Journal article
Developing and Pilot Testing Decision-Making Tools to Improve Nursing Care of Adults on the Autism Spectrum Using Simulation
Journal of developmental and physical disabilities, v 34(4), pp 609-643
26 Nov 2021
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Nurses and other health care providers face daily challenges when delivering care in the acute care settings to adult patients on the autism spectrum (ASD). Secondary to a lack of disability-specific training, health care providers may struggle to establish and maintain a therapeutic rapport with patients diagnosed on the autism spectrum (Bury et al., 2020). The purpose of this paper is to describe the development and pilot testing of decision-making tools to guide healthcare providers as they interact with patients on the autism spectrum using a novel approach. This mixed methods project employed simulation technology and actors portraying patients. It was conducted in two phases. During Phase 1, the decision-making tools were created using video-taped encounters between nursing students (n = 11) and standardized patients (actors) who displayed a range of core characteristics and behavioral features associated with ASD. During Phase 2, we piloted the tools with a convenience sample of 17 nurses. A panel of experts using a modified Delphi technique, 17-item task completion, 22-item behavioral encounter checklists and debriefing sessions, analyzed the 17-recorded simulations. The decision-making tools show promise of being to guide nurses' efforts to establish and maintain a therapeutic rapport with hospitalized adult patients who are also on the autism spectrum.
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Details
- Title
- Developing and Pilot Testing Decision-Making Tools to Improve Nursing Care of Adults on the Autism Spectrum Using Simulation
- Creators
- Ellen Giarelli - Drexel UniversityKathleen Fisher - Drexel UniversityLinda Wilson - Drexel Univ, Coll Nursing & Hlth Profess, 1601 Cherry St, Philadelphia, PA 19102 USALisa M. Bonacquisti - Drexel Univ, Coll Nursing & Hlth Profess, 1601 Cherry St, Philadelphia, PA 19102 USAMaria Chornobroff - Bancroft Sch, Cherry Hill, NJ USAAnna Marie T. DiPietro - Open Rd Psychiat Serv, W Chester, PA USAMary Jane Weiss - Melmark Berwyn Penn, Endicott Coll Beverly MA, Beverly, MA USAGregory Bannett - Community Autism Peer Specialist CAPS, Mental Hlth Partnerships, 833 Chestnut St, Philadelphia, PA USA
- Publication Details
- Journal of developmental and physical disabilities, v 34(4), pp 609-643
- Publisher
- Springer Nature
- Number of pages
- 35
- Grant note
- WITH Foundation (Working for Inclusive and Transformative Healthcare), San Mateo, CA
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Doctoral Nursing; College of Nursing and Health Professions
- Web of Science ID
- WOS:000722822300001
- Scopus ID
- 2-s2.0-85119960577
- Other Identifier
- 991019168295704721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Education, Special
- Psychology, Developmental
- Rehabilitation