Mills Ian, Knights Jennifer, Ellwood Fiona, Witton Robert, Young Linda
University of Plymouth, Peninsula Dental School, Plymouth, United Kingdom.
NHS Education for Scotland, Edinburgh, UK; University of Dundee, Dundee, United Kingdom.
Br Dent J. 2025 Aug;239(3):197-203. doi: 10.1038/s41415-025-8645-z. Epub 2025 Aug 8.
Introduction The mental health and wellbeing of the dental workforce is essential in providing oral healthcare services which are sustainable, safe and of the highest quality. Yet, there remains a lack of qualitative studies exploring the factors that negatively affect wellbeing in dentistry in the United Kingdom, not least in regard to the views and experiences of the wider dental team.Aim The aim of this paper is to identify and explore the factors that contribute to stress and burnout within dental teams as reported through the MINDSET U.K. Survey 2023.Method Qualitative data were collected in an online questionnaire which provided an opportunity for respondents to provide a free-text response. Following an inductive approach, thematic analysis was used to synthesise the findings.Results In total, 1,507 responses were received, of which 287 included a valid free-text response. The sample included 203 dentists, 69 dental care professionals, 13 practice managers/receptionists and two respondents who did not select a professional group. Six themes were identified from the data: workload; NHS system; regulatory compliance, patient complaints and litigation; financial pressures; leadership and management; and self-worth.Conclusion Current reactive approaches to dealing with the mental health and wellbeing of dental healthcare workers are insufficient. Measures need to be urgently developed and implemented to reduce or mitigate the contributing factors at the macro (system) level. These need to be considered as a priority in order to create the working conditions necessary to allow all members of the dental team to develop, flourish and feel valued.
引言
牙科工作人员的心理健康和幸福对于提供可持续、安全且高质量的口腔医疗服务至关重要。然而,在英国,尤其是关于更广泛牙科团队的观点和经历,仍缺乏定性研究来探索对牙科领域幸福感产生负面影响的因素。
目的
本文旨在通过2023年英国心态调查来识别和探索导致牙科团队压力和倦怠的因素。
方法
通过在线问卷收集定性数据,该问卷为受访者提供了提供自由文本回复的机会。采用归纳法,运用主题分析来综合研究结果。
结果
共收到1507份回复,其中287份包含有效的自由文本回复。样本包括203名牙医、69名牙科护理专业人员、13名诊所经理/接待员以及两名未选择专业类别的受访者。从数据中识别出六个主题:工作量;国民保健制度体系;监管合规、患者投诉和诉讼;财务压力;领导与管理;以及自我价值。
结论
当前应对牙科医护人员心理健康和幸福的被动方法是不够的。迫切需要制定并实施措施,以在宏观(系统)层面减少或减轻促成因素。这些措施应被视为优先事项,以便创造必要的工作条件,使牙科团队的所有成员都能发展、蓬勃发展并感到自身有价值。