187 The Development of an Oral Health Nursing Tool in Patients with a Psychotic Disorder ticipants stated that it is important for patients with psychotic disorders to have at least a toothbrush, toothpaste, and interdental brushes (tool 2). They suggested providing these in a nice toiletry bag (focus group 2) or a small box (focus group 1). This applies to both inpatients and outpatients. “If we provide this to every patient when they start receiving care, it also prevents us from discovering too late that the materials are not available. This is crucial because patients with a psychotic disorder often do not think to bring these items. If we routinely include this during the anamnesis, it will not be forgotten by MHNs.” (Participant 2, MHN) The dental hygienist emphasised the importance of patients having mouthwash (tool 2). This is especially significant as the 2-minute toothbrushing routine can sometimes be a significant task. If it proves to be genuinely challenging at any time, they can use mouthwash. However, it is important to note that mouthwash is not a substitute for toothbrushing; bad breath is caused by the presence of bacteria in the mouth that produce odours. “Mouthwashes can aid in combating these bacteria and temporarily freshening the breath. Additionally, it is important for the toothpaste to contain fluoride, as fluoride is known to protect the teeth against acids and sugars.”(Participant 5, oral health hygienist) Participants discussed the importance of narrative stories (e.g., on problems with oral health or the benefits of good oral health), as provided by experts by experience (tool 1). Members of both focus groups suggested that these narrative stories could be recorded in a video or be part of a tutorial in which an MHN engages in a conversation with an experienced expert. The discussion should focus on the details of what happened and what the expert did to improve a patient’s oral health. “Yes, that’s a great idea, and let’s especially emphasize the benefits of good oral health to keep it positive.” (Participant 1, experienced expert/communication specialist) The participants in both focus groups emphasised that the videos are also beneficial for MHNs as these direct experiences can lead to increased sensitisation and 6
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