改善急诊科以患者为中心的护理：为自闭症儿童实施感官工具包。

Improving patient-centred care in the emergency department: Implementation of a Sensory Toolkit for children with autism.

作者信息

Roy Meagan A, Kinlin Ceilidh, Estes Myka, MacEachern Sarah J

机构信息

Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

Department of Pediatrics, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ontario, Canada.

出版信息

Paediatr Child Health. 2024 Mar 22;29(4):199-204. doi: 10.1093/pch/pxae010. eCollection 2024 Jul.

DOI:10.1093/pch/pxae010

PMID:39045482

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11261820/

Abstract

Emergency department (ED) visits for children with autism can present challenges due to the unique sensory needs of this population. This Quality Improvement (QI) project executed two Plan-Do-Study-Act (PDSA) cycles to create and implement a Sensory Toolkit in the ED for children with autism. Most caregivers (94%; n = 31/33) and healthcare providers (HCPs; 86%; n = 37/44) identified the need for sensory items in the ED. In PDSA Cycle 1, 100% of caregivers (n = 21) and HCPs (n = 3) agreed/strongly agreed that the ED Sensory Toolkit was helpful. In PDSA Cycle 2, 92% of caregivers (n = 12/13) and 100% of HCPs (n = 3) agreed/strongly agreed that they were helpful. The Sensory Toolkit was positively evaluated by caregivers of children with autism and HCPs during the child's visit to the ED. There is an opportunity to adapt the Sensory Toolkit for other EDs and areas of the hospital.

摘要

由于自闭症儿童具有独特的感官需求，因此他们前往急诊科（ED）就诊可能会带来挑战。这个质量改进（QI）项目执行了两个计划-实施-研究-改进（PDSA）循环，以在急诊科为自闭症儿童创建并实施一个感官工具包。大多数照顾者（94%；n = 31/33）和医疗服务提供者（HCPs；86%；n = 37/44）都认为急诊科需要感官物品。在PDSA循环1中，100%的照顾者（n = 21）和HCPs（n = 3）同意/强烈同意急诊科感官工具包是有帮助的。在PDSA循环2中，92%的照顾者（n = 12/13）和100%的HCPs（n = 3）同意/强烈同意它们是有帮助的。在自闭症儿童前往急诊科就诊期间，感官工具包得到了自闭症儿童照顾者和HCPs的积极评价。有机会为其他急诊科和医院的其他区域调整感官工具包。