Trollor Julian N, Eagleson Claire, Turner Beth, Salomon Carmela, Cashin Andrew, Iacono Teresa, Goddard Linda, Lennox Nicholas
Department of Developmental Disability Neuropsychiatry (3DN), School of Psychiatry, UNSW Australia, 34 Botany Street, Randwick, NSW 2052, Australia.
School of Health and Human Sciences, Southern Cross University, PO Box 157, Lismore, NSW 2480, Australia.
Nurse Educ Today. 2016 Oct;45:72-9. doi: 10.1016/j.nedt.2016.06.011. Epub 2016 Jun 21.
Individuals with intellectual disability experience chronic and complex health issues, but face considerable barriers to healthcare. One such barrier is inadequate education of healthcare professionals.
To establish the quantity and nature of intellectual disability content offered within Australian nursing degree curricula.
A two-phase national audit of nursing curriculum content was conducted using an interview and online survey.
Australian nursing schools offering pre-registration courses.
Pre-registration course coordinators from 31 universities completed the Phase 1 interview on course structure. Unit coordinators and teaching staff from 15 universities in which intellectual disability content was identified completed the Phase 2 online survey.
Quantity of compulsory and elective intellectual disability content offered (units and teaching time) and the nature of the content (broad categories, specific topics, and inclusive teaching) were audited using an online survey.
Over half (52%) of the schools offered no intellectual disability content. For units of study that contained some auditable intellectual disability content, the area was taught on average for 3.6h per unit of study. Units were evenly distributed across the three years of study. Just three participating schools offered 50% of all units audited. Clinical assessment skills, and ethics and legal issues were most frequently taught, while human rights issues and preventative health were poorly represented. Only one nursing school involved a person with intellectual disability in content development or delivery.
Despite significant unmet health needs of people with intellectual disability, there is considerable variability in the teaching of key intellectual disability content, with many gaps evident. Equipping nursing students with skills in this area is vital to building workforce capacity.
智力残疾者面临慢性和复杂的健康问题,但在获得医疗保健方面面临诸多障碍。其中一个障碍是医疗保健专业人员教育不足。
确定澳大利亚护理学位课程中提供的智力残疾相关内容的数量和性质。
采用访谈和在线调查对护理课程内容进行两阶段的全国性审核。
提供预注册课程的澳大利亚护理学校。
来自31所大学的预注册课程协调员完成了关于课程结构的第一阶段访谈。在15所确定有智力残疾相关内容的大学中,单元协调员和教学人员完成了第二阶段的在线调查。
通过在线调查审核提供的必修和选修智力残疾相关内容的数量(单元和教学时间)以及内容的性质(大类、具体主题和包容性教学)。
超过一半(52%)的学校未提供智力残疾相关内容。对于包含一些可审核的智力残疾相关内容的学习单元,该领域平均每个学习单元授课3.6小时。各单元在三年学习中分布均匀。仅有三所参与学校提供了所有审核单元的50%。临床评估技能、伦理和法律问题是最常讲授的内容,而人权问题和预防保健方面的内容较少。只有一所护理学校让智力残疾者参与内容开发或授课。
尽管智力残疾者有大量未满足的健康需求,但关键智力残疾相关内容的教学存在很大差异,明显存在许多空白。使护理专业学生具备该领域的技能对于建设劳动力能力至关重要。