‘You learn to smile with your eyes’, exploring the impact of enhanced personal protective equipment on primary care dental practitioners in the UK: An interpretative phenomenological study

Objective: The aim of the study was to explore how dental practitioners in primary care settings perceive the impact of enhanced personal protective equipment (PPE) upon patient communication and wider clinical practice. Methods: This study utilized a qualitative approach, rooted in critical realism...

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Main Authors: Legge, A.R., Nasser, M., Latour, Jos
Format: Journal Article
Language:English
Published: 2023
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/94009
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author Legge, A.R.
Nasser, M.
Latour, Jos
author_facet Legge, A.R.
Nasser, M.
Latour, Jos
author_sort Legge, A.R.
building Curtin Institutional Repository
collection Online Access
description Objective: The aim of the study was to explore how dental practitioners in primary care settings perceive the impact of enhanced personal protective equipment (PPE) upon patient communication and wider clinical practice. Methods: This study utilized a qualitative approach, rooted in critical realism. An interpretative phenomenological analysis (IPA) methodology was adopted as the study method. In accordance with IPA, in-depth semi-structured interviews were conducted. Eight dental practitioners were recruited, with data analysis conducted according to the principles of IPA. Results: Three themes were synthesized (related to communication and clinical practice): (1) Impaired communication and relationship building; (2) Physical impacts and required adjustments when wearing enhanced-PPE; and (3) Psychological stress of implementing enhanced-PPE. Theme one reflects changes to the dynamic of communication between patients and colleagues brought about by enhanced-PPE. Theme two describes the physical and psychological strains of providing care in enhanced-PPE and the ways through which practitioners tried to overcome these challenges. Theme three explores how the roll-out and guidance related to the use of enhanced-PPE affected clinical practice. Conclusions: Dental Practitioners described several barriers to communication as well as physical and mental stressors caused by enhanced-PPE, all of which were perceived to impact upon the quality of care provided to patients. Further research is required to develop effective interventions to mitigate the impact of enhanced-PPE upon clinical practice and to explore the long-term impact of enhanced-PPE on clinical practice, post-COVID.
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spelling curtin-20.500.11937-940092024-01-23T02:54:55Z ‘You learn to smile with your eyes’, exploring the impact of enhanced personal protective equipment on primary care dental practitioners in the UK: An interpretative phenomenological study Legge, A.R. Nasser, M. Latour, Jos clinical Skill communication dentistry personal protective equipment qualitative research Humans Dentists Professional Role Personal Protective Equipment Primary Health Care United Kingdom Humans Professional Role Dentists Primary Health Care Personal Protective Equipment United Kingdom Objective: The aim of the study was to explore how dental practitioners in primary care settings perceive the impact of enhanced personal protective equipment (PPE) upon patient communication and wider clinical practice. Methods: This study utilized a qualitative approach, rooted in critical realism. An interpretative phenomenological analysis (IPA) methodology was adopted as the study method. In accordance with IPA, in-depth semi-structured interviews were conducted. Eight dental practitioners were recruited, with data analysis conducted according to the principles of IPA. Results: Three themes were synthesized (related to communication and clinical practice): (1) Impaired communication and relationship building; (2) Physical impacts and required adjustments when wearing enhanced-PPE; and (3) Psychological stress of implementing enhanced-PPE. Theme one reflects changes to the dynamic of communication between patients and colleagues brought about by enhanced-PPE. Theme two describes the physical and psychological strains of providing care in enhanced-PPE and the ways through which practitioners tried to overcome these challenges. Theme three explores how the roll-out and guidance related to the use of enhanced-PPE affected clinical practice. Conclusions: Dental Practitioners described several barriers to communication as well as physical and mental stressors caused by enhanced-PPE, all of which were perceived to impact upon the quality of care provided to patients. Further research is required to develop effective interventions to mitigate the impact of enhanced-PPE upon clinical practice and to explore the long-term impact of enhanced-PPE on clinical practice, post-COVID. 2023 Journal Article http://hdl.handle.net/20.500.11937/94009 10.1111/cdoe.12898 eng http://creativecommons.org/licenses/by/4.0/ fulltext
spellingShingle clinical Skill
communication
dentistry
personal protective equipment
qualitative research
Humans
Dentists
Professional Role
Personal Protective Equipment
Primary Health Care
United Kingdom
Humans
Professional Role
Dentists
Primary Health Care
Personal Protective Equipment
United Kingdom
Legge, A.R.
Nasser, M.
Latour, Jos
‘You learn to smile with your eyes’, exploring the impact of enhanced personal protective equipment on primary care dental practitioners in the UK: An interpretative phenomenological study
title ‘You learn to smile with your eyes’, exploring the impact of enhanced personal protective equipment on primary care dental practitioners in the UK: An interpretative phenomenological study
title_full ‘You learn to smile with your eyes’, exploring the impact of enhanced personal protective equipment on primary care dental practitioners in the UK: An interpretative phenomenological study
title_fullStr ‘You learn to smile with your eyes’, exploring the impact of enhanced personal protective equipment on primary care dental practitioners in the UK: An interpretative phenomenological study
title_full_unstemmed ‘You learn to smile with your eyes’, exploring the impact of enhanced personal protective equipment on primary care dental practitioners in the UK: An interpretative phenomenological study
title_short ‘You learn to smile with your eyes’, exploring the impact of enhanced personal protective equipment on primary care dental practitioners in the UK: An interpretative phenomenological study
title_sort ‘you learn to smile with your eyes’, exploring the impact of enhanced personal protective equipment on primary care dental practitioners in the uk: an interpretative phenomenological study
topic clinical Skill
communication
dentistry
personal protective equipment
qualitative research
Humans
Dentists
Professional Role
Personal Protective Equipment
Primary Health Care
United Kingdom
Humans
Professional Role
Dentists
Primary Health Care
Personal Protective Equipment
United Kingdom
url http://hdl.handle.net/20.500.11937/94009