Defense Date

2026

Document Type

Thesis

Degree Name

Master of Science in Dentistry

Department

Dentistry

First Advisor

Paula Coates

Second Advisor

Caroline Carrico

Third Advisor

Carlos Smith

Fourth Advisor

Jeffrey Johnson

Abstract

Purpose: This study aimed to understand how psychological safety (PS) and perceived organizational support (POS) present among pediatric dentists, determine how demographic variables are associated with each, and evaluate the relationship between PS and POS.

Methods: AAPD member pediatric dentists practicing in the U.S. or U.S. territories were invited to participate in an anonymous survey. Psychological safety and perceived organizational support were measured using the Psychological Safety Scale (PSS) and the Survey of Perceived Organizational Support (SPOS). Personal and practice characteristics were evaluated using multivariable regression models. Significance level was set at 0.05.

Results: A total of 397 responses were analyzed (6% response rate). Psychological safety was significantly associated with race/ethnicity (P=.0006), existing student debt (P=.0062), role in the practice (P=.0414), and whether they left a job since residency (P=.0060). Those with no student debt and those who had not left a job since residency had significantly higher PS scores. Owners reported significantly higher PS scores than other roles. Perceived organizational support was significantly associated with race/ethnicity (P=.0020), role in the practice (P< .0001), and whether it had been 5+ years since residency completion (P=.0416). POS was significantly higher for non-Hispanic white respondents, owners, and those who completed residency more than 5 years ago.

Conclusions: Based on this study’s results, factors like role in the practice, race/ethnicity, and student loan debt greatly affect PS and POS. There is a positive correlation between PS and POS, thus PS is not incidental; it emerges only when organizations actively and consistently demonstrate meaningful support for their clinicians.

Rights

© The Author

Is Part Of

VCU University Archives

Is Part Of

VCU Theses and Dissertations

Date of Submission

5-29-2026

Available for download on Sunday, May 28, 2028

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