Nursing care for pediatric patients with autism spectrum disorders: A cross-sectional survey of perceptions and strategies

IF 1.2 4区医学 Q3 NURSING Journal for Specialists in Pediatric Nursing Pub Date : 2021-03-31 DOI:10.1111/jspn.12332

Wanda J. Mahoney PhD, Minerva Villacrusis MOT, Margaret Sompolski MOT, Brittany Iwanski MOT, Alyssa Charman MOT, Colleen Hammond BSN, Gifty Abraham OTD

{"title":"Nursing care for pediatric patients with autism spectrum disorders: A cross-sectional survey of perceptions and strategies","authors":"Wanda J. Mahoney PhD, Minerva Villacrusis MOT, Margaret Sompolski MOT, Brittany Iwanski MOT, Alyssa Charman MOT, Colleen Hammond BSN, Gifty Abraham OTD","doi":"10.1111/jspn.12332","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>The purpose of this study is to describe nursing staff perspectives about caring for children with autism spectrum disorders (ASD) in the hospital, strategies they use to support care, and relationships between these factors.</p>\n </section>\n \n <section>\n \n <h3> Design and Methods</h3>\n \n <p>A descriptive, cross-sectional survey design with nursing staff at a large pediatric hospital system in the United States was employed. The researcher-designed, pilot-tested survey assessed participant demographics, knowledge about ASD, perceived effectiveness caring for children with ASD, previous training, and current strategy use. Data analysis involved descriptive statistics, correlations, and group comparisons based on interaction frequency with the population and previous training.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The participants involved 90 pediatric hospital nursing staff members providing direct care. Respondents demonstrated 90% accurate knowledge of the characteristics of ASD. Self-reported effectiveness in caring for children with ASD did not correlate with knowledge and significantly correlated with an increased number of strategies. Nursing staff with frequent interaction with people with ASD or those with previous training reported significantly more strategies to care for children with ASD. Only 35% of participants reported that they have adequate strategies to care for children with ASD in the hospital.</p>\n </section>\n \n <section>\n \n <h3> Practice Implications</h3>\n \n <p>Having more strategies was the factor associated with higher self-efficacy, so training for nursing staff should focus on increasing the number of strategies to use with children with ASD in the hospital and provide mechanisms to collaborate with other professionals to individualize strategies to meet each child's needs.</p>\n </section>\n </div>","PeriodicalId":54900,"journal":{"name":"Journal for Specialists in Pediatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jspn.12332","citationCount":"3","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal for Specialists in Pediatric Nursing","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jspn.12332","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 3

Abstract

Purpose

The purpose of this study is to describe nursing staff perspectives about caring for children with autism spectrum disorders (ASD) in the hospital, strategies they use to support care, and relationships between these factors.

Design and Methods

A descriptive, cross-sectional survey design with nursing staff at a large pediatric hospital system in the United States was employed. The researcher-designed, pilot-tested survey assessed participant demographics, knowledge about ASD, perceived effectiveness caring for children with ASD, previous training, and current strategy use. Data analysis involved descriptive statistics, correlations, and group comparisons based on interaction frequency with the population and previous training.

Results

The participants involved 90 pediatric hospital nursing staff members providing direct care. Respondents demonstrated 90% accurate knowledge of the characteristics of ASD. Self-reported effectiveness in caring for children with ASD did not correlate with knowledge and significantly correlated with an increased number of strategies. Nursing staff with frequent interaction with people with ASD or those with previous training reported significantly more strategies to care for children with ASD. Only 35% of participants reported that they have adequate strategies to care for children with ASD in the hospital.

Practice Implications

Having more strategies was the factor associated with higher self-efficacy, so training for nursing staff should focus on increasing the number of strategies to use with children with ASD in the hospital and provide mechanisms to collaborate with other professionals to individualize strategies to meet each child's needs.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

儿童孤独症谱系障碍患者的护理:认知和策略的横断面调查

目的本研究的目的是描述护理人员在医院照顾自闭症谱系障碍(ASD)儿童的观点，他们使用的支持护理策略，以及这些因素之间的关系。设计与方法采用描述性横断面调查设计，对美国一家大型儿科医院系统的护理人员进行调查。这项由研究人员设计、试点测试的调查评估了参与者的人口统计数据、对自闭症谱系障碍的了解、对自闭症儿童护理的感知效果、以前的培训和当前的策略使用。数据分析包括描述性统计、相关性和基于与人群互动频率和先前培训的组比较。结果调查对象为90名儿科医院直接护理人员。受访者对ASD特征的准确认识达到90%。照顾ASD儿童的自我报告有效性与知识无关，与策略数量的增加显著相关。经常与ASD患者互动的护理人员或以前受过培训的护理人员报告了更多照顾ASD儿童的策略。只有35%的参与者报告说他们有足够的策略在医院照顾自闭症儿童。实践意义拥有更多的策略是与更高的自我效能感相关的因素，因此对护理人员的培训应侧重于增加在医院对ASD儿童使用的策略数量，并提供与其他专业人员合作的机制，以个性化策略满足每个儿童的需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Journal for Specialists in Pediatric Nursing 医学-护理

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.