Hayer Natasha, Wassif Hoda S
Dental Surgery, 180 Northridge Way, Hemel Hempstead, HP1 2AL, UK.
University of Bedfordshire, Healthcare Practice, Putteridge Bury Campus, Hitchin Road, Luton, LU2 8LE, UK.
Br Dent J. 2022 Feb;232(4):227-231. doi: 10.1038/s41415-022-3980-9. Epub 2022 Feb 25.
Introduction As patient-centred care becomes more of the focus in healthcare, informed consent is receiving more attention in dental practice as the pinnacle principle in patient care. Shared decision making or person-centred care appears to be taking a back foot in dentistry.Aim This study aims to gain insight into the current views and perceptions of shared decision making by general dental practitioners and how it can be utilised in daily practice.Method Empirical qualitative data were collected using semi-structured interviews of nine dentists working in general practice, with an average of 30 minutes for each interview. The data were analysed using thematic analysis.Results Overall, there was a misunderstanding of what constitutes shared decision making among dental practitioners, with communication focused more on information provision rather than collaborative discussion. There were barriers which prevented full discussions with patients from occurring, some of which directly conflicted with the focus of shared decision making.Conclusion There is a need to provide more clarity of what shared decision making is and how it can facilitate person-centred care in dental practice. Dental practitioners felt that standards and guidelines were not clear; therefore, they were confused as to what was expected of them with regards to communication. More support, in the form of standardised decision-making aids, is needed to assist dental practitioners to streamline the delivery of shared decision making in primary care.
引言 随着以患者为中心的护理在医疗保健中越来越受关注，知情同意作为患者护理的首要原则在牙科实践中也受到了更多关注。共同决策或以人为本的护理在牙科领域似乎正处于落后地位。
目的 本研究旨在深入了解全科牙医对共同决策的当前看法和认知，以及如何在日常实践中加以运用。
方法 通过对九位全科执业牙医进行半结构化访谈收集实证定性数据，每次访谈平均时长30分钟。采用主题分析法对数据进行分析。
结果 总体而言，牙科从业者对共同决策的构成存在误解，沟通更多地集中在信息提供而非协作讨论上。存在一些阻碍与患者进行充分讨论的因素，其中一些直接与共同决策的重点相冲突。
结论 需要更明确地阐释什么是共同决策以及它如何在牙科实践中促进以人为本的护理。牙科从业者认为标准和指南不明确；因此，他们对于在沟通方面对他们的期望感到困惑。需要更多以标准化决策辅助工具形式提供的支持，以帮助牙科从业者在初级保健中简化共同决策的实施。
