Perception of nurses applying silver diamine fluoride to children's teeth: A mixed methods study

Area of Science:

• Pediatric Nursing
• Dental Public Health
• Interprofessional Collaboration

Background:

• Limited research exists on nurse-led silver diamine fluoride (SDF) application in pediatric care.
• Interprofessional collaboration gaps in pediatric oral health are not well-addressed by current models.

Purpose of the Study:

• To explore nurses' attitudes and perceptions towards nurse-led SDF application during well-child visits.
• To identify barriers hindering nurse-led SDF implementation and propose recommendations.

Main Methods:

• A mixed-methods approach was employed, utilizing questionnaires and semi-structured interviews.
• 110 nurses completed questionnaires, and 16 participated in individual interviews.

Main Results:

• Nurses expressed low confidence in providing advanced oral health services beyond hygiene advice.
• Nurses recognized the importance of oral health in pediatrics and their role in serving underserved populations.
• Willingness to incorporate SDF application was high, contingent on formal education, training, and strategies to manage time constraints.

Conclusions:

• Nurse-led SDF application can be a logical progression where basic oral healthcare is already established.
• Systemic changes are needed to empower nurses with the necessary skills and motivation for SDF application at well-child visits.