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Learning Disability Liaison Nursing Services in south-east Scotland: a mixed-methods impact and outcome study
M Brown1, J MacArthur, A McKechanie
1Faculty of Health and Life Sciences, Edinburgh Napier University, UK. m.brown@napier.ac.uk
Journal of Intellectual Disability Research : JIDR
|December 7, 2011
Summary
Learning Disability Liaison Nursing (LDLN) services improve hospital care for people with intellectual disabilities (ID) by addressing clinical needs, enhancing communication, and promoting person-centred adjustments. These specialist nurses are vital for effective healthcare systems.
Area of Science:
- Healthcare delivery
- Intellectual disabilities
- Nursing services
Background:
- Concerns exist regarding the hospital care of individuals with intellectual disabilities (ID).
- Failures in healthcare services and systems have been identified.
- Learning Disability Liaison Nursing (LDLN) services were developed to provide specialist support within general hospitals.
Purpose of the Study:
- To investigate the impact of LDLN services in Scotland.
- To analyze referral patterns and patient outcomes.
- To understand the experiences of patients, carers, and healthcare professionals.
Main Methods:
- A mixed-methods study was conducted across four NHS boards.
- Analysis of 323 referrals over 18 months.
- Qualitative data from interviews and focus groups with 85 participants, including patients, carers, and various healthcare professionals.
Main Results:
- Referral patterns aligned with known health needs of adults with ID (neurological, respiratory, gastrointestinal).
- LDLN role impacted clinical care, education, and organizational development.
- Positive patient outcomes included improved capacity/consent, person-centred care, communication, and advocacy.
Conclusions:
- LDLN services are valued for achieving person-centred outcomes.
- Liaison nurses are crucial for developing effective hospital systems and processes.
- Supporting LDLN services is important, acknowledging the complexity and challenges of their multifaceted role.
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