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Article

Implementation of COVID-19 Infection Control Measures by German Dentists: A Qualitative Study to Identify Enablers and Barriers

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Department of Oral Diagnostics, Digital Health and Health Services Research, Charité-Universitätsmedizin Berlin, 14197 Berlin, Germany
2
Department of Operative and Preventive Dentistry, Charité-Universitätsmedizin Berlin, 14197 Berlin, Germany
*
Author to whom correspondence should be addressed.
Academic Editors: Hiroko Miura and Daisuke Ekuni
Int. J. Environ. Res. Public Health 2021, 18(11), 5710; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18115710
Received: 13 April 2021 / Revised: 11 May 2021 / Accepted: 19 May 2021 / Published: 26 May 2021
Objectives: COVID-19 infection control measures have been recommended for dental practices worldwide. This qualitative study explored barriers and enablers for the implementation of these measures in German dental practices. Methods: Semi-structured phone interviews were conducted in November/December 2020 (purposive/snowball sampling). The Theoretical Domains Framework (TDF) and the Capabilities, Opportunities and Motivations influencing Behaviors model (COM-B) were used to guide interviews. Mayring’s content analysis was employed to analyze interviews. Results: All dentists (28–71 years, 4/8 female/male) had implemented infection control measures. Measures most frequently not adopted were FFP2 masks, face shields (impractical), the rotation of teams (insufficient staffing) and the avoidance of aerosol-generating treatments. Dentists with personal COVID-19 experience or those seeing themselves as a role model were more eager to adopt measures. We identified 34 enablers and 20 barriers. Major barriers were the lack of knowledge, guidelines and recommendations as well as limited availability and high costs of equipment. Pressure by staff and patients to ensure infection control was an enabler. Conclusions: Dentists are motivated to implement infection control measures, but lacking opportunities limited the adoption of certain measures. Policy makers and equipment manufacturers should address these points to increase the implementation of infection control measures against COVID-19 and potential future pandemics. View Full-Text
Keywords: acceptance; COVID-19; interviews; qualitative; theoretical domains framework; SARS-CoV-2 acceptance; COVID-19; interviews; qualitative; theoretical domains framework; SARS-CoV-2
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MDPI and ACS Style

Müller, A.; Melzow, F.S.; Göstemeyer, G.; Paris, S.; Schwendicke, F. Implementation of COVID-19 Infection Control Measures by German Dentists: A Qualitative Study to Identify Enablers and Barriers. Int. J. Environ. Res. Public Health 2021, 18, 5710. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18115710

AMA Style

Müller A, Melzow FS, Göstemeyer G, Paris S, Schwendicke F. Implementation of COVID-19 Infection Control Measures by German Dentists: A Qualitative Study to Identify Enablers and Barriers. International Journal of Environmental Research and Public Health. 2021; 18(11):5710. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18115710

Chicago/Turabian Style

Müller, Anne, Florentina S. Melzow, Gerd Göstemeyer, Sebastian Paris, and Falk Schwendicke. 2021. "Implementation of COVID-19 Infection Control Measures by German Dentists: A Qualitative Study to Identify Enablers and Barriers" International Journal of Environmental Research and Public Health 18, no. 11: 5710. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18115710

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