Spassiani Natasha A, Abou Chacra Megan S, Selick Avra, Durbin Janet, Lunsky Yona
Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, Ontario, Canada; School of Health and Social Care, Edinburgh Napier University, Edinburgh, United Kingdom.
Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Int Emerg Nurs. 2020 May;50:100851. doi: 10.1016/j.ienj.2020.100851. Epub 2020 Apr 7.
Individuals with intellectual disabilities (ID) are more likely to visit the emergency department (ED) more frequently than their counterparts without ID. Nurses play an integral role in caring for all patients in the ED, including those with ID, although training to work with this population is limited. The aim of this study was to examine the self-perceived knowledge, skills, and comfort of ED nurses when caring for a patient with ID.
Questionnaires were returned from 151 nurses from a total of six EDs within Ontario, Canada. The questionnaire contained fourteen items related to knowledge, comfort, practice and skills, readiness for change, prior exposure to patients with ID, and awareness of strategies to identify patients in this population.
Although the majority of nurses reported an interaction with a patient with a suspected ID in the past year, only 28% of respondents reported awareness of strategies to help identify if a patient may have an ID, and only half reported feeling skilled in adapting their communication and approach.
ED nurses are the first point of contact in caring for patients with ID, thus it is crucial that they understand how to provide accessible and inclusive care for this population.
与没有智力障碍的人相比，智力障碍患者更有可能更频繁地前往急诊科就诊。护士在急诊科照顾所有患者（包括智力障碍患者）方面发挥着不可或缺的作用，尽管针对与这一人群打交道的培训有限。本研究的目的是调查急诊科护士在照顾智力障碍患者时的自我认知知识、技能和舒适度。
从加拿大安大略省的六个急诊科的151名护士那里回收了问卷。问卷包含14个项目，涉及知识、舒适度、实践和技能、改变的意愿、之前接触智力障碍患者的经历以及识别该人群中患者的策略的认知。
尽管大多数护士报告在过去一年中与疑似智力障碍患者有过互动，但只有28%的受访者表示知晓有助于识别患者是否可能有智力障碍的策略，只有一半的人表示感觉自己有能力调整沟通方式和护理方法。
急诊科护士是照顾智力障碍患者的第一接触点，因此他们了解如何为这一人群提供无障碍和包容性护理至关重要。
