Wanda J. Mahoney, PhD, OTR/L, is Associate Professor of Occupational Therapy and Medicine, Program in Occupational Therapy, School of Medicine, Washington University in St. Louis, St. Louis, MO;
Gifty Abraham, OTD, OTR/L, is Associate Professor, Department of Occupational Therapy, Midwestern University, Downers Grove, IL.
Am J Occup Ther. 2023 Mar 1;77(2). doi: 10.5014/ajot.2023.050032.
Hospitals pose a threat to autistic children's mental health. Adapting hospitals to meet children's needs can address this issue.
To determine the impact of an interprofessional program (Adaptive Care) to support autistic children's mental health on nursing staff's knowledge, efficacy, and confidence.
Pretest-posttest, quasi-experimental design.
Large pediatric hospital.
Nursing staff were the first participants in the program implementation. Approximately 300 nursing staff received training through the program, and 107 completed program evaluation surveys. Of these, 18 nursing staff completed both the pretest and posttest surveys approximately 1 yr apart.
Occupational therapy practitioners and other professionals developed and implemented the program, which consists of staff training and resources to adapt hospital physical and social environments and to ultimately improve patients' hospital experiences.
Researcher-developed, pilot-tested, online survey to assess knowledge, perceived effectiveness, confidence, and strategies that staff used while caring for autistic children in the hospital.
Respondents had increased effectiveness and confidence working with autistic children in the hospital after program implementation. Respondents reported significantly more strategies to care for autistic children.
Interprofessional collaboration and programming can positively affect social environments in the hospital by enhancing nursing staff's self-efficacy, confidence, and strategies to support mental health and to enhance health care for autistic children. What This Article Adds: The Adaptive Care program is an example of occupational therapy practitioners and other interprofessional team members adapting physical and social health care environments to support autistic children's mental health. This program was effective at increasing nursing staff's self-efficacy, confidence, and strategies while caring for autistic children in the hospital. Positionality Statement: This article uses the identity-first language autistic people. This nonableist language describes their strengths and abilities and is a conscious decision. This language is favored by autistic communities and self-advocates and has been adopted by health care professionals and researchers (Bottema-Beutel et al., 2021; Kenny et al., 2016).
医院对自闭症儿童的心理健康构成威胁。使医院适应儿童的需求可以解决这个问题。
确定支持自闭症儿童心理健康的跨专业计划(适应性护理)对护理人员知识、效能感和信心的影响。
前测-后测、准实验设计。
大型儿科医院。
护理人员是该计划实施的第一批参与者。大约 300 名护理人员通过该计划接受了培训,其中 107 人完成了计划评估调查。其中,18 名护理人员在大约 1 年后完成了前测和后测调查。
职业治疗师和其他专业人员开发并实施了该计划,该计划包括员工培训和资源,以适应医院的物理和社会环境,最终改善患者的住院体验。
研究人员开发并进行了试点测试的在线调查,以评估知识、感知效果、信心以及员工在医院照顾自闭症儿童时使用的策略。
计划实施后,员工在医院照顾自闭症儿童时的效果和信心增强。报告称,员工照顾自闭症儿童的策略显著增加。
专业合作和计划可以通过增强护理人员的自我效能感、信心和支持心理健康的策略以及改善对自闭症儿童的医疗保健来积极影响医院的社会环境。这篇文章的重要性在于:自适应护理计划是职业治疗师和其他跨专业团队成员适应身体和社会医疗保健环境以支持自闭症儿童心理健康的一个例子。该计划有效地提高了护理人员在医院照顾自闭症儿童时的自我效能感、信心和策略。
本文使用自闭症患者的身份先行语言。这种非歧视性语言描述了他们的优势和能力,这是一个有意识的决定。这种语言受到自闭症社区和自我倡导者的青睐,并已被医疗保健专业人员和研究人员采用(Bottema-Beutel 等人,2021 年;Kenny 等人,2016 年)。