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Caring for Visually Impaired Patients in the Hospital: A Multidisciplinary Quality Improvement Project

Title: Caring for Visually Impaired Patients in the Hospital: A Multidisciplinary Quality Improvement Project
Authors: Carlson, Christine; Howe, Tami; Pedersen, Chase; Yoder, Linda H.
Source: AJN, American Journal of Nursing ; volume 120, issue 5, page 48-55 ; ISSN 0002-936X
Publisher Information: Ovid Technologies (Wolters Kluwer Health)
Publication Year: 2020
Description: Background: People with low vision or blindness may experience anxiety, fear, and depression—sometimes severe—as a result of the challenges encountered when they seek medical care. Such patients deserve, and health care professionals must provide, equal opportunities to participate in and benefit from their health care in a safe environment. A search of the literature yielded information on the needs of visually impaired people but failed to find a comprehensive program that health care facilities could use to meet the needs of this vulnerable population. This gap in the literature on visually impaired patients (VIPs) and implications for their care led us to conduct focused meetings with this population. Objective: The specific aims of this quality improvement (QI) project were to determine the needs of hospitalized VIPs, develop educational and other resources that would help clinicians and ancillary hospital staff in their interactions with VIPs, and assemble a toolbox of useful materials for VIPs themselves. Methods: A VIP care team identified the needs of VIPs as reported in the literature and in personal meetings with visually impaired people in the community. The team also surveyed interdisciplinary hospital staff members to determine their experience in caring for VIPs as well as their educational needs, and then developed strategies and educational modules to help clinicians and ancillary staff members accommodate the unique needs of VIPs in accordance with the Americans with Disabilities Act of 1990. The team also assembled a VIP toolbox that contained several items useful to VIPs themselves. Supplementary information tailored to the function of each hospital department (such as nursing, admissions, environmental services, dietary, and radiology) was also provided to help staff members improve VIPs' hospital experience. Results: The hospital's interdisciplinary staff members participated in an education program to improve their care of VIPs. Before the program, only 23.6% of 161 staff members ...
Document Type: article in journal/newspaper
Language: English
DOI: 10.1097/01.naj.0000662820.87519.52
DOI: 10.1097/01.NAJ.0000662820.87519.52
Availability: https://doi.org/10.1097/01.naj.0000662820.87519.52; https://journals.lww.com/10.1097/01.NAJ.0000662820.87519.52
Accession Number: edsbas.6A70951D
Database: BASE