Johnsen Jan-Are K, Haukefer Sunniva B, Korsan Sofie J, Larsen Maria, Holde Gro Eirin
Department of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
The Public Dental Health Service Competence Centre of Northern Norway, Tromsø, Norway.
BDJ Open. 2023 Jul 7;9(1):27. doi: 10.1038/s41405-023-00156-6.
This study investigated how exposure to challenging patient encounters influenced participants' self-reported quality of life, and how participants' mentalization capabilities affected the perceptions of challenging patients encounters among Norwegian dentists and dental students.
Data was collected with an online questionnaire, and a total of 165 dentists (n = 126) and dental students (n = 39) responded.
Participants who reported higher total exposure of challenging encounters reported lower quality of life (QoL). Mentalization tendencies affected the perception of challenging encounters with specific types of patients; critical and anxious; as well as the estimation of the total exposure to challenging patient encounters. Participants that were overconfident with regards to the mental states of others found these patient types less challenging and they reported less overall exposure to challenging patients than underconfident participants. Also, overconfident participants reported higher QoL than underconfident participants.
Mentalization capabilities of dental practitioners interact with the perception of challenging encounters in dental practice, and how practitioners respond to these challenges. Measures should be undertaken to increase the awareness of metacognitive skills in dentistry with the dual goal of improving patient care as well as the quality of life of dental practitioners.
本研究调查了面对具有挑战性的患者情况如何影响参与者自我报告的生活质量，以及参与者的心理化能力如何影响挪威牙医和牙科学生对具有挑战性的患者情况的认知。
通过在线问卷收集数据，共有165名牙医（n = 126）和牙科学生（n = 39）做出回应。
报告更高总体挑战性情况暴露的参与者报告的生活质量（QoL）较低。心理化倾向影响对特定类型患者（挑剔和焦虑型）具有挑战性情况的认知，以及对具有挑战性的患者情况总体暴露的估计。对他人心理状态过度自信的参与者认为这些患者类型挑战性较小，并且他们报告的具有挑战性患者的总体暴露比缺乏自信的参与者少。此外，过度自信的参与者报告的生活质量高于缺乏自信的参与者。
牙科从业者的心理化能力与牙科实践中对具有挑战性情况的认知以及从业者对这些挑战的反应相互作用。应采取措施提高牙科领域对元认知技能的认识，以实现改善患者护理以及牙科从业者生活质量的双重目标。
