Toward mainstream nursing roles specialising in the care of people with intellectual and developmental disability

Staff perceptions following a training programme about reducing psychotropic medication use in adults with intellectual disability: The need for a realistic professional practice framework

BACKGROUND

Adults with intellectual disability are at higher risk of being administered psychotropic medications. The UK-developed SPECTROM (Short-term PsychoEducation for Carers To Reduce Over Medication of people with intellectual disabilities) training programme educates disability support workers on psychotropic medications and alternatives to these medications.

METHOD

Interviews were conducted with 10 participants who took part in the pilot SPECTROM training programme to elicit their views on the programme and its appropriateness in an Australian context.

RESULTS

The key theme was 'Need for a psychotropic medication practice framework'. Four sub-themes were Broad satisfaction with the SPECTROM training programme; Disability support workers acknowledging the limitations of their scope of practice; Empowering training through prescriptive and reflective methods and; Need for future mentoring from Multi-Disciplinary Team members in the application of new knowledge.

CONCLUSIONS

Participants felt that whilst they could improve their knowledge and attitudes surrounding psychotropic medication administration for behaviours of concern through SPECTROM training, a national practice framework is needed to execute its goals at scale.

Nursing care for persons with developmental disabilities: Review of literature on barriers and facilitators faced by nurses to provide care

AIMS

To identify barriers and facilitators to nursing care of individuals with developmental disabilities (DDs).

BACKGROUND

Individuals with DDs experience health disparities. Nurses, although well positioned to provide optimal care to this population, face challenges.

DESIGN

Narrative review of extant published peer-reviewed literature.

DATA SOURCES

Electronic databases, ProQuest and EBSCO, were searched for studies published in English between 2000 and 2019.

REVIEW METHODS

Three reviewers reviewed abstracts and completed data extraction. Knowledge synthesis was completed by evaluating the 17 selected studies.

RESULTS

Emerging themes were: (1) barriers and challenges to nursing interventions; (2) facilitators to nursing care; and (3) recommendations for nursing education, policy and practice.

CONCLUSION

Nursing has the potential to be a key partner in supporting the health of people with DDs.

IMPACT

There is a need for specific education and training, so nurses are better equipped to provide care for people with DDs.