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在 COVID-19 大流行期间提供公共牙科服务:澳大利亚大悉尼西部地区牙科工作人员的经验。

Provision of Public Dental Services During the COVID-19 Pandemic: Experiences of Dental Staff in Greater Western Sydney, Australia.

机构信息

Australian Centre for Integration of Oral Health (ACIOH), School of Nursing & Midwifery, Western Sydney University, Liverpool, NSW 1871, Australia.

Ingham Institute for Applied Medical Research, Liverpool, NSW 1871, Australia.

出版信息

Int J Environ Res Public Health. 2024 Oct 31;21(11):1451. doi: 10.3390/ijerph21111451.

Abstract

BACKGROUND AND AIM

The coronavirus (COVID-19) pandemic led to significant changes in health service delivery. Despite the risk in high-exposure environments, frontline workers such as dental staff were expected to continue delivering essential services. This study specifically sought to explore the experiences of dental staff in New South Wales and determine their perceptions of dental care delivery during a pandemic.

METHODS

Purposive sampling was used to recruit twenty-four dental staff from two local health districts. A deductive framework, as described by Braun and Clark, was used to analyse the transcripts. Four major focus areas were identified: responding to protocol changes, adapting to the impact of changes in policy and protocol, modifying dental treatment planning and recommendations for training and implementation of policies.

RESULTS

Dental staff reported that management staff were doing all they could and were most supported working in a team. Reduced contact with patients and personal protective equipment helped staff feel safe when seeing patients. Mental health and remote dentistry services could be more supported.

CONCLUSIONS

Unique challenges were experienced by dental staff and their management during the global COVID-19 pandemic. Future considerations include improved support for staff and further investigation into the effectiveness of options such as teledentistry.

摘要

背景与目的

冠状病毒(COVID-19)大流行导致医疗服务提供方式发生重大变化。尽管在高暴露环境中存在风险,但牙科工作人员等一线工作人员仍被期望继续提供基本服务。本研究专门探讨了新南威尔士州牙科工作人员的经验,并确定了他们在大流行期间对牙科护理服务的看法。

方法

采用目的抽样法从两个地方卫生区招募了 24 名牙科工作人员。采用 Braun 和 Clark 描述的演绎框架对转录本进行分析。确定了四个主要的重点领域:应对协议变更、适应政策和协议变更的影响、修改牙科治疗计划以及培训和实施政策的建议。

结果

牙科工作人员报告说,管理人员正在尽其所能,在团队中工作得到了最大的支持。减少与患者的接触和个人防护设备有助于工作人员在为患者治疗时感到安全。可以提供更多的心理健康和远程牙科服务。

结论

牙科工作人员及其管理人员在全球 COVID-19 大流行期间经历了独特的挑战。未来的考虑因素包括为员工提供更好的支持,并进一步调查远程牙科等选项的有效性。

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