在一个大型城市医院系统中,护理人员对影响为自闭症患者提供以患者为中心的护理的因素的观点:一项定性研究
Amy Watson-Grace1, Ankita Patel2, Priyanka Paradkar2
1School of Health and Rehabilitation Sciences, Ohio State University, Columbus, Ohio, USA.
Journal of advanced nursing
|January 6, 2026
概括
护士缺乏正式的自闭症培训,影响了以患者为中心的护理. 加强教育和探索限制的替代方案对于改善对自闭症患者的护理至关重要.
科学领域:
- 护理 护理 护理
- 自闭症谱系障碍 护理 护理
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 以患者为中心的护理对自闭症患者至关重要.
- 护士往往缺乏关于自闭症护理的正规教育.
- 医院环境可能会对有效的护理构成障碍.
研究的目的:
- 探索护士对影响自闭症患者以患者为中心护理的因素的观点.
- 确定提供最佳护理的障碍和促进者.
- 为改善护理教育和医院流程提供信息.
主要方法:
- 使用半结构面试进行的定性探索性研究.
- 通过Zoom进行的采访,采访了来自一个大型城市医院的12名护士.
- 使用代码书/模板分析分析数据,并进行双重编码以提高可靠性.
主要成果:
- 确定了关键主题:障碍 (缺乏教育,设定因素,护士特征),促进者 (经验,护士参与,尊重的方法) 和错过的机会 (未充分使用的团队,计划不足,依赖限制).
- 护士主要通过经验获得自闭症知识,只有有限的正式培训.
- 行为护理团队的使用不足和依赖于限制来管理具有挑战性的行为被注意到.
结论:
- 持续实施现有流程可以提高对自闭症患者的护理.
- 开发以患者为中心的限制和安全人员的替代品至关重要.
- 需要进行能力培训,以提高护士的舒适度和能力,为自闭症患者提供以患者为中心的护理.
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