Collegial Support and Community with Trust in Swedish and Danish dentistry

Abstract

Objectives. The aim of the study was to better understand the associations between work factors and professional support among dentists (Collegial Support) as well as the sense of being part of a work community characterized by trust (Community with Trust). Methods. A questionnaire was sent to 1835 general dental practitioners, randomly selected from the members of dental associations in Sweden and Denmark in 2008. The response rate was 68%. Two models with the outcome variables Collegial Support and being part of a Community with Trust were built using multiple hierarchical linear regression. Demographic background factors, work factors, managerial factors and factors relating to objectives and to values characterizing climate of the practice were all introduced as blocks into the models. Results. A different pattern emerged for Collegial Support than for Community with Trust, indicating different underlying mechanisms. The main results were: (I) Female, married/cohabitant, collegial network outside the practice, common breaks, formalized managerial education of leader and a climate characterized by professional values, which were positively associated with Collegial Support, while number of years as a dentist and being managerially responsible were negatively associated. (II) Common breaks, decision authority and a climate characterized by professional values were positively associated with Community with Trust. Conclusion. A professionally-oriented practice climate and having common breaks at work were strongly associated with both outcome variables. The study underlined the importance of managing dentistry in a way which respects the professional ethos of dentists.

Key Words::

• positive social relations
• psychosocial work environment
• workplace
• job resources

Acknowledgements

The authors wish to acknowledge the Swedish Council for Working Life and Social Research and the Danish Dental Association for financial support of the study. We also want to acknowledge Acta Odontologica Scandinavica for publishing the present article, which in a preliminary version has been published in the doctoral thesis ‘Work-related support, community and trust—dentistry in Sweden and Denmark’ defended by the first author (Hanne Berthelsen) at Malmö University on 12 November 2010.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.