More Than ‘Keeping an Eye’: Ensuring Children With Intellectual Disabilities Are Safe and Feel Safe in Hospital

IF 2.1 3区医学 Q2 PSYCHOLOGY, EDUCATIONAL

Journal of Applied Research in Intellectual Disabilities Pub Date : 2025-04-30 DOI:10.1111/jar.70055

Kate Oulton, Faith Gibson, Charlotte Kenten, Jessica Russell, Jo Wray

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引用次数: 0

Abstract

Background

There is a lack of evidence to inform the provision of safe hospital care and treatment to children with intellectual disabilities.

Methods

Interviews were conducted with 52 parents/carers of 42 children with intellectual disabilities and 98 hospital staff about the care of children with intellectual disabilities during in-patient stays in English hospitals. Data were analysed using reflexive thematic analysis.

Findings

Factors potentially impacting on the safety of children with intellectual disabilities in hospital are encompassed under four domains: parental vigilance, child vulnerability, staffing capability and capacity, and the environment.

Conclusions

A new healthcare lens is needed which places equal priority on the non-medical and medical needs of patients, and which recognises the importance of children and their parents both feeling and being safe in hospital. The use of a risk assessment instrument to facilitate this has the potential for multiple improvements at all levels.

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不仅仅是“照看”：确保智障儿童在医院的安全和安全感

背景缺乏为智力残疾儿童提供安全的医院护理和治疗的证据。方法对42名智力障碍儿童的52名家长/照顾者和98名医院工作人员进行访谈，了解智力障碍儿童住院期间的护理情况。数据分析采用反身性主题分析。研究发现，影响智障儿童住院安全的潜在因素包括父母警惕性、儿童脆弱性、人员配备能力和环境四个方面。结论需要一种新的医疗保健视角，将患者的非医疗需求和医疗需求同等优先考虑，并认识到儿童及其父母在医院的感觉和安全的重要性。使用风险评估工具来促进这一点有可能在所有层次上进行多重改进。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Applied Research in Intellectual Disabilities Multiple-

CiteScore

4.70

自引率

12.50%

发文量

期刊介绍： JARID is an international, peer-reviewed journal which draws together findings derived from original applied research in intellectual disabilities. The journal is an important forum for the dissemination of ideas to promote valued lifestyles for people with intellectual disabilities. It reports on research from the UK and overseas by authors from all relevant professional disciplines. It is aimed at an international, multi-disciplinary readership. Topics covered include community living, quality of life, challenging behaviour, communication, sexuality, medication, ageing, supported employment, family issues, mental health, physical health, autism, economic issues, social networks, staff stress, staff training, epidemiology and service provision.