙科护士认为其操作简单。使用AWD重新处理器械所需的时间延长，这意味着牙科护士必须调整日常工作方式以适应这一点。购买AWD的初始资金，特别是在有专业专家领导倡导使用AWD的活动的情况下，可能会有效果。
