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智障儿童的患者安全和优质护理:一项行动研究。

Patient safety and quality care for children with intellectual disability: An action research study.

机构信息

Child Development Unit, Children's Hospital at Westmead Clinical School, University of Sydney, Sydney, NSW, Australia.

Academic Unit of Child Psychiatry South West Sydney (AUCS), UNSW Sydney & Ingham Institute, Sydney, NSW, Australia.

出版信息

J Intellect Disabil. 2023 Dec;27(4):885-911. doi: 10.1177/17446295221104619. Epub 2022 Jun 3.

Abstract

Children with intellectual disability experience significant challenges in accessing and receiving high-quality healthcare leading to poorer health outcomes and negative patient experiences. Families of these children often report a need for healthcare staff to better understand, communicate, and collaborate for better care while staff acknowledge a lack of training. To address this, we utilised an action research framework with a pre- and post- survey to evaluate an integrated continuing professional development and quality improvement program combining strategies from education, behavioural psychology and quality improvement that was delivered in two departments within a tertiary children's Hospital in Metropolitan Sydney in 2019-2020. Parents reported noticeable changes in the clinical practice of staff, and staff acknowledged and attributed their shift in behaviour to raising awareness and discussions around necessary adaptations. The program demonstrates a novel method for knowledge translation to practice and systems improvements.

摘要

患有智力障碍的儿童在获得和接受高质量医疗保健方面面临重大挑战,导致健康状况较差和负面的患者体验。这些儿童的家长经常报告说,他们需要医护人员更好地理解、沟通和协作,以提供更好的护理,而医护人员则承认缺乏培训。为了解决这个问题,我们利用行动研究框架,在 2019-2020 年期间,在悉尼大都市的一家三级儿童医院的两个部门实施了一项综合的持续专业发展和质量改进计划,该计划结合了来自教育、行为心理学和质量改进的策略,在该计划之前和之后进行了调查。家长报告说,医护人员的临床实践有了明显的变化,而医护人员则承认并将他们的行为转变归因于提高了对必要调整的认识和讨论。该计划展示了一种将知识转化为实践和系统改进的新方法。

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