Table 6 Influencing factors and main themes

From: A survey to explore the motivation, scope of practice, job satisfaction and timings of procedures undertaken by dental nurses with additional duties at one NHS trust

Factor

Themes

Subthemes

Impact on timings

Patient

1. Type of patient

1.1 Not special needs patients

Reduce

1.1 Age: different age groups with varying needs

Increase

1.2 Mental capacity: varying levels of understanding and decision-making

Increase

1.3 Patient confidence: unsure

Increase

2. Patient cooperation

2.1 Actively cooperate and follow instructions

Reduce

3. Anxiety

3.1 Patients experiencing anxiety before dental procedures

Increase

4. Communication/language

4.1 Poor communication between patients and dentists

Increase

5. Punctuality

5.1 Patient adherence to schedule ensures procedures start on time

Reduce

Quality of care

1. Quality standards

1.1 Meeting the gold standard of care might involve additional time

Increase

2. Time management

2.1 Extra patient bookings

Increase

2.2 Failing to cancel appointments

Increase

Clinic setting

1. Space and infrastructure constraints

1.1 Small workspace

1.2 Ageing infrastructure: old building, inadequate heating or cooling, clinic leaks

Increase

2. Collaborative teamwork

 

Reduce

3. Efficient pre-procedure setup

 

Reduce

4. Instruments and materials are well-organised and easily accessible

 

Reduce

5. Waste management

5.1 Time spent on tasks like emptying bins and coordinating waste disposal can prolong the procedures

Increase

6. Inadequate staffing

6. 1 Insufficient team members can lead to stretched resources and limited personnel available to assist during procedures

Increase

Equipment available

1. Availability and accessibility

1.1. Sufficient

Reduce

1.2 Ready to use

Reduce

1.3 Equipment located far from the work area

Increase

1.4 Stock shortages

Increase

1.5 Delays in the central sterile supply department processing equipment

Increase

1.6 Equipment malfunction

Increase

Personal skills or experience

1. Communication

1.1 Clear instructions

Reduce

2. Years of practice

2.1 Longer skill utilisation

Reduce

3. Knowledge and confidence in skills utilisation

3.1 Uncertainty in information: needing additional time to search for relevant information

Increase

3.2 Unforeseen procedures

Increase