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1.
Community Dent Health ; 35(1): 9-15, 2018 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-29381272

RESUMO

INTRODUCTION: Dentistry is recognised as a stressful profession and dentists perceive their profession to be more stressful than other healthcare professions. While earlier studies have shown a link between stress and well-being among dentists, whether stress negatively impacts their clinical performance is an important and open question. We do know, however, that stress is associated with reduced performance in other health (and non-health) related professions. OBJECTIVES: This systematic review aimed to answer the question: how does stress impact on dentists' clinical performance? METHODS: This systematic review was registered in PROSPERO (CRD42016045756). The CINHAL, Embase, Medline, PsycINFO, EThOS and OpenGrey electronic databases were searched according to PRISMA guidelines. Two reviewers independently screened the citations for relevance. The citation list of potentially eligible papers was also searched. Prospective empirical studies were considered for inclusion. The inclusion criteria were applied at the full-text stage by the two same reviewers independently. RESULTS: The search yielded 3535 titles and abstracts. Twelve publications were considered potentially eligible, eleven of which were excluded as they did not meet the predefined inclusion criteria. CONCLUSIONS: This systematic review identified a gap in the literature as it found no empirical evidence quantifying the impact of stress on dentists' clinical performance. Prospective well-designed experimental simulation studies, comparing stress with non-stress situations on clinical performance and decision making, as well studies evaluating prospectively real-life dentists' performance under stress are warranted.


Assuntos
Competência Clínica , Odontologia , Estresse Ocupacional , Humanos
2.
Child Care Health Dev ; 36(6): 795-804, 2010 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-20456376

RESUMO

BACKGROUND: In 2007, the Food and Drug Administration (FDA) recommended against parents administering over-the-counter cough and cold medications (OTC-CCM) to children under 2 years of age because serious and potentially life-threatening side effects can occur. This study examined the impact of FDA's recommendations against giving children under 2 years old OTC-CCM. METHODS: We asked parents (n= 377) whether they knew of and trusted the FDA recommendations, as well as whether they intended to follow them. We also examined parents' knowledge, perceptions and behaviours with respect to OTC-CCM. RESULTS: About 33% of our sample had never heard of the FDA recommendations. Of those who were aware, 32.9% intended to continue administering OTC-CCM, and another 36.7% were not sure what to do. Our results indicate that parents who trust the FDA recommendations are significantly more likely to stop giving OTC-CCM to their children. However, almost half did not trust the FDA recommendations or were not sure whether to trust them. Our results indicate that parents who trust the FDA recommendation are significantly more likely to discontinue using OTC-CCM. Our data also reveal that many parents give more than one drug simultaneously (32.9%), cannot identify the active ingredient(s) (28.9%) or fail to store the medications in a safe place (86.1%). CONCLUSION: Parents' confidence in the FDA recommendations predicted whether they would continue or stop administering OTC-CCM to their children. Our findings illustrate the urgent need for widespread public education about OTC-CCM products to ensure children's safety.


Assuntos
Antitussígenos/efeitos adversos , Resfriado Comum/tratamento farmacológico , Tosse/tratamento farmacológico , Conhecimentos, Atitudes e Prática em Saúde , Medicamentos sem Prescrição/efeitos adversos , Pais/psicologia , Adulto , Antitussígenos/administração & dosagem , Criança , Pré-Escolar , Feminino , Fidelidade a Diretrizes , Humanos , Lactente , Masculino , Medicamentos sem Prescrição/administração & dosagem , Padrões de Prática Médica , Fatores de Risco , Estados Unidos , United States Food and Drug Administration
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