Application of the Donabedian model of evaluation to assess an organisational development project to introduce a nitrous oxide inhalation sedation service in a community dental setting

Statement of the problem: Dental anxiety is a barrier to dental treatment. HSE Primary Dental Services in Cavan/Monaghan had limited options for treating anxious children.

Purpose of the study: Evaluation of an organisational development project to introduce a nitrous oxide inhalation sedation service for the provision of dental treatment to children with dental anxiety in a community dental setting, HSE Cavan/Monaghan.

Methods: This organisational development project was guided by the Health Service Executive Change Model, which focuses on the service user and stakeholder engagement. The project was implemented to enhance the treatment options available for anxious paediatric patients. Nitrous oxide sedation is the gold standard for treating anxious dental paediatric patients versus general anaesthesia; it facilitates the provision of dental treatment in a calm and relaxing environment, reducing anxiety or eliminating it altogether. The evaluation of this organisational development change project was investigated by applying the Donabedian model of evaluation.

Conclusion: The aim of this project was achieved; a new clinical service to provide dental treatment to anxious children using nitrous oxide inhalation sedation was introduced. This organisational development was assessed by the Donabedian model of evaluation. This quality improvement project illustrated how quality structures and processes of healthcare services can lead to positive outcomes, improving patient safety and resource use within a community dental setting.

Journal of the Irish Dental Association December 2018/January 2019; 64 (6): 318-323.

Dr Geraldine McDermott
BA BDentSc MFD RCSI PGradDip ConSed MSc Healthcare Leadership (Hons) RCSI
HSE Dental Services, Primary Care Centre, Drumalee Business Park, Cootehill Road, Cavan.

Corresponding author: Dr Geraldine McDermott,HSE Dental Services, Primary Care Centre, Drumalee Business Park, Cootehill Road, Cavan. T: 049-435 3102 E: geraldinem.mcdermott@hse.ie