An alternative admission process for patients with an autism spectrum disorder and/or an intellectual disability.
Patient satisfaction in psychiatric emergency departments (EDs) largely relies on the knowledge and training of the staff providing care, and patients report higher satisfaction when they are assessed by professionals with psychiatric experience. Patient care is negatively affected by missing or inc...
| Publicado en: | Learning Disability Practice Vol. 23; no. 1; pp. 26 - 33 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Royal College of Nursing of the United Kingdom (The)
1/30/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148703687&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148703687 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14658712 FTU jtl: Learning Disability Practice issn: 14658712 maglogo: N pubinfo: dt: 1/30/2020 vid: 23 iid: 1 pid: 6040 pub: Royal College of Nursing of the United Kingdom (The) artinfo: ui: 148703687 148703687 148703687 10.7748/ldp.2020.e2026 148703687 ppf: 26 ppct: 7 formats: tig: atl: An alternative admission process for patients with an autism spectrum disorder and/or an intellectual disability. aug: au: Schopf, David Stark, Stacy Chiappetta, Laurel Mahmoud, Khadejah Fradkin, Dina Mitchell, Ann M affil: Psychiatric nurse, UPMC Western Psychiatric Hospital, Pittsburgh, Pennsylvania, US sug: subj: Autism Spectrum Disorder Nursing Intellectual Disability Nursing Patient Admission Methods Nursing Assessment Evaluation Quality Improvement Emergency Services, Psychiatric Extended Family Caregivers Nursing Units Triage Psychiatric Nursing Emergency Nursing Autism Spectrum Disorder Therapy Intellectual Disability Therapy Human Inpatients Persons with Disabilities Nursing Staff, Hospital Patient Centered Care Therapeutic Alliance Comparative Studies Activities of Daily Living Patient Safety Comorbidity Drug Administration Male Female Descriptive Statistics Child Adolescence Young Adult Adult Length of Stay Nurse Attitudes Job Satisfaction Quality of Nursing Care Convenience Sample Registered Nurses Patient Satisfaction Child: 6-12 years Adolescent: 13-18 years Adult: 19-44 years Male Female ab: Patient satisfaction in psychiatric emergency departments (EDs) largely relies on the knowledge and training of the staff providing care, and patients report higher satisfaction when they are assessed by professionals with psychiatric experience. Patient care is negatively affected by missing or incomplete patient-specific information. People with an autism spectrum disorder (ASD) and/or an intellectual disability are often unable to communicate pertinent information when admitted to hospital, and nurses rely on family members or carers to obtain information. The aim of this quality improvement project was to evaluate whether nursing admission assessment data collected in the psychiatric ED by a nurse specialist in ASD and/or intellectual disability while family members or carers were present were more complete than nursing admission assessment data collected in the inpatient unit after triage in the psychiatric ED. Data were collected for a period of two months from patients, carers and staff on a specialist inpatient unit for ASD/intellectual disability. Completeness of assessment information and staff satisfaction were compared between the psychiatric ED and the inpatient unit. Outcome measures included location of assessment (ED or unit) and quality of information provided, which covered 17 key patient-centred items. There was a significant relationship between the source of the information and the location where it was obtained. In the psychiatric ED, nurse specialists were able to obtain more information from family/caregivers compared with the inpatient unit. Initiating the admission assessment in the psychiatric ED while the patient's family members or carers are present may provide a more complete assessment and will establish rapport, supporting an easier admission process and transition to the inpatient unit. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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