189 The Development of an Oral Health Nursing Tool in Patients with a Psychotic Disorder Furthermore, participants in focus group 2 indicated that an engaging, positive, light-hearted, and humorous video (tool 6) could potentially motivate MHNs to place greater emphasis on oral care. Participants in focus group 1 deemed it essential for nurses to have an instrument that provides insight into the current oral care of patients with psychotic disorders (e.g., OHAT) (tool 14). Additionally, participants in focus group 1 discussed OHIP (tool 13) as a brief assessment tool where oral health-related quality of life is assessed. This might give MHNs insight into patient experiences and impacts. Participants indicated that it would be important to have all the information gathered in one place on a website (tool 15) (focus group 1). It would be advantageous to have a QR code on a card, enabling scanning for quick access to the information. Participants stated that this might also contribute to the sustainability of integrating tools to help MHNs focus on oral health care. The website could also incorporate supplementary videos, such as instructional videos pertaining to oral care (tool 7). Participants (focus group 1) also noted that there already exists online information on tooth brushing, such as a reference card on not overlooking the mouth (tool 10) (in Dutch: Zakkaartje de mond niet vergeten; in English: Pocket card: Do not forget oral care) and a reference card on brushing techniques (tool 11) (in Dutch: Zakkaartje poetsen doe je zo; in English: Pocket guide: How to clean properly). Key theme 3: Intended outcomes of tools All participants in both focus groups expected behavioural changes in MHNs regarding their focus on oral health care and oral disease prevention. The intended outcomes of the tools were discussed in both focus groups. Participants noted that the tools outlined in the paragraph above would enhance the sensitisation and knowledge of MHNs due to the availability of information and materials and would enable MHNs to engage in conversations with patients with psychotic disorders. Participants stated that these should serve as the primary outcome measures. Furthermore, participants said that it is essential that the tools be sustainably implemented and not intended for one-time use. 6
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