Abstract

Mini Review

Organizational and Human Factors in Dentistry: A Macroergonomic Approach to Maximize Dental Practice Performance and Minimize Burnout and Psychophysical Stress

Juan Carlos Ortiz Hugues*

Published: 16 December, 2024 | Volume 8 - Issue 1 | Pages: 047-051

The psychophysical impact of a high-complexity environment such as the dental office is not a novelty. This article outlines the organizational and human factors that impact the overall health of dentists, assistants, hygienists, and administrative staff. A careless organizational and human factors approach cannot only function as a stress and error trigger but also affect the highly precise requirements of dentistry and task performance in the daily demands of the office. 
Ergonomics and human factors principles guidelines should be structured and taught from the basics in dental schools and supported by prevention programs and interventions in the dental professional field, as in other industries, to promote safety, health, and efficiency within the integration of humans, systems, and environments.
Usually, the main focus of dentistry research is the physical aspect of the job; the high rates of musculoskeletal disorders are a real problem, but the cognitive-organizational element of the job is not a minimal issue, which highly contributes to physical-emotional exhaustion in the work environment.
A fatigued mind impacts the physical aspect of the job, and physical fatigue impacts the mental aspect of the job. This dual effect in a job that requires dealing with anxiety and fear patients, administrative situations in the office, financial aspects, and technical and skill aspects from the dentist, among other requirements, makes dentistry a unique profession.
This article addresses the components of the factors that promote cognitive depletion in our field and provides simple tips on controlling them to avoid burnout among dentists. It highlights the importance of awareness of how we manage the organization in the office and the effect on human behavior and performance. It wants to bring to light a common problem for dental practitioners and the workforce to prevent health and performance decrease.

Read Full Article HTML DOI: 10.29328/journal.jcad.1001046 Cite this Article Read Full Article PDF

References

  1. Cavalcante JL, Pinto AGA, Brito FE, Júnior, Moreira MRC, Lopes MVS, Rocha Cavalcante EG. Estresse ocupacional dos funcionários de uma universidade pública. Enferm Foco. 2019;10(4):108–15. Available from: http://dx.doi.org/10.21675/2357-707X.2019.v10.n4.2310
  2. Gupta A, Bhat M, Mohammed T, Bansal N, Gupta G. Ergonomics in dentistry. Int J Clin Pediatr Dent. 2014;7(1):30-4. Available from: https://doi.org/10.5005/jp-journals-10005-1229
  3. Marcum JA. An integrated model of clinical reasoning: dual-process theory of cognition and metacognition. J Eval Clin Pract. 2012;18:954–61. Available from: https://doi.org/10.1111/j.1365-2753.2012.01900.x
  4. Eva KW. What every teacher needs to know about clinical reasoning. Med Educ. 2005;39:98–106. Available from: https://doi.org/10.1111/j.1365-2929.2004.01972.x
  5. Scandurra C, Gasparro R, Dolce P, Bochicchio V, Muzii B, Sammartino G, et al. The role of cognitive and non-cognitive factors in dental anxiety: A mediation model. Eur J Oral Sci. 2021;129(4):e12793. Available from: https://doi.org/10.1111/eos.12793
  6. American Psychological Association. Psychologists, helping businesses and organizations. American Psychological Association. 2013. Available from: https://www.apa.org/education-career/guide/paths/business
  7. Grunberg NE, McManigle JE, Barry ES. Applying Classic Social Psychology Principles to Improve Healthcare Teams. MedEdPublish. 2021;9:251. Available from: https://doi.org/10.15694/mep.2020.000251.2
  8. Maake G. Assessment of motivational level in the workplace: Evidence from administrative employees. Int J Bus Ecosyst Strateg. 2024;6(3):106-16. Available from: https://doi.org/10.36096/ijbes.v6i3.497
  9. McDermott O, Antony J, Bhat S, Jayaraman R, Rosa A, Marolla G, et al. Lean Six Sigma in healthcare: A systematic literature review on motivations and benefits. Processes. 2022;10(10):1910. Available from: https://doi.org/10.3390/pr10101910
  10. Zhang M, Murphy B, Cabanilla A, Yidi C. Physical relaxation for occupational stress in healthcare workers: A systematic review and network meta-analysis of randomized controlled trials. J Occup Health. 2021;63(1):e12243. Available from: https://doi.org/10.1002/1348-9585.12243
  11. Harris K, Russ S. Patient-completed safety checklists as an empowerment tool for patient involvement in patient safety: concepts, considerations, and recommendations. Future Healthc J. 2021;8(3):e567-e573. Available from: https://doi.org/10.7861/fhj.2021-0122
  12. Marques-Sule E, Miró-Ferrer S, Muñoz-Gómez E, Bermejo-Fernández A, Juárez-Vela R, Gea-Caballero V, et al. Physical activity in healthcare professionals as a means of primary prevention of cardiovascular disease: A STROBE compliant cross-sectional study. Medicine (Baltimore). 2021;100(22):e26184. Available from: https://doi.org/10.1097/md.0000000000026184
  13. Schilbach M, Haun VC, Baethge A, Rigotti T. The challenging and hindering potential of time pressure: Qualitative job demands as suppressor variables. J Bus Psychol. 2023;38:1061–75. Available from: https://link.springer.com/article/10.1007/s10869-022-09844-w
  14. Rasool SF, Wang M, Tang M, Saeed A, Iqbal J. How toxic workplace environment affects employee engagement: The mediating role of organizational support and employee wellbeing. Int J Environ Res Public Health. 2021;18(5):2294. Available from: https://doi.org/10.3390/ijerph18052294
  15. Sjøgaard G, Lundberg U, Kadefors R. The role of muscle activity and mental load in the development of pain and degenerative processes at the muscle cell level during computer work. Eur J Appl Physiol. 2000;83(2-3):99-105. Available from: https://doi.org/10.1007/s004210000285
  16. Pronk NP, Martinson BC, Kessler RC, Beck AL, Simon GE, Wang P. The association between work performance and physical activity, cardiorespiratory fitness, and obesity. J Occup Environ Med. 2004;46(1):19-25. Available from: https://doi.org/10.1097/01.jom.0000105910.69449.b7
  17. Parry DA, Oeppen RS, Amin MSA, Brennan PA. Sleep: its importance and the effects of deprivation on surgeons and other healthcare professionals. Br J Oral Maxillofac Surg. 2018;56(8):663-666. Available from: https://doi.org/10.1016/j.bjoms.2018.08.001
  18. Plessas A, Nasser M, Hanoch Y, O'Brien T, Bernardes Delgado M, Moles D. Impact of time pressure on dentists' diagnostic performance. J Dent. 2019;82:38-44. Available from: https://doi.org/10.1016/j.jdent.2019.01.011
  19. Portoghese I, Galletta M, Coppola RC, Finco G, Campagna M. Burnout and workload among healthcare workers: the moderating role of job control. Saf Health Work. 2014;5(3):152-7. Available from: https://doi.org/10.1016/j.shaw.2014.05.004
  20. Langner R, Eickhoff SB. Sustaining attention to simple tasks: a meta-analytic review of the neural mechanisms of vigilant attention. Psychol Bull. 2013;139(4):870-900. Available from: https://doi.org/10.1037/a0030694
  21. Gawron V. Human Performance and Situation Awareness Measures. 3rd ed. CRC Press; 2019. Available from: https://doi.org/10.1201/9780429001024
  22. Bud M, Jitaru S, Lucaciu O, Korkut B, Dumitrascu-Timis L, Ionescu C, et al. The advantages of the dental operative microscope in restorative dentistry. Med Pharm Rep. 2021;94(1):22-27. Available from: https://doi.org/10.15386/mpr-1662
  23. Skinner A, Diller D, Kumar R, Cannon-Bowers J, Smith R, Tanaka A, et al. Development and application of a multi-modal task analysis to support intelligent tutoring of complex skills. Int J STEM Educ. 2018;5(1):14. Available from: https://doi.org/10.1186/s40594-018-0108-5
  24. Finkbeiner BL. Four-handed dentistry: instrument transfer. J Contemp Dent Pract. 2001;2(1):57-76. Available from: https://pubmed.ncbi.nlm.nih.gov/12167944/
  25. Kracher C, Breen C, McMahon K, Gagliardi L, Miyasaki C, Landsberg K, et al. The evolution of the dental assisting profession. J Dent Educ. 2017;81(9):eS30-eS37. Available from: https://doi.org/10.21815/jde.017.031
  26. S. Department of Labor, Occupational Safety and Health Administration (OSHA). Long Work Hours, Extended or Irregular Shifts, and Worker Fatigue. Available from: https://www.osha.gov/worker-fatigue/hazards
  27. World Health Organization (WHO). Burn-Out an “Occupational Phenomenon”: International Classification of Diseases. WHO; 2019. Available from: https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases
  28. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52:397-422. Available from: https://doi.org/10.1146/annurev.psych.52.1.397
  29. Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172(18):1377-85. Available from: https://doi.org/10.1001/archinternmed.2012.3199
  30. Afrashtehfar KI, Jurado CA. The dental profession experiences high prevalence rates of burnout and emotional exhaustion. J Evid Based Dent Pract. 2023;23(3):101886. Available from: https://doi.org/10.1016/j.jebdp.2023.101886
  31. Murthy VH. Confronting health worker burnout and well-being. N Engl J Med. 2022;387(7):577-579. Available from: https://doi.org/10.1056/nejmp2207252
  32. Razai MS, Majeed A. General practice in England: the current crisis, opportunities, and challenges. J Ambul Care Manag. 2022;45(2):135-139. Available from: https://doi.org/10.1097/jac.0000000000000410
  33. Waldo OA. The 3 “Rs” Relax, Reflect, and Regroup. Avoiding Burnout During Cardiology Fellowship. J Am Coll Cardiol. 2015;66(11). Available from: http://dx.doi.org/10.1016/j.jacc.2015.07.054

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