Developing and Pilot Testing Decision-Making Tools to Improve Nursing Care of Adults on the Autism Spectrum Using Simulation

Author(s):  
Ellen Giarelli ◽  
Kathleen Fisher ◽  
Linda Wilson ◽  
Lisa M. Bonacquisti ◽  
Maria Chornobroff ◽  
...  
2015 ◽  
Vol 22 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Erinn Finke ◽  
Kathryn Drager ◽  
Elizabeth C. Serpentine

Purpose The purpose of this investigation was to understand the decision-making processes used by parents of children with autism spectrum disorder (ASD) related to communication-based interventions. Method Qualitative interview methodology was used. Data were gathered through interviews. Each parent had a child with ASD who was at least four-years-old; lived with their child with ASD; had a child with ASD without functional speech for communication; and used at least two different communication interventions. Results Parents considered several sources of information for learning about interventions and provided various reasons to initiate and discontinue a communication intervention. Parents also discussed challenges introduced once opinions of the school individualized education program (IEP) team had to be considered. Conclusions Parents of children with ASD primarily use individual decision-making processes to select interventions. This discrepancy speaks to the need for parents and professionals to share a common “language” about interventions and the decision-making process.


2021 ◽  
Vol 28 (4) ◽  
pp. 458-469
Author(s):  
Eun Ju Lee ◽  
Min Jung Ryu

Purpose: This study was conducted to develop and examine the effects of a nursing education program using virtual reality to enhance clinical decision-making ability in respiratory disease nursing care by assessing students’ confidence in performance, clinical decision-making ability, practice flow, class evaluations, and simulation design evaluations.Methods: This study was developed based on the Jeffries simulation model and 5E learning cycle model, blending a virtual reality simulation and high-fidelity simulation. The participants were 41 third-year nursing students with no virtual reality and simulation education experience. The experimental group (n=21) received the virtual reality program, while the control group (n=20) received traditional simulation education. Data were collected from March 8 to May 28, 2021 and analyzed using SPSS version 27 for Windows.Results: Statistically significant differences were found between the experimental group and the control group post-intervention in confidence in performance (F=4.88, p=.33) and clinical decision-making ability (F=18.68, p<.001). The experimental group showed significant increases in practice flow (t=2.34, p=.024) and class evaluations (t=2.99, p=.005) compared to the control group.Conclusion: Nursing education programs using virtual reality to enhance clinical decision-making ability in respiratory disease nursing care can be an effective educational strategy in the clinical context.


2020 ◽  
Vol 18 (2) ◽  
pp. 28-36
Author(s):  
Amy McBeth Owen ◽  
Annette Gary ◽  
Vicki Schnetter

2020 ◽  
Vol 19 (2) ◽  
pp. 531-559
Author(s):  
Juliana Macêdo Magalhães ◽  
Francisca Susyane Viana Lima ◽  
Francisca Rosa De Oliveira Silva ◽  
Ana Beatriz Mendes Rodrigues ◽  
Adriana Vasconcelos Gomes

Introducción: El Trastorno del Espectro Autista (TEA) configura un trastorno del neurodesarrollo que compromete la interacción social, comunicación y comportamiento, identificado generalmente, en el niño preescolar. Los profesionales de enfermería deben realizar el manejo y acompañamiento del niño autista.Objetivo: Analizar las evidencias científicas sobre la asistencia de Enfermería al niño autista.Metodología: Revisión integradora de la literatura realizada en la base de datos: CINAHL, Web of Science e LILACS, se utilizó como descriptores: Nursing Care/Cuidados de Enfermagem”, “Child/Criança”, “Child, Preschool/Pré-escolar”, “Autism Disorder/Transtorno Autístico” y “Autism Spectrum Disorder/Transtorno do Espectro Autista”. Se incluyeron artículos publicados entre el período de 2013 a 2017 en portugués, español e inglés.Resultados: Los artículos incluidos fueron presentados en cuadro sinóptico y el análisis de los resultados fue realizado de forma descriptiva presentando la síntesis de los estudios por medio de comparaciones y destaque de diferencias y / o semejanzas. Se identificó que es fundamental que la enfermería tenga empatía, visión holística y conocimiento para realizar asistencia singular y de calidad para el niño y la familia.Conclusión: La enfermería utiliza la empatía, visión holística y diferentes estrategias para el cuidado del niño autista, sin embargo, los profesionales refieren dificultades en la práctica clínica. Las publicaciones sobre la temática son escasas siendo necesario el desarrollo de investigaciones clínicas. Introduction: The Autistic Spectrum Disorder (ASD) configures a neurodevelopmental disorder that involves social interaction, communication and behavior identified generally in pre-school children. The nursing professionals must perform the management and monitoring of the autistic child.Objective: To examine the scientific evidence about nursing care to the autistic child.Methodology: An integrative review of the literature, held in databases: CINAHL, Web of Science and LILACS databases using the search terms: “Nursing Care”, “Child”, “Child, Preschool”, “Autistic Disorder” and “Autism Spectrum Disorder”. There were included articles published between the period of 2013 to 2017 in Portuguese, Spanish and English.Resulted: The articles included were presented in summary table and the analysis of the results was performed descriptively presenting the synthesis of studies through comparisons and highlight of differences and/or similarities. It was identified that is basic to nursing to have empathy, holistic vision and knowledge to perform singular assistance and of quality for the child and family.Conclusion: Nursing uses the empathy, holistic view and different strategies for the care to the autistic child; however, the professionals refer difficulties in clinical practice. The publications on the subject are scarce being necessary the development of clinical research.  


Perception ◽  
2018 ◽  
Vol 47 (10-11) ◽  
pp. 1081-1096 ◽  
Author(s):  
Angelo Pirrone ◽  
Wen Wen ◽  
Sheng Li ◽  
Daniel H. Baker ◽  
Elizabeth Milne

Recent research has shown that adults and children with autism spectrum disorders have a more conservative decision criterion in perceptual decision making compared to neurotypical individuals, meaning that autistic participants prioritise accuracy over speed of a decision. Here, we test whether autistic traits in the neurotypical population correlate with increased response conservativeness. We employed three different tasks; for two tasks we recruited participants from China ( N = 39) and for one task from the United Kingdom ( N = 37). Our results show that autistic traits in the neurotypical population do not predict variation in response criterion. We also failed to replicate previous work showing a relationship between autistic traits and sensitivity to coherent motion and static orientation. Following the argument proposed by Gregory and Plaisted-Grant, we discuss why perceptual differences between autistic and neurotypical participants do not necessarily predict perceptual differences between neurotypical participants with high and low autistic traits.


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