Zwaigenbaum Lonnie, Nicholas David B, Muskat Barbara, Kilmer Christopher, Newton Amanda S, Craig William R, Ratnapalan Savithiri, Cohen-Silver Justine, Greenblatt Andrea, Roberts Wendy, Sharon Raphael
Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada.
Autism Research Centre, Glenrose Rehabilitation Hospital, 209 GE, 10230 - 111 Avenue, Edmonton, AB, T5G 0B7, Canada.
J Autism Dev Disord. 2016 May;46(5):1725-36. doi: 10.1007/s10803-016-2703-y.
This study aimed to characterize the perspectives of health professionals who care for children with autism spectrum disorder (ASD) in the emergency department (ED) and to determine what strategies could optimize care. Ten physicians and twelve nurses were interviewed individually. Questions related to experiences, processes, clinical decision-making and outcomes of children with ASD recently seen in the ED. Interviews were audio recorded, transcribed, and analyzed using a qualitative framework. Participants identified factors that facilitated effective care, including communication strategies, parental involvement and teamwork. Barriers identified included child characteristics, the ED environment, and competing demands. Recommendations included additional staff training and stakeholder engagement. However, making accommodations was often described as being at odds with how the ED functioned, with implications for future service planning.
本研究旨在描述在急诊科（ED）照顾自闭症谱系障碍（ASD）儿童的医护人员的观点，并确定哪些策略可以优化护理。分别对10名医生和12名护士进行了访谈。问题涉及近期在急诊科就诊的ASD儿童的经历、流程、临床决策和结果。访谈进行了录音、转录，并使用定性框架进行分析。参与者确定了促进有效护理的因素，包括沟通策略、家长参与和团队合作。确定的障碍包括儿童特征、急诊科环境和相互竞争的需求。建议包括额外的员工培训和利益相关者参与。然而，进行调整往往被描述为与急诊科的运作方式不一致，这对未来的服务规划有影响。
