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Year 2025, Volume: 10 Issue: 2, 109 - 123, 29.06.2025
https://doi.org/10.33457/ijhsrp.1619167

Abstract

References

  • World Health Organization. Summary of the evidence on patient safety: implications for research [Online]. 2008 [cited 2024 Jul 8].https://www.who.int/publications/i/item/9789241596541
  • World Health Organization. Safer Primary Care: A Global Challenge [Online]. 2012. [cited 2024 Jul 8]. https://www.who.int/teams/integrated-health-services/patient-safety/research/safer-primary-care
  • Ministry of Health. Brazilian reference document for the National Patient Safety Program [Portuguese] [Online]. 2014. [cited 2024 Jul 10]. https://www.gov.br/saude/pt-br/acesso-a-informacao/acoes-e-programas/pnsp/materiais-de-apoio/arquivos/documento-de-referencia-para-o-programa-nacional-de-seguranca-do-paciente/view
  • World Health Organization. Patient safety curriculum guide: multi-professional edition. [Online]. 2011. [cited 2024 Jul 8]. https://www.who.int/publications/i/item/9789241501958
  • Sousa P. “Patient safety: the need for a national strategy”. Acta Médica Portuguesa, 19(4), 309-17, 2006.
  • Lopes LGO, Boff G, Rossoni E, Pilotto LM, Bulgarelli AF. Informational profile of public service dentists on patient safety in dental treatment[Portuguese]. Revista da Faculdade de Odontologia de Porto Alegre, 64, e132418-e132418, 2023
  • Costa Junior SD, Araujo PG, Frichembruder K, Hugo FN. Brazilian Oral Health Policy: metasynthesis of studies on the Oral Health Network. Rev saude publica. 202(55),105, 2021
  • Bulgarelli AF. Living, collective and political organisms for construction of the attributes of the National Oral Health Policy. RGO-Revista Gaúcha de Odontologia, 69, e20210030, 2021.
  • Corrêa CDTSO, Mendes W. Proposal of a trigger tool to assess adverse events in dental care. Cad Saúde Pública, 33:e00053217, 2017.
  • Perea-Pérez B. et al. Analysis of 415 adverse events in dental practice in Spain from 2000 to 2010. Med Oral Patol Oral Cir Bucal, 19(5), 500-505, 2014.
  • Macdonald ME. The necessity of qualitative research for advancing oral health. Community Dent Oral Epidemiol, 51(1), 67-70, 2023.
  • Lopes LGO, Bulgarelli AF. Learning with the construction of a protocol of methodological rigor in qualitative research: experience report[Portuguese]. Rev Saberes Plurais: Educ Saúde, 5(2), 39-50, 2021.
  • Souza VRDS, Marziale MHP, Silva GTR, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist[Portuguese]. Acta Paulista de Enfermagem, 34, eAPE02631, 2021
  • Gadamer HG. Truth and method. A&C Black. New York, 2013.
  • Castilho AT, Preti DF. Cultured spoken language in the city of Sao Paulo: formal utterances [Portuguese]. T.A. Queiroz/ FAPESP. São Paulo, 1986.
  • Vasileiou K, Barnett J, Thorpe S, Young T. Characterizing and justifying sample size sufficiency in interview-based studies: systematic analysis of qualitative health research over a 15-year period. BMC medical research methodology, 18, 1-18, 2018
  • Hennink M, Kaiser BN. Sample sizes for saturation in qualitative research: A systematic review of empirical tests. Social science & medicine, 292, 114523, 2022.
  • Hennink MM, Kaiser BN, Marconi VC. Code Saturation Versus Meaning Saturation: How Many Interviews Are Enough? Qualitative Health Research, 27(4), 591-608, 2016.
  • Guest G, Namey E, Chen M. A simple method to assess and report thematic saturation in qualitative research. PloS one, 15(5), e0232076, 2020.
  • Bardin L. Content Analysis. Edições 70. São Paulo, 2011.
  • Feldman MS. Strategies for interpreting qualitative data. Sage Publications. Los Angeles,1994.
  • Gadamer HG. The enigma of health: The art of healing in a scientific age. John Wiley & Sons. New Jersey, 2018.
  • Arthos J. The paradigmatic interpenetration of hermeneutics and rhetoric. In The Gadamerian Mind (400-417). Routledge. London, 2021.
  • Debesay, J, Nåden D, Slettebø Å. How do we close the hermeneutic circle? A Gadamerian approach to justification in interpretation in qualitative studies. Nurs Inq, 15(1), 57-66, 2008.
  • Corcoran L, Cook K. The philosophy of Hans‐Georg Gadamer: An exemplar of the complicated relationship between philosophy and nursing practice. Nurs Inq, 30(1), e12509, 2023.
  • Nascimento AC, Moysés ST, Werneck RI, Moysés SJ. Oral health in the context of primary care in Brazil. Int Dent J, 63(5), 237-243, 2013.
  • Bomfim RA, Della Bona A, Cury JA, Celeste RK. (2024). Brazilian primary dental care in a universal health system: challenges for training and practice. Journal of Dentistry. 21,104932, 2024.
  • Kang S, Ho TTT, Lee NJ. Comparative studies on patient safety culture to strengthen health systems among Southeast Asian countries. Front Public Health, 8, 600216, 2021.
  • Ensaldo-Carrasco E, Oliva-Olvera K, Ensaldo-Carrasco E, Salazar-Pimentel IA, Lezana-Fernández MÁ, González FM. Applying of eight essential actions for patient safety in dentistry. Rev Odontol Mexicana, 25(2), 184-193, 2022.
  • Ustrell-Torrent JM, Buxarrais-Estrada MR, Ustrell-TorrentRiutord-Sbert P. Ethical relationship in the dentist-patient interaction. J Clin Exp Dent, 13(1), e61, 2021.
  • Rocha MPD, Viana IS, Vieira IF. Patient Safety in Primary Health Care in a Brazilian municipality[Portuguese]. Physis: Revista de Saúde Coletiva, 3, e310420, 2021.
  • Tomaselli G, Buttigieg SC, Rosano A, Cassar M, Grima G. Person-centered care from a relational ethics perspective for the delivery of high quality and safe healthcare: a scoping review. Front Public Health, 8, 489949, 2020.
  • Paese F, Sasso GT. Patient safety culture in primary health care [Portuguese]. Texto & Contexto Enfermagem, 22(2), 302-10, 2013.
  • Albalawi A, Kidd L, Cowey E. Factors contributing to the patient safety culture in Saudi Arabia: a systematic review. BMJ open, 10(10), e037875, 2020
  • Lawati MHA, Dennis S, Short SD, Abdulhadi NN. Patient safety and safety culture in primary health care: a systematic review. BMC Fam Pract, 19, 1-12, 2018.
  • Etchegaray JM, Ottosen MJ, Dancsak T, Thomas EJ. Barriers to speaking up about patient safety concerns. J patient saf, 16(4), e230-e234, 2020.
  • Macedo LL et al. Culture of patient safety in primary health care in a large municipality in the perception of workers. Texto & Contexto-Enfermagem. 29, e20180410, 2020.
  • Trzeciak S, Mazzarelli A, Booker C. Compassionomics: The revolutionary scientific evidence that caring makes a difference. Huron Consulting Group Inc., Chicago, 2019.
  • Arakelian E, Rudolfsson G. Sharing the Same Reality, Healthy Relations Between Colleagues at Work: A Meta-Synthesis. SAGE Open Nurs, 9, e-23779608231207239, 2023.
  • Yansane A, Lee JH, Hebballi N, Obadan-Udoh E, White J, Walji M, et al. Assessing the patient safety culture in dentistry. JDR Clin Trans Res, 5(4), 399-408, 2020.
  • Ensaldo-Carrasco E, Suarez-Ortegon MF, Carson-Stevens A, Cresswell K, Bedi R, Sheikh A. Patient safety incidents and adverse events in ambulatory dental care: a systematic scoping review. J Patient Saf, 17(5), 381-391, 2021
  • Febriansyah F, Kusumapradja R, Ahmad H. The Role Of Teamwork In Improving Patient Safety Culture. JMMR, 9(1), 41-52, 2020.
  • Pereira D. Imaginary formations about the doctor in Brazil: some repercussions in the language [Portuguese]. RUA, 29(2), 513-535, 2023.
  • Foucault M. Power/knowledge. In The new social theory reader. Routledge. Abingdon, 2020
  • Vargas H. Without losing majesty: “imperial professions” in Brazil [Portuguese]. Estudos de Sociologia, 15(28),107-24, 2010.
  • Von Bültzingslöwen I, Eliasson G, Sarvimäki A, Mattsson B, Hjortdahl P. Patients' views on interpersonal continuity in primary care: a sense of security based on four core foundations. Family practice, 23(2), 210-219, 2002.
  • Plage S, Baker K, Parsell C, Stambe RM, Kuskoff E, Mansuri A. Staying safe, feeling welcome, being seen: How spatio‐temporal configurations affect relations of care at an inclusive health and wellness centre. Health Expectations, 26(6), 2620-2629, 2023.

THE DENTIST'S PERSPECTIVE ON PATIENT SAFETY IN BRAZILIAN DENTAL SERVICES: A GADAMERIAN STUDY

Year 2025, Volume: 10 Issue: 2, 109 - 123, 29.06.2025
https://doi.org/10.33457/ijhsrp.1619167

Abstract

The objective is to understand patient safety in dental care from the perspective of primary health care dentists in a public health system. This is a Hermeneutic study based on 16 interviews with dentists in the Brazilian public health service. Data systematization and analysis were conducted using Content Analysis, and interpretation was supported by the theoretical framework of philosopher Hans-Georg Gadamer. Three themes emerged: The subjectivities/personal perspectives of dentists in their dental practice within workplaces and their recognition of vulnerability to potential errors; working in a culture of patient safety involves both the material aspects of infrastructure and human compassion; the multiprofessional work and the presence of a physician in the team result in a safer and more welcoming patient environment. In conclusion, for dentists working in the Brazilian public health services, patient safety is involved in a multi-professional support and is also associated with dentist compassion, teamwork, and the presence of a physician in the work environment.

Ethical Statement

Ethical Committee The Ethics Committee at the Federal University of Rio Grande do Sul and the Municipal Local Ethics Committee provided approval under the number 5.720.834.

References

  • World Health Organization. Summary of the evidence on patient safety: implications for research [Online]. 2008 [cited 2024 Jul 8].https://www.who.int/publications/i/item/9789241596541
  • World Health Organization. Safer Primary Care: A Global Challenge [Online]. 2012. [cited 2024 Jul 8]. https://www.who.int/teams/integrated-health-services/patient-safety/research/safer-primary-care
  • Ministry of Health. Brazilian reference document for the National Patient Safety Program [Portuguese] [Online]. 2014. [cited 2024 Jul 10]. https://www.gov.br/saude/pt-br/acesso-a-informacao/acoes-e-programas/pnsp/materiais-de-apoio/arquivos/documento-de-referencia-para-o-programa-nacional-de-seguranca-do-paciente/view
  • World Health Organization. Patient safety curriculum guide: multi-professional edition. [Online]. 2011. [cited 2024 Jul 8]. https://www.who.int/publications/i/item/9789241501958
  • Sousa P. “Patient safety: the need for a national strategy”. Acta Médica Portuguesa, 19(4), 309-17, 2006.
  • Lopes LGO, Boff G, Rossoni E, Pilotto LM, Bulgarelli AF. Informational profile of public service dentists on patient safety in dental treatment[Portuguese]. Revista da Faculdade de Odontologia de Porto Alegre, 64, e132418-e132418, 2023
  • Costa Junior SD, Araujo PG, Frichembruder K, Hugo FN. Brazilian Oral Health Policy: metasynthesis of studies on the Oral Health Network. Rev saude publica. 202(55),105, 2021
  • Bulgarelli AF. Living, collective and political organisms for construction of the attributes of the National Oral Health Policy. RGO-Revista Gaúcha de Odontologia, 69, e20210030, 2021.
  • Corrêa CDTSO, Mendes W. Proposal of a trigger tool to assess adverse events in dental care. Cad Saúde Pública, 33:e00053217, 2017.
  • Perea-Pérez B. et al. Analysis of 415 adverse events in dental practice in Spain from 2000 to 2010. Med Oral Patol Oral Cir Bucal, 19(5), 500-505, 2014.
  • Macdonald ME. The necessity of qualitative research for advancing oral health. Community Dent Oral Epidemiol, 51(1), 67-70, 2023.
  • Lopes LGO, Bulgarelli AF. Learning with the construction of a protocol of methodological rigor in qualitative research: experience report[Portuguese]. Rev Saberes Plurais: Educ Saúde, 5(2), 39-50, 2021.
  • Souza VRDS, Marziale MHP, Silva GTR, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist[Portuguese]. Acta Paulista de Enfermagem, 34, eAPE02631, 2021
  • Gadamer HG. Truth and method. A&C Black. New York, 2013.
  • Castilho AT, Preti DF. Cultured spoken language in the city of Sao Paulo: formal utterances [Portuguese]. T.A. Queiroz/ FAPESP. São Paulo, 1986.
  • Vasileiou K, Barnett J, Thorpe S, Young T. Characterizing and justifying sample size sufficiency in interview-based studies: systematic analysis of qualitative health research over a 15-year period. BMC medical research methodology, 18, 1-18, 2018
  • Hennink M, Kaiser BN. Sample sizes for saturation in qualitative research: A systematic review of empirical tests. Social science & medicine, 292, 114523, 2022.
  • Hennink MM, Kaiser BN, Marconi VC. Code Saturation Versus Meaning Saturation: How Many Interviews Are Enough? Qualitative Health Research, 27(4), 591-608, 2016.
  • Guest G, Namey E, Chen M. A simple method to assess and report thematic saturation in qualitative research. PloS one, 15(5), e0232076, 2020.
  • Bardin L. Content Analysis. Edições 70. São Paulo, 2011.
  • Feldman MS. Strategies for interpreting qualitative data. Sage Publications. Los Angeles,1994.
  • Gadamer HG. The enigma of health: The art of healing in a scientific age. John Wiley & Sons. New Jersey, 2018.
  • Arthos J. The paradigmatic interpenetration of hermeneutics and rhetoric. In The Gadamerian Mind (400-417). Routledge. London, 2021.
  • Debesay, J, Nåden D, Slettebø Å. How do we close the hermeneutic circle? A Gadamerian approach to justification in interpretation in qualitative studies. Nurs Inq, 15(1), 57-66, 2008.
  • Corcoran L, Cook K. The philosophy of Hans‐Georg Gadamer: An exemplar of the complicated relationship between philosophy and nursing practice. Nurs Inq, 30(1), e12509, 2023.
  • Nascimento AC, Moysés ST, Werneck RI, Moysés SJ. Oral health in the context of primary care in Brazil. Int Dent J, 63(5), 237-243, 2013.
  • Bomfim RA, Della Bona A, Cury JA, Celeste RK. (2024). Brazilian primary dental care in a universal health system: challenges for training and practice. Journal of Dentistry. 21,104932, 2024.
  • Kang S, Ho TTT, Lee NJ. Comparative studies on patient safety culture to strengthen health systems among Southeast Asian countries. Front Public Health, 8, 600216, 2021.
  • Ensaldo-Carrasco E, Oliva-Olvera K, Ensaldo-Carrasco E, Salazar-Pimentel IA, Lezana-Fernández MÁ, González FM. Applying of eight essential actions for patient safety in dentistry. Rev Odontol Mexicana, 25(2), 184-193, 2022.
  • Ustrell-Torrent JM, Buxarrais-Estrada MR, Ustrell-TorrentRiutord-Sbert P. Ethical relationship in the dentist-patient interaction. J Clin Exp Dent, 13(1), e61, 2021.
  • Rocha MPD, Viana IS, Vieira IF. Patient Safety in Primary Health Care in a Brazilian municipality[Portuguese]. Physis: Revista de Saúde Coletiva, 3, e310420, 2021.
  • Tomaselli G, Buttigieg SC, Rosano A, Cassar M, Grima G. Person-centered care from a relational ethics perspective for the delivery of high quality and safe healthcare: a scoping review. Front Public Health, 8, 489949, 2020.
  • Paese F, Sasso GT. Patient safety culture in primary health care [Portuguese]. Texto & Contexto Enfermagem, 22(2), 302-10, 2013.
  • Albalawi A, Kidd L, Cowey E. Factors contributing to the patient safety culture in Saudi Arabia: a systematic review. BMJ open, 10(10), e037875, 2020
  • Lawati MHA, Dennis S, Short SD, Abdulhadi NN. Patient safety and safety culture in primary health care: a systematic review. BMC Fam Pract, 19, 1-12, 2018.
  • Etchegaray JM, Ottosen MJ, Dancsak T, Thomas EJ. Barriers to speaking up about patient safety concerns. J patient saf, 16(4), e230-e234, 2020.
  • Macedo LL et al. Culture of patient safety in primary health care in a large municipality in the perception of workers. Texto & Contexto-Enfermagem. 29, e20180410, 2020.
  • Trzeciak S, Mazzarelli A, Booker C. Compassionomics: The revolutionary scientific evidence that caring makes a difference. Huron Consulting Group Inc., Chicago, 2019.
  • Arakelian E, Rudolfsson G. Sharing the Same Reality, Healthy Relations Between Colleagues at Work: A Meta-Synthesis. SAGE Open Nurs, 9, e-23779608231207239, 2023.
  • Yansane A, Lee JH, Hebballi N, Obadan-Udoh E, White J, Walji M, et al. Assessing the patient safety culture in dentistry. JDR Clin Trans Res, 5(4), 399-408, 2020.
  • Ensaldo-Carrasco E, Suarez-Ortegon MF, Carson-Stevens A, Cresswell K, Bedi R, Sheikh A. Patient safety incidents and adverse events in ambulatory dental care: a systematic scoping review. J Patient Saf, 17(5), 381-391, 2021
  • Febriansyah F, Kusumapradja R, Ahmad H. The Role Of Teamwork In Improving Patient Safety Culture. JMMR, 9(1), 41-52, 2020.
  • Pereira D. Imaginary formations about the doctor in Brazil: some repercussions in the language [Portuguese]. RUA, 29(2), 513-535, 2023.
  • Foucault M. Power/knowledge. In The new social theory reader. Routledge. Abingdon, 2020
  • Vargas H. Without losing majesty: “imperial professions” in Brazil [Portuguese]. Estudos de Sociologia, 15(28),107-24, 2010.
  • Von Bültzingslöwen I, Eliasson G, Sarvimäki A, Mattsson B, Hjortdahl P. Patients' views on interpersonal continuity in primary care: a sense of security based on four core foundations. Family practice, 23(2), 210-219, 2002.
  • Plage S, Baker K, Parsell C, Stambe RM, Kuskoff E, Mansuri A. Staying safe, feeling welcome, being seen: How spatio‐temporal configurations affect relations of care at an inclusive health and wellness centre. Health Expectations, 26(6), 2620-2629, 2023.
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Details

Primary Language English
Subjects Public Health (Other)
Journal Section Article
Authors

Luiza Gulhermina Oliveira Lopes This is me 0000-0002-1525-2636

Alexandre Bulgarelli 0000-0002-7110-251X

Publication Date June 29, 2025
Submission Date January 13, 2025
Acceptance Date June 11, 2025
Published in Issue Year 2025 Volume: 10 Issue: 2

Cite

IEEE L. G. O. Lopes and A. Bulgarelli, “THE DENTIST’S PERSPECTIVE ON PATIENT SAFETY IN BRAZILIAN DENTAL SERVICES: A GADAMERIAN STUDY”, IJHSRP, vol. 10, no. 2, pp. 109–123, 2025, doi: 10.33457/ijhsrp.1619167.

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