The impact of the COVID-19 pandemic on the experiences of Nova Scotian dentists.

BackgroundThe COVID-19 pandemic has significantly impacted how healthcare practitioners operate and provide care. Dentists are at an increasing risk of contracting the disease; working in mouths and constantly exposed to patient respiratory droplets and aerosols.ObjectiveWe explored the experiences of Nova Scotian dentists including motivation to work and perceived organizational support during a global public health crisis.MethodsThis was a mixed-methods study utilizing a sequential exploratory design. Phase 1 involved qualitative interviews with eight Nova Scotian dentists regarding their pandemic experiences. In Phase 2, a cross-sectional survey informed by Phase 1 focused on motivation to work and perceived organizational support. Descriptive statistics summarized the study sample, while Chi-square and t-tests explored associations and differences between subgroups.ResultsPhase 1 revealed logistical and physical challenges, including difficulty obtaining and working in personal protective equipment. Barriers to motivation included financial stresses and concern about patients without care. A key recommendation was against complete practice shut down in future pandemics. Clear return to work plans provided by the Nova Scotia Dental Association (NSDA) were identified as important support. Phase 2 revealed a high level of perceived organizational and regulatory body support among respondents (n = 19). Men exhibited slightly higher intrinsic motivation compared to women. Changes in patient needs included clenching and grinding, (the "Covid clench"), as top observations by dentists.ConclusionsThis study's insights into dentists' occupational challenges suggest that regulatory guidelines helped streamline return-to-work, and future improvements in crisis preparedness and business management would be beneficial.