Faculty of Health and Human Sciences, Southern Cross University, Lismore, New South Wales, Australia.
School of Nursing and Midwifery, Western Sydney University, Richmond, New South Wales, Australia.
Int Nurs Rev. 2024 Dec;71(4):1005-1014. doi: 10.1111/inr.12959. Epub 2024 Mar 20.
This study aimed to understand Indonesian nurses' familiarity with the concept of reasonable adjustments, and the frequency of its application within their practice.
People with intellectual disability and/or autism are exposed to significant barriers when accessing healthcare and have poorer health outcomes than those without developmental disabilities. Reasonable adjustments can improve accessibility and quality of healthcare for people with disabilities and involves adapting practices and environments to promote equitable healthcare.
There is a scarcity of literature focused on the application of reasonable adjustments in the Indonesian nursing context. A greater understanding of the application of reasonable adjustments in this context can help inform nursing curricula and policy.
A cross-sectional, descriptive survey -was undertaken and is reported in accordance with the Strengthening the Reporting of Evaluations and Non-randomised Designs. Following descriptive analysis, bivariate analyses were undertaken between key demographic, workplace, and self-reported capability variables, and familiarity and implementation of reasonable adjustments.
The majority of respondents were not familiar with the concept of reasonable adjustments and self-reported sometimes applying it within their practice. Higher levels of educational and clinical exposure to intellectual disability and/or autism, and self-capability variables, were significantly associated with familiarity with reasonable adjustments and their application.
An increase in nursing curricula focused on caring for people with intellectual disability and/or autism, including content focused on applying reasonable adjustments, is indicated.
Given that, internationally, people with intellectual disability and/or autism have disproportionately negative health outcomes and experiences, findings highlighting gaps in understanding and application of reasonable adjustments of Indonesian nurses have substantial implications for nursing policy and curriculum.
本研究旨在了解印度尼西亚护士对合理调整概念的熟悉程度，以及其在实践中的应用频率。
智力残疾和/或自闭症患者在获得医疗保健方面面临重大障碍，其健康结果比没有发育障碍的患者差。合理调整可以改善残疾人士的医疗保健可及性和质量，涉及调整实践和环境，以促进公平的医疗保健。
在印度尼西亚护理背景下，应用合理调整的文献很少。更多地了解这方面的合理调整的应用可以为护理课程和政策提供信息。
采用横断面描述性调查，根据《加强评估和非随机设计报告》进行报告。在描述性分析之后，在关键的人口统计学、工作场所和自我报告的能力变量与合理调整的熟悉程度和实施之间进行了双变量分析。
大多数受访者对合理调整的概念不熟悉，并且自我报告有时在实践中应用它。更高水平的对智力残疾和/或自闭症的教育和临床接触，以及自我能力变量，与对合理调整的熟悉程度及其应用显著相关。
需要增加以护理智力残疾和/或自闭症患者为重点的护理课程，包括应用合理调整的内容。
鉴于国际上智力残疾和/或自闭症患者的健康结果和体验不成比例地较差，发现印度尼西亚护士对合理调整的理解和应用存在差距，这对护理政策和课程具有重大影响。
