Understanding Parental Perspectives on Hospital Care for Children with Intellectual Disabilities: A Thematic Study

Exploring the heartfelt insights of parents, this qualitative study delves into the quality and safety of hospital care for children with intellectual disabilities, revealing the profound impact of healthcare experiences on families.
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What do parents think about the quality and safety of care provided by hospitals to children and young people with an intellectual disability? A qualitative study using thematic analysis.

Ong et al., Health Expect 2023
DOI: 10.1111/hex.13925

Listen up, folks!

We’ve got a situation here, and it’s not good. Our children with intellectual disabilities, they’re not getting the care they deserve. It’s a disaster. We’re talking about the youngest and most vulnerable in our hospitals, and they’re facing serious safety issues. We did a study, a tremendous study, believe me, and we found out some big problems.

We talked to the parents, great parents, who are dealing with this every day. They told us their stories, and we listened. We conducted thirteen interviews, and these parents, they know what’s going on. They’re smart. They see the issues firsthand with their kids in these hospitals.

And what did we find? Eight themes, that’s right, eight. Safety isn’t just about being safe; it’s about feeling safe. But these kids, they’re not feeling it. Why? Because of negative attitudes from some staff. It’s unacceptable. Parents are fighting to be heard, to be part of the care team. They’re advocating for their kids like champions, but they need to be empowered, not dismissed!

Communication? It’s got to be better, much better. We need trust, we need coordination. And the system, let me tell you, it needs adjustments. Big adjustments. We’re talking about preventing safety events, making sure everyone gets the care they need, regardless of their disability.

And resources, we’re lacking them. We need more training, more skills, especially for safety and quality issues that are specific to disabilities. The staff, they’ve got to have the right attributes: kindness, patience, flexibility, responsiveness. These are non-negotiable.

Parents are out there, they’re struggling. They’re being dismissed when they raise concerns. They’re providing care with little support. It’s a tough situation, really tough. And the healthcare system, it’s not making the reasonable adjustments needed for these kids and their families. It’s not family-centered, and that’s a problem.

So, what’s the solution? We need to adapt the Patient Safety Education Framework for these kids. We’ve got to transform attitudes, reduce bias, and make sure the care is safer and better. And this isn’t just for the kids with disabilities; it’s for all kids in the hospital.

We had parent advocates on the team, real experts on what’s appropriate. They checked the questions for the interviews, making sure we’re on the right track.

Let’s make healthcare great for these kids. They deserve it, and we’re going to make it happen!

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