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英国临床牙科技师:对牙科专业人员的沟通经验、实践和挑战的定性理解。

Clinical dental technicians in the United Kingdom: A qualitative understanding of the experiences, of practices and challenges of communication for dental professionals.

机构信息

Faculty of Dentistry, Oral & Craniofacial Sciences, Centre for Host Microbiome Interactions, King's College London, London, UK.

King's College Hospital, London, UK.

出版信息

Gerodontology. 2019 Dec;36(4):405-416. doi: 10.1111/ger.12413. Epub 2019 Jul 26.

Abstract

AIM

To investigate the roles and relationships of registered Clinical Dental Technicians (CDTs) in the dental team and healthcare systems, and their perspective as a professional group in the United Kingdom (UK).

METHODS

This qualitative study was conducted following a national questionnaire survey of CDTs, 18 of whom participated in semi-structured interviews; they were purposively sampled to represent the diversity and demography of CDTs. A topic guide, informed by the literature and survey findings, guided discussions which were recorded and transcribed verbatim. Drawing upon phenomenological and cultural relativistic theories, thematic analysis was conducted, thus enabling an "analytic story" of the lived experience to emerge.

RESULTS

Clinical dental technicians expressed pride, passion and satisfaction in their work yet feel misunderstood in their role. Experiences of being accepted and incorporated into the wider dental profession are strained. Ultimately, there is a complex web of inter-dependence between all actors-a triadic relationship-bounded by policymakers and regulators which directly impacts on best practice and the balance between collaboration and autonomy. Looking to the future, Ideal practice may involve different models of care, with examples of good practice emerging.

CONCLUSION

This paper provides a unique examination of the lived experience, feelings and relationships of CDTs. The perceptions of their role, their inter-professional relations and the progression as a professional group must be addressed, and their potential to work collaboratively actively engaged to serve our ageing population.

摘要

目的

探讨注册临床牙科技师(CDTs)在牙科团队和医疗保健系统中的角色和关系,以及他们作为英国(UK)专业群体的观点。

方法

本定性研究在对 CDTs 进行全国问卷调查后进行,其中 18 名 CDTs 参加了半结构化访谈;他们是根据 CDTs 的多样性和人口统计学特征进行有目的抽样的。主题指南以文献和调查结果为依据,指导讨论,讨论内容被记录并逐字转录。借鉴现象学和文化相对论理论,进行了主题分析,从而能够呈现出对生活经历的“分析故事”。

结果

临床牙科技师对自己的工作感到自豪、充满激情和满足,但对自己的角色感到被误解。他们在被接受并融入更广泛的牙科专业方面的经历很紧张。最终,所有参与者之间存在着复杂的相互依存关系——一种三角关系——受到政策制定者和监管者的直接影响,这直接影响到最佳实践以及合作和自主之间的平衡。展望未来,理想的实践可能涉及不同的护理模式,出现了良好实践的例子。

结论

本文对 CDTs 的生活体验、感受和关系进行了独特的考察。必须解决他们对自己角色的看法、他们的跨专业关系以及作为一个专业群体的发展问题,并积极参与他们的合作潜力,以服务于我们不断老龄化的人口。

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