Pub Date : 2023-01-31DOI: 10.3912/OJIN.Vol28No01Man03
Sabrina Baumgartner, Betty Hurley, Allyson D Crinklaw, L. Senter, M. Steilen, Michelle Hyland, B. Cicatelli
Trauma disproportionately impacts people with HIV. To mitigate these adverse impacts, primary care providers can identify and address trauma with clients using a trauma informed care (TIC) approach. In 2018, CAI, an organization that provides national level training and capacity-building developed a TIC implementation model, now delivered in HIV and primary care agencies throughout the United States to integrate TIC into their culture, environment, and service delivery. New Jersey Trauma Informed Care (NJTIC) is the organization’s longest standing TIC initiative. To respond to the complex challenges of the COVID-19 pandemic, we developed a webinar series, Take 5, to leverage and expand upon the existing knowledge and skills of providers across 15 agencies part of the NJTIC project. This article describes the series’ purpose, to support staff and sustain and develop their TIC competencies during this unprecedented reality. Results of our evaluation indicated the reaction, satisfaction, and impact described by staff, who enhanced their TIC knowledge and utilized new skills with clients and themselves. Staff and their supervisors reported that the series offered consistency and support during an uncertain time. These promising practices can be applied broadly during crises to bolster knowledge, skills, collaboration, and self-care.
{"title":"Evaluating Take 5: Virtual Learning Sessions on Trauma Informed Care for Healthcare Staff During COVID-19","authors":"Sabrina Baumgartner, Betty Hurley, Allyson D Crinklaw, L. Senter, M. Steilen, Michelle Hyland, B. Cicatelli","doi":"10.3912/OJIN.Vol28No01Man03","DOIUrl":"https://doi.org/10.3912/OJIN.Vol28No01Man03","url":null,"abstract":"Trauma disproportionately impacts people with HIV. To mitigate these adverse impacts, primary care providers can identify and address trauma with clients using a trauma informed care (TIC) approach. In 2018, CAI, an organization that provides national level training and capacity-building developed a TIC implementation model, now delivered in HIV and primary care agencies throughout the United States to integrate TIC into their culture, environment, and service delivery. New Jersey Trauma Informed Care (NJTIC) is the organization’s longest standing TIC initiative. To respond to the complex challenges of the COVID-19 pandemic, we developed a webinar series, Take 5, to leverage and expand upon the existing knowledge and skills of providers across 15 agencies part of the NJTIC project. This article describes the series’ purpose, to support staff and sustain and develop their TIC competencies during this unprecedented reality. Results of our evaluation indicated the reaction, satisfaction, and impact described by staff, who enhanced their TIC knowledge and utilized new skills with clients and themselves. Staff and their supervisors reported that the series offered consistency and support during an uncertain time. These promising practices can be applied broadly during crises to bolster knowledge, skills, collaboration, and self-care.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132203686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-31DOI: 10.3912/OJIN.Vol28No01Man05
Renee N. Bauer, Emily J. Cannon, Robert Owegi
Post-Traumatic Stress Disorder (PTSD) affects many healthcare providers who worked during the COVID-19 pandemic. Identifying the symptoms, precipitating factors, and available treatments is essential to mitigate long term effects on personal, patient, and organizational outcomes. PTSD may lead to chronic health conditions, poor patient care, and contribute to the nursing shortage. The purpose of this article is to discuss PTSD and its factors, identify tools to improve nurses’ resilience, and discuss administrative strategies for creating a healthy workplace during times of pandemic stress.
{"title":"Improving Resilience in Nurses Affected by PTSD","authors":"Renee N. Bauer, Emily J. Cannon, Robert Owegi","doi":"10.3912/OJIN.Vol28No01Man05","DOIUrl":"https://doi.org/10.3912/OJIN.Vol28No01Man05","url":null,"abstract":"Post-Traumatic Stress Disorder (PTSD) affects many healthcare providers who worked during the COVID-19 pandemic. Identifying the symptoms, precipitating factors, and available treatments is essential to mitigate long term effects on personal, patient, and organizational outcomes. PTSD may lead to chronic health conditions, poor patient care, and contribute to the nursing shortage. The purpose of this article is to discuss PTSD and its factors, identify tools to improve nurses’ resilience, and discuss administrative strategies for creating a healthy workplace during times of pandemic stress.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126561266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-23DOI: 10.3912/ojin.vol28no01poscol01
ANA holds that nurses in all roles and settings must recognize their responsibility for ethical practice environments and therefore must have access to resources that facilitate assessment, reflection, and support for education to improve ethical practice. Nurses in all roles and all settings desire and deserve to work in an ethical environment that respects the inherent dignity of every patient and every nurse. An ethical professional practice environment facilitates nursing care that prioritizes ethical reflection and inquiry, allows for expression of varying viewpoints without fear of reprisal, and promotes professional and ethical values and trust.
{"title":"ANA Position Statement: Nurses’ Professional Responsibility to Promote Ethical Practice Environments","authors":"","doi":"10.3912/ojin.vol28no01poscol01","DOIUrl":"https://doi.org/10.3912/ojin.vol28no01poscol01","url":null,"abstract":"ANA holds that nurses in all roles and settings must recognize their responsibility for ethical practice environments and therefore must have access to resources that facilitate assessment, reflection, and support for education to improve ethical practice. Nurses in all roles and all settings desire and deserve to work in an ethical environment that respects the inherent dignity of every patient and every nurse. An ethical professional practice environment facilitates nursing care that prioritizes ethical reflection and inquiry, allows for expression of varying viewpoints without fear of reprisal, and promotes professional and ethical values and trust.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133902102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-30DOI: 10.3912/ojin.vol27no03man05
S. Ailey, Tanya R. Friese
Approximately seven million Americans with intellectual and developmental disabilities (IDD) face disparities and inequities in health, access to healthcare, and health outcomes. Contributing to the health disparities that face people with IDD is the lack of preparation of healthcare professionals related to their care and the lack of attention to research and quality improvement to address their unique disparities. This article describes a case study in which two faculty developed a program of scholarship, often in collaboration with graduate students in nursing and other health professions, which addresses promotion of health equity and social justice in general and specifically in the health disparities facing people with IDD. The program of scholarship is based on Boyer’s Model of Scholarship. The description of our work considers application of Boyer’s model to IDD scholarship in the context of discovery, teaching application, quality improvement across spheres of care , and integration. We offer a summary of the outcomes of our work that demonstrates impact at micro-, miso, and macro systems levels and conclude with implications for developing nursing scholarship.
{"title":"Faculty Scholarship Addressing Health Disparities with Persons with Intellectual and Developmental Disabilities: A Case Study Based on Boyer’s Model of Scholarship","authors":"S. Ailey, Tanya R. Friese","doi":"10.3912/ojin.vol27no03man05","DOIUrl":"https://doi.org/10.3912/ojin.vol27no03man05","url":null,"abstract":"Approximately seven million Americans with intellectual and developmental disabilities (IDD) face disparities and inequities in health, access to healthcare, and health outcomes. Contributing to the health disparities that face people with IDD is the lack of preparation of healthcare professionals related to their care and the lack of attention to research and quality improvement to address their unique disparities. This article describes a case study in which two faculty developed a program of scholarship, often in collaboration with graduate students in nursing and other health professions, which addresses promotion of health equity and social justice in general and specifically in the health disparities facing people with IDD. The program of scholarship is based on Boyer’s Model of Scholarship. The description of our work considers application of Boyer’s model to IDD scholarship in the context of discovery, teaching application, quality improvement across spheres of care , and integration. We offer a summary of the outcomes of our work that demonstrates impact at micro-, miso, and macro systems levels and conclude with implications for developing nursing scholarship.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"312 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122984644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-30DOI: 10.3912/ojin.vol27no03man01
C. Kartoz, M. Wells, Sara Muñoz
Autism spectrum disorder (ASD) occurs in approximately 1 in 44 children in the United States. As the pediatric population of individuals with an ASD age, and prevalence of ASD continues to trend upward, nurses who care for adults and older adults can expect to see a steadily increasing percentage of patients affected by an ASD. Individuals and families affected by this complicated and heterogeneous neurological disorder grapple with a wide range of social and behavioral impairments as well as substantial medical and psychological comorbidities, making nursing care complex and multi-faceted. Individuals with an ASD comprise a vulnerable population with a markedly reduced life expectancy of nearly 36 years. This article reviews foundational information about the essentials of ASD, such as the definition and characteristics and discusses research about ASD and aging. We have created an embedded case study throughout the discussion that offers an exemplar based on evidence related to functionality, comorbidities, family centered care, and becoming informed through descriptions of the moment experience. Finally, we discuss implications for person-centered care for those with ASD that consider practice, education, research, and nursing administration.
{"title":"Adults and Seniors with Autism Spectrum Disorder: Implications for Person Centered Care","authors":"C. Kartoz, M. Wells, Sara Muñoz","doi":"10.3912/ojin.vol27no03man01","DOIUrl":"https://doi.org/10.3912/ojin.vol27no03man01","url":null,"abstract":"Autism spectrum disorder (ASD) occurs in approximately 1 in 44 children in the United States. As the pediatric population of individuals with an ASD age, and prevalence of ASD continues to trend upward, nurses who care for adults and older adults can expect to see a steadily increasing percentage of patients affected by an ASD. Individuals and families affected by this complicated and heterogeneous neurological disorder grapple with a wide range of social and behavioral impairments as well as substantial medical and psychological comorbidities, making nursing care complex and multi-faceted. Individuals with an ASD comprise a vulnerable population with a markedly reduced life expectancy of nearly 36 years. This article reviews foundational information about the essentials of ASD, such as the definition and characteristics and discusses research about ASD and aging. We have created an embedded case study throughout the discussion that offers an exemplar based on evidence related to functionality, comorbidities, family centered care, and becoming informed through descriptions of the moment experience. Finally, we discuss implications for person-centered care for those with ASD that consider practice, education, research, and nursing administration.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128032360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-30DOI: 10.3912/ojin.vol27no03man02
Kathleen Johnson
Society benefits when every person has the education and skills to contribute to the best of their abilities. Education is fundamental to that ability to contribute. Access to education is a social determinant of health that can predict a student’s future health, contributions, and financial opportunity even into adulthood and a potential future family. This article introduces a case study of a student with a disability and with discussion and application of statutes requiring a free and appropriate public education. The discussion includes history of support for students with disabilities, the school nurse role, and principles of nursing support, including resources for practice. Finally, a brief description provides information about important professionals who can contribute as members of the school team. Supporting students with disabilities in schools provides the foundation for their ability to function and contribute as adults.
{"title":"Care of Students with Disabilities in Schools: A Team Approach","authors":"Kathleen Johnson","doi":"10.3912/ojin.vol27no03man02","DOIUrl":"https://doi.org/10.3912/ojin.vol27no03man02","url":null,"abstract":"Society benefits when every person has the education and skills to contribute to the best of their abilities. Education is fundamental to that ability to contribute. Access to education is a social determinant of health that can predict a student’s future health, contributions, and financial opportunity even into adulthood and a potential future family. This article introduces a case study of a student with a disability and with discussion and application of statutes requiring a free and appropriate public education. The discussion includes history of support for students with disabilities, the school nurse role, and principles of nursing support, including resources for practice. Finally, a brief description provides information about important professionals who can contribute as members of the school team. Supporting students with disabilities in schools provides the foundation for their ability to function and contribute as adults.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131152560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-30DOI: 10.3912/ojin.vol27no03manos
R. Fischbein
Eleven years ago, after a monochorionic-diamniotic twin pregnancy that included twin-twin transfusion syndrome, selective intrauterine growth restriction, fetoscopic laser photocoagulation surgery, and finally preterm birth, I found myself mother to two very tiny and premature twin girls. Several years later I would further learn that one twin also has a previously unknown genetic difference which has caused additional health conditions and disabilities. Consequently, my introduction to motherhood also included a crash course in the navigation of the medical system in a space that is established for the “normate,” or the typical body (Garland-Thomson, 1997).
{"title":"Overview and Summary: Addressing Disabilities in Healthcare","authors":"R. Fischbein","doi":"10.3912/ojin.vol27no03manos","DOIUrl":"https://doi.org/10.3912/ojin.vol27no03manos","url":null,"abstract":"Eleven years ago, after a monochorionic-diamniotic twin pregnancy that included twin-twin transfusion syndrome, selective intrauterine growth restriction, fetoscopic laser photocoagulation surgery, and finally preterm birth, I found myself mother to two very tiny and premature twin girls. Several years later I would further learn that one twin also has a previously unknown genetic difference which has caused additional health conditions and disabilities. Consequently, my introduction to motherhood also included a crash course in the navigation of the medical system in a space that is established for the “normate,” or the typical body (Garland-Thomson, 1997).","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123151454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-30DOI: 10.3912/ojin.vol27no03man04
B. Marks, Jasmina Sisirak
Disability is a natural part of the human experience and nurses with disability add greatly needed value as our colleagues. People with disability represent the largest marginalized group, making up more than 15% of the global population. Recognizing the value of nurses with disability requires an understanding of the ongoing systematic exclusion of students with disability entering the nursing profession and nurses with disability maintaining employment. Nurses with disability can offer patient-provider concordance, supporting a shared experience, valuing disability, and modeling positive expectations. In this article, we first discuss disability, ableism, and nursing. Also included is information about universal design structures for access that can be useful to support students and nurses with disability in academic and clinical settings. Lastly, we provide recommendations for nursing education and practice to include and value people with disability in these environments. Because systemic barriers can be easy to fix but often ignored, employing nurses with disability who directly experience these barriers provides an opportunity and incentive to advocate for change. Nurses with disability have enormous potential to expand healthcare from a medicalized view of disability as an inherently negative trait to a marker of diversity and the hallmark of equitable care.
{"title":"Nurses with Disability: Transforming Healthcare for All","authors":"B. Marks, Jasmina Sisirak","doi":"10.3912/ojin.vol27no03man04","DOIUrl":"https://doi.org/10.3912/ojin.vol27no03man04","url":null,"abstract":"Disability is a natural part of the human experience and nurses with disability add greatly needed value as our colleagues. People with disability represent the largest marginalized group, making up more than 15% of the global population. Recognizing the value of nurses with disability requires an understanding of the ongoing systematic exclusion of students with disability entering the nursing profession and nurses with disability maintaining employment. Nurses with disability can offer patient-provider concordance, supporting a shared experience, valuing disability, and modeling positive expectations. In this article, we first discuss disability, ableism, and nursing. Also included is information about universal design structures for access that can be useful to support students and nurses with disability in academic and clinical settings. Lastly, we provide recommendations for nursing education and practice to include and value people with disability in these environments. Because systemic barriers can be easy to fix but often ignored, employing nurses with disability who directly experience these barriers provides an opportunity and incentive to advocate for change. Nurses with disability have enormous potential to expand healthcare from a medicalized view of disability as an inherently negative trait to a marker of diversity and the hallmark of equitable care.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121112747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-30DOI: 10.3912/ojin.vol27no03man03
Miriam R B Abbott
Treating patients and colleagues with respect is a foundational value in the healthcare professions. In relating respectful behavior to inclusive communication, several national organizations have recently identified preferred terminology for inclusive language. This article offers a brief background related to inclusive language and describes a comparative textual analysis of several guiding documents (n = 6) from the Centers for Disease Control and Prevention (CDC), the American Medical Association (AMA), and the American Psychological Association (APA). Terms identified as preferred by these organizations were identified and cross-checked through text search software applications. The results and discussion of this analysis compare similarities and differences in key areas. Implications stemming from areas of consensus and variation are explored to develop recommendations for healthcare providers.
{"title":"Finding the Right Words: Cohesion and Divergence in Inclusive Language Guidelines","authors":"Miriam R B Abbott","doi":"10.3912/ojin.vol27no03man03","DOIUrl":"https://doi.org/10.3912/ojin.vol27no03man03","url":null,"abstract":"Treating patients and colleagues with respect is a foundational value in the healthcare professions. In relating respectful behavior to inclusive communication, several national organizations have recently identified preferred terminology for inclusive language. This article offers a brief background related to inclusive language and describes a comparative textual analysis of several guiding documents (n = 6) from the Centers for Disease Control and Prevention (CDC), the American Medical Association (AMA), and the American Psychological Association (APA). Terms identified as preferred by these organizations were identified and cross-checked through text search software applications. The results and discussion of this analysis compare similarities and differences in key areas. Implications stemming from areas of consensus and variation are explored to develop recommendations for healthcare providers.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116869226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-30DOI: 10.3912/ojin.vol27no03man06
Stacey Rees, R. Northway
People with intellectual disabilities experience many health disparities including difficulties with access to healthcare, and a lack of appropriate and timely healthcare. Nurses are well placed to address such disparities. In the UK, this is a key focus of the role of specialist community learning (intellectual) disabilities nurses (CLDNs), as explained in our background section. Research relating to this aspect of their role is limited. This qualitative research study explored the role of the CLDN to support access to secondary healthcare. This article reviews our study methods, which included semi-structured interviews (n = 14) conducted with CLDNs using critical incident technique. These were subsequently transcribed and critical incidents (n = 74) analysed using thematic analysis. We describe in our findings four emerging themes: Proactive/Preparatory Work; Therapeutic Relationships; Coordination; and Influencing Healthcare Outcomes. Within each theme and several subthemes there is evidence of CLDNs identifying and removing or reducing barriers to effective and timely healthcare. The discussion section asserts that CLDNs use a range of strategies to support access to healthcare and with a focus on barriers, they promote health within a social model of disability. We conclude that, whilst specialist CLDNs do not exist in many other countries, the strategies they employ could be utilised by non-specialist nurses working both within the UK and elsewhere to enhance access and reduce health disparities for people with intellectual disabilities.
{"title":"Access to Secondary Healthcare for People with Intellectual Disabilities: The Role of Community Learning Disability Nurses in Wales","authors":"Stacey Rees, R. Northway","doi":"10.3912/ojin.vol27no03man06","DOIUrl":"https://doi.org/10.3912/ojin.vol27no03man06","url":null,"abstract":"People with intellectual disabilities experience many health disparities including difficulties with access to healthcare, and a lack of appropriate and timely healthcare. Nurses are well placed to address such disparities. In the UK, this is a key focus of the role of specialist community learning (intellectual) disabilities nurses (CLDNs), as explained in our background section. Research relating to this aspect of their role is limited. This qualitative research study explored the role of the CLDN to support access to secondary healthcare. This article reviews our study methods, which included semi-structured interviews (n = 14) conducted with CLDNs using critical incident technique. These were subsequently transcribed and critical incidents (n = 74) analysed using thematic analysis. We describe in our findings four emerging themes: Proactive/Preparatory Work; Therapeutic Relationships; Coordination; and Influencing Healthcare Outcomes. Within each theme and several subthemes there is evidence of CLDNs identifying and removing or reducing barriers to effective and timely healthcare. The discussion section asserts that CLDNs use a range of strategies to support access to healthcare and with a focus on barriers, they promote health within a social model of disability. We conclude that, whilst specialist CLDNs do not exist in many other countries, the strategies they employ could be utilised by non-specialist nurses working both within the UK and elsewhere to enhance access and reduce health disparities for people with intellectual disabilities.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128607560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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