回应安全关怀：医护人员在医院照顾智障儿童的体验。对实践和培训的启示。
Responding to safe care: Healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training.
机构信息
Child Development Unit, Children's Hospital Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia.
Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
出版信息
J Appl Res Intellect Disabil. 2022 May;35(3):675-690. doi: 10.1111/jar.12978. Epub 2022 Jan 30.
BACKGROUND
Children with intellectual disability are vulnerable to adverse events in hospital due to limited staff skills and system safeguards.
METHOD
A systematic review of the literature explored healthcare staff (HCS) experiences in providing care for children and young persons with intellectual disability in hospital using thematic analysis.
RESULTS
Eleven of the 735 publications extracted identified the following themes: distress, communication, partnerships, identification, training and education and optimising care. Consistent findings suggest that HCS feel unskilled in providing care for the child with intellectual disability in hospital settings. HCS recognised the role of parents as experts of their child but also feel unsettled when challenged by them. Skills in communicating with the child, developing partnerships with parents, having identification systems to plan for reasonable adjustments was key to improving care.
CONCLUSIONS
Organisational advocacy, practical skills training in identification, reasonable adjustments and improved attitudes are important for HCS to provide safe and quality care.
背景
由于医护人员技能有限和系统保障不足，智障儿童在医院易发生不良事件。
方法
采用系统综述法，对医护人员在医院为智障儿童提供护理的体验进行文献研究，使用主题分析法进行分析。
结果
从 735 篇文献中提取了 11 篇，确定了以下主题：痛苦、沟通、伙伴关系、识别、培训和教育以及优化护理。一致的研究结果表明，医护人员觉得自己在医院环境中为智障儿童提供护理的技能不足。医护人员承认家长作为孩子的专家的作用，但当他们受到挑战时也感到不安。与孩子沟通的技巧、与家长建立伙伴关系、建立识别系统以规划合理调整，这些对改善护理至关重要。
结论
为了为智障儿童提供安全和优质的护理，组织倡导、在识别、合理调整和改善态度方面进行实用技能培训对医护人员非常重要。
Zotero 插件