Perspectives of Health Care Providers Regarding Emergency Department Care of Children and Youth with Autism Spectrum Disorder

Journal of Autism and Developmental Disorders
Lonnie ZwaigenbaumRaphael Sharon

Abstract

This study aimed to characterize the perspectives of health professionals who care for children with autism spectrum disorder (ASD) in the emergency department (ED) and to determine what strategies could optimize care. Ten physicians and twelve nurses were interviewed individually. Questions related to experiences, processes, clinical decision-making and outcomes of children with ASD recently seen in the ED. Interviews were audio recorded, transcribed, and analyzed using a qualitative framework. Participants identified factors that facilitated effective care, including communication strategies, parental involvement and teamwork. Barriers identified included child characteristics, the ED environment, and competing demands. Recommendations included additional staff training and stakeholder engagement. However, making accommodations was often described as being at odds with how the ED functioned, with implications for future service planning.

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Citations

Mar 24, 2017·Journal of Developmental and Behavioral Pediatrics : JDBP·Ingalill Gimbler BerglundKarina Huus
Apr 18, 2018·Journal of Developmental and Behavioral Pediatrics : JDBP·Sarah F KirschBárbara González-Arévalo
May 31, 2018·Social Work in Health Care·Stephanie A Bryson, Harvey Bosma
Feb 14, 2019·Journal of Autism and Developmental Disorders·Rae MorrisMichael Saini
Oct 5, 2019·Journal of Autism and Developmental Disorders·Emily J JensenPamela A Sarigiani
Mar 8, 2019·Psychiatric Services : a Journal of the American Psychiatric Association·Morgan C ShieldsMonika Mitra
Nov 18, 2020·Journal of Autism and Developmental Disorders·Lauren J DonnellySarah M Horwitz
Feb 28, 2021·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Susan BrasherChristina Calamaro
Apr 2, 2021·Journal for Specialists in Pediatric Nursing : JSPN·Wanda J MahoneyGifty Abraham
Sep 10, 2021·Journal of Autism and Developmental Disorders·Jennifer L KouoJillian Gallogly
May 22, 2021·Journal of Developmental and Behavioral Pediatrics : JDBP·Theodore KouoLeticia Ryan
Sep 10, 2020·Hospital Pediatrics·Robyn P ThomEric P Hazen

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