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Successful clinical and organisational change in endodontic practice: a qualitative study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD). Malmo Univ, Fac Odontol, Dept Endodont, Malmo, Sweden.
Malmo Univ, Fac Hlth & Soc, Dept Social Work, Malmo, Sweden.
Malmo Univ, Fac Odontol, Dept Orofacial Pain & Jaw Funct, Malmo, Sweden.
Malmo Univ, Fac Odontol, Dept Endodont, Malmo, Sweden.
2014 (English)In: European journal of dental education, ISSN 1396-5883, E-ISSN 1600-0579, Vol. 18, no 3, 121-127 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explicate and describe the qualitative meaning of successful clinical and organizational change in endodontic practice, following a comprehensive implementation program, including the integration of the nickel-titanium-rotary-technique. After an educational intervention in the Public Dental Service in a Swedish county, thematic in-depth interviews were conducted, with special reference to the participants' experience of the successful change. Interviews with four participants, were purposively selected on the basis of occupation (dentist, dental assistant, receptionist, clinical manager), for a phenomenological human scientific analysis. Four constituents were identified as necessary for the invariant, general structure of the phenomenon: 1) disclosed motivation, 2) allowance for individual learning processes, 3) continuous professional collaboration, and 4) a facilitating educator. The perceived requirements for achieving successful clinical and organizational change in endodontic practice were clinical relevance, an atmosphere which facilitated discussion and allowance for individual learning patterns. The qualities required in the educator were acknowledged competence with respect to scientific knowledge and clinical expertise, as well as familiarity with conditions at the dental clinics. The results indicate a complex interelationship among various aspects of the successful change process.

Place, publisher, year, edition, pages
2014. Vol. 18, no 3, 121-127 p.
Keyword [en]
dentistry; implementation; NiTi rotary education; phenomenology; qualitative method
National Category
Dentistry
Identifiers
URN: urn:nbn:se:uu:diva-220200DOI: 10.1111/eje.12066ISI: 000340666000002PubMedID: 24118746OAI: oai:DiVA.org:uu-220200DiVA: diva2:704427
Available from: 2014-03-12 Created: 2014-03-12 Last updated: 2017-12-05Bibliographically approved

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