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首页> 外文期刊>BDJ open. >Fortitude and resilience in service of the population: a case study of dental professionals striving for health in Sierra Leone
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Fortitude and resilience in service of the population: a case study of dental professionals striving for health in Sierra Leone

机译：为人民服务的毅力和韧性：以塞拉利昂争取健康的牙科专业人员为例

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Sierra Leone (SL), with a population of over 7 million people, has a critical health workforce shortage. This research explores the views of key players on population oral health needs and demands, the challenges of oral and dental care delivery, and professional careers in dentistry, in order to inform future capacity building. Semi-structured interviews were conducted with a purposive sample of key players in dentistry and healthcare, both in-country and externally. An interpretive phenomenological approach was used in exploring views of key-players on the oral needs and demands of population, challenges in the delivery of oral and dental care, professional careers of dental professionals in SL, and future workforce capacity building based on a topic guide drawn from the available literature. Interviews were audio-recorded, transcribed verbatim, anonymised and analysed using QSR NVivo 10 for data management and reported in accordance to the consolidated criteria for reporting qualitative research. Twenty-one informants, of whom 18 were male, 17 were in-country and 16 were dental professionals, participated in the research. Dental professionals reported clear consensus on a considerable level of unmet oral health needs, most notably dental caries and periodontal disease, together with life threatening oral conditions such as osteomyelitis, Ludwig's Angina and Burkitt's Lymphoma. Challenges associated with the delivery of dental care revolved around five themes: patients' predisposition for traditional remedies and urgent care; practical hindrances to the delivery of care; professional isolation and weak governance; and place with pressing local crises and lack of political will. An emerging typology of dental professionals included: demonstrating loyalty to their nation and family; exhibiting resilience in challenging circumstances; embracing opportunity most notably amongst expatriates; and striving to serve the needs of the population. There was support for innovative future capacity building developments. This paper provides important insights to the delivery of dental care in a low-income country with significant oral health needs and multiple challenges in the delivery of dental care, whilst also providing a vision for developing, building and retaining future human resources for oral health.
机译：塞拉利昂（SL）人口超过700万人，医疗卫生人员严重短缺。这项研究探索了主要参与者在人口口腔健康需求和需求，口腔和牙科保健提供方面的挑战以及牙科专业职业方面的观点，以便为将来的能力建设提供信息。进行了半结构化访谈，目的是针对国内外牙科和医疗保健领域的主要参与者。解释性现象学方法用于探讨主要参与者对人口的口腔需求和需求，口腔和牙科保健的提供方面的挑战，SL牙科专业人员的职业生涯以及基于主题指南的未来员工能力建设的观点从现有文献中得出。访谈使用QSR NVivo 10进行音频记录，逐字记录，匿名和分析，用于数据管理，并根据报告定性研究的综合标准进行报告。二十一位线人参加了研究，其中男18人，国内17名，牙科专业16名。牙科专业人士报告说，人们对未满足的口腔健康需求（尤其是龋齿和牙周疾病）以及危及生命的口腔疾病（如骨髓炎，路德维希氏心绞痛和伯基特氏淋巴瘤）存在相当程度的共识。与提供牙科护理有关的挑战围绕五个主题：患者对传统疗法和紧急护理的倾向;提供护理的实际障碍;专业隔离和治理薄弱;和地方紧迫的地方危机，缺乏政治意愿。牙科专业人员的一种新兴类型包括：表现出对国家和家庭的忠诚;在充满挑战的环境中表现出韧性;尤其是在外籍人士中拥抱机会;并努力满足民众的需求。支持了未来创新能力建设的发展。本文为在口腔卫生需求显着且牙科保健服务面临诸多挑战的低收入国家提供牙科保健提供了重要见解，同时也为开发，建设和保留未来的口腔保健人力资源提供了愿景。

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