Oral Healthcare Providers' Well-being, Health and Experience (WHE) in Dental Care Settings: A Protocol for an Umbrella Review of Systematic Reviews and Meta-analyses

AbstractsO_ST_ABSObjectivesC_ST_ABSOver the decades, healthcare systems have faced significant pressures in supporting the well-being, health and experiences (WHE) of oral healthcare providers (OHCPs), while ensuring high quality of care. Emerging evidence reports physical, mental and social challenges among OHCPs, shaped by multilevel factors; however, a comprehensive synthesis of these issues is still needed. This umbrella review aims to summarize evidence on the barriers and enablers to OHCPs WHE in dental care settings. MethodsThe study will follow the Joanna Briggs Institute and Cochrane Handbook guidelines for umbrella reviews. The populations, intervention, context, outcomes and study design (PICOS) are defined as the following: (P) oral healthcare professionals, (I) definitions of WHE from authors, (C) any country or setting, (O) enablers and barriers on OHCPs WHE, (S) systematic reviews with and without meta-analysis. We will conduct the search strategy through six databases, including MEDLINE, Embase, CINAHL, Web of Science, PsychINFO, Cochrane Library, along with grey literature. Two independent reviewers will screen and select relevant reviews and extract data from systematic reviews and meta-analyses. We will assess methodological quality using the AMSTAR-2 and ROBIS tools. We will use the GROOVE tool for overlapping. We will synthesize barriers and enablers using the Consolidated Framework for Implementation Research. We will present the results in diagrammatic and tabular, along with a narrative summary. Results and conclusionThe initial MEDLINE search identified 492 studies. The study findings will consolidate evidence on determinants impacting OHCPs WHE, providing insights for key stakeholders to foster safer and healthier dental care settings. Key PointsWhat is already known on this topic Oral healthcare system is constantly changing and adapting to meet emerging social priorities and to deliver high quality and patient-centered care. As gatekeepers of the healthcare system, OHCPs WHE is essential to achieve the quintuple aim. Poor OHCPs WHE is influenced by a range of factors, resulting in dental errors, adverse events, wastage in care and high costs. What this study adds This first umbrella review will summarize the multiple factors influencing positively and negatively OHCPs WHE using the Consolidated Framework of Implementation Research, a robust and solid framework in implementation science. It will provide a better understanding of the challenges faced by OHCPs regarding their WHE and its impacts on a high quality of oral health care delivery. How did this study might affect research, practice and policy Understanding the importance of multiple levels (e.g., individual, contextual, and systemic) factors on OHCPs WHE will provide valuable insights for decision makers, researchers, patients and guideline developers and OHCPs on OHCPs WHE in developing successful implementation strategies to improve healthy work conditions to maximize their joy, and ultimately patient oral healthcare outcomes and experiences.