Patients, performance and parlours: the perception and socially constructed practises of dental sedation clinics

Woolley, Stephen Mark 2012. Patients, performance and parlours: the perception and socially constructed practises of dental sedation clinics. PhD Thesis, Cardiff University. Item availability restricted.

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Abstract

Conscious Sedation is a pharmacological intervention which enables anxious patients to have dental treatment. Although there is a strong research tradition into the efficacy of sedation modalities, there is a weak evidence base for the experience of sedation by those who use it. The aim of this thesis was to explore patients’, referrers’ and providers’understandings and experiences of conscious sedation and the Secondary Care Sedation Clinics which use it. A qualitative study was undertaken of stakeholders’ experiences of conscious sedation provided by five Secondary Care Sedation Clinics within the United Kingdom. Data were collected through thirty one semi-structured interviews, which were transcribed verbatim and subsequently analysed using a constant comparative method. The data show that sedation and secondary care sedation clinics are imbued with a variety of interpretations by differing participants. Patients primarily perceive sedation clinics as access points for addressing dental needs, whilst clinicians also anticipate an influential role in rehabilitating patients to primary care and recognise the importance of such settings for training future dentists. Successful sedation provision requires a variety of work, and sedation clinics play a hosting role to visiting patients as hinterlands to the dental world. The outcome of patients’engagement with sedation clinics varies from breaking avoidant patterns to creating a cycle of sedation dependency, whilst the process of sedation performance has a potential negative impact for providers. 2 The purposes and processes reported by participants mirror those of Victorian domestic parlours. This thesis suggests a novel theoretical construct of clinical ‘Parlours’. Such frontier social structures provide safe interaction for patients in a temporarily hosting environment. They require front-stage performance augmented by back-stage work, and seek to influence patients in the long-term whilst providing short-term clinical services. Further research is required to explore the transferability of such a concept to other clinical settings.

Item Type:	Thesis (PhD)
Status:	Unpublished
Schools:	Dentistry
Subjects:	R Medicine > RK Dentistry
Uncontrolled Keywords:	parlour ; hosting ; liminal ; experience ; dental anxiety ; dental phobia ; conscious sedation ; grounded theory ; constant comparative method ; qualitative ; interview ; boundary organisation ; boundary work ; boundary object ; standardised package
Date of First Compliant Deposit:	30 March 2016
Last Modified:	04 Jun 2017 04:25
URI:	https://orca.cardiff.ac.uk/id/eprint/38882

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