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Updated: Jun 6, 2026

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Development and Preliminary Validation of an Oral Health Multidisciplinary Team Nurse Competency Scale
Yan Jiang1, Shan Wu2, Yinyin Dong2
1Multidisciplinary Dental Clinic, Stomatological Hospital of Guizhou Medical University, Guiyang, Guizhou, 550004, People's Republic of China.
Journal of Multidisciplinary Healthcare
|June 5, 2026
Summary
A new Oral Health Multidisciplinary Team (OHMDT) nurse competency scale was developed and validated. This tool shows promising reliability for assessing OHMDT nurse skills in research and preliminary screening.
Area of Science:
- Nursing Science
- Healthcare Quality Improvement
- Health Professions Education
Background:
- Oral Health Multidisciplinary Team (OHMDT) care requires nurses to coordinate across specialties.
- A lack of specific assessment tools hinders training evaluation and competency benchmarking for OHMDT nurses.
- This study addresses the need for a validated tool to assess OHMDT nurse competencies.
Purpose of the Study:
- To develop a competency scale for nurses working in Oral Health Multidisciplinary Team (OHMDT) settings.
- To conduct a preliminary validation of the developed OHMDT nurse competency scale.
Main Methods:
- A mixed-methods instrument development study was conducted in two phases.
- Phase 1 involved item pool generation from literature and refinement via Delphi rounds with expert panels (n=16).
- Phase 2 utilized a cross-sectional survey of 120 OHMDT nurses across three hospitals in Guizhou, China, with 25 undergoing a 2-week retest for reliability.
Main Results:
- The final Oral Health Multidisciplinary Team (OHMDT) Nurse Competency Scale comprises 23 items.
- The scale demonstrated high content validity (S-CVI/Ave = 0.93) and a robust four-factor structure explaining 47.3% of variance (KMO = 0.87).
- High internal consistency (Cronbach's alpha = 0.895) and excellent 2-week test-retest reliability (ICC=0.884) were observed, with no floor or ceiling effects.
Conclusions:
- The developed OHMDT Nurse Competency Scale exhibits promising reliability and preliminary validity.
- Current applications are recommended for research, baseline assessments, and initial clinical screening.
- Further multicenter studies incorporating confirmatory factor analysis and criterion validation are warranted.
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