School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia.
School of Social Sciences and Psychology, Western Sydney University, Penrith, NSW, Australia.
J Clin Nurs. 2018 Nov;27(21-22):3858-3871. doi: 10.1111/jocn.14555. Epub 2018 Jul 23.
To identify the specialist role/s that nurses perform and the specialist skills that nurses use when caring for people with intellectual disability.
Adhering to the "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," various subject headings were used to systematically search six electronic databases for articles published in English between 2000 and 2017. A total of 27 articles were reviewed.
The literature demonstrates that similarities exist between the physical care delivered to people with intellectual disability and that delivered to people without intellectual disability. However, skills in the areas of communication, advocacy and person-centred care differ between these two groups.
Our findings suggest that the skill set of the specialist intellectual disability nurse is not uniquely technical but it is uniquely relational that incorporate increased patience and resilience when developing relationships with the people they care for.
This review has provided insights into the main differences in the skills required when working with people with intellectual disability compared to working with those without. However, minimal literature was identified that adequately describes what is unique about the performance of the role of specialised intellectual disability nurses-especially in Australia.
Understanding the skills required of nurses caring for people with intellectual disability provides the opportunity for more nurses to develop these specialised relational skills and for this branch of nursing to attract professional recognition that is currently limited.
确定护士在照顾智障人士时所扮演的专业角色和使用的专业技能。
根据“系统评价和荟萃分析的首选报告项目:PRISMA 声明”,使用各种主题词系统地搜索了六个英文数据库,以查找 2000 年至 2017 年期间发表的文章。共审查了 27 篇文章。
文献表明,智障人士的身体护理与非智障人士的身体护理存在相似之处。然而,在沟通、宣传和以患者为中心的护理方面,这两组人群的技能存在差异。
我们的研究结果表明,专门的智障护理护士的技能集不是独特的技术性技能,而是独特的关系性技能,当与他们照顾的人建立关系时,需要增加耐心和适应力。
本综述深入了解了与智障人士合作所需技能的主要差异,与与非智障人士合作所需技能的差异。然而,仅确定了很少的文献,这些文献充分描述了专门的智障护理护士角色的独特性——尤其是在澳大利亚。
了解护理智障人士所需的技能为更多的护士提供了发展这些专业关系技能的机会,并使这一护理分支获得目前有限的专业认可。