203 The Development of an Oral Health Nursing Tool in Patients with a Psychotic Disorder used by MHNs, should refine the eligibility criteria for psychiatric populations and the language level of the target group. The human-centred design (HCD) process, involving an intensive collaboration between mental health professionals and experts by experience, yielded meaningful results. This study shows that actively involving MHNs and experts by experience in the development process can initiate change. Many MHNs and experts by experience were motivated to test the brochure, which also demonstrates a significant level of engagement with the issue of oral health and that MHNs are willing to act but lack the necessary tools. The overall procedure of the research methods used in the development process can be used to develop a variety of tools and demonstrates that not all tools need to be overly complex. This approach provides a foundation upon which to begin implementation and allows MHNs and experts by experience to provide input and feedback to promote engagement, responsibility, and professional leadership, which could enhance the sustainability of the tool. Acknowledgments: We would like to thank the experts by experience, mental health nurses, and master’s-level advanced nursing practitioners from KieN Early Intervention Service (Leeuwarden), Lentis Psychiatric Institute (Groningen), Dimence psychiatric services (Zwolle), and Friesland Mental Health Care Services, (Leeuwarden) in the Netherlands; the students of the Bachelor of Nursing in their last year (University of Applied Science NHL Stenden, Leeuwarden, the Netherlands), and the students of the Master of Advanced Nursing Practice (University of Applied Science GGZ-VS Utrecht) for their participation, eagerness, and valuable contributions to the content. Furthermore, we are thankful for the special and valuable contributions of Boudien van der Pol, Michael Kaptein, Sylvi Boer, Agnes Brinks, and Erna Velthof. 6
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