TY - JOUR
T1 - Specialist intellectual disability liaison nurses in general hospitals in England
T2 - cohort study using a large mortality dataset
AU - Sheehan, Rory
AU - Ding, Jonathon
AU - White, Adam
AU - Magill, Nicholas
AU - Chauhan, Umesh
AU - Marshall-Tate, Karina
AU - Strydom, André
N1 - Publisher Copyright:
© Author(s) (or their employer(s)) 2024.
PY - 2024/8/9
Y1 - 2024/8/9
N2 - Objective Intellectual disability liaison nurses in general hospitals could enhance access to high-quality, adapted healthcare and improve outcomes. We aimed to explore associations between the input of intellectual disability liaison nurses and the quality of care in people with intellectual disability who are admitted to hospital. Design Retrospective analysis of a national dataset of mortality reviews. Setting General hospitals in England. Participants 4742 adults with intellectual disability who died in hospital between 2016 and 2021 and whose deaths were reviewed as part of the Learning from Lives and Deaths mortality review programme. Outcome measures We used logistic regression to compare the sociodemographic and clinical characteristics of those who did, and did not, receive input from an intellectual disability liaison nurse. We explored associations between liaison nurse input, care processes and overall quality of care. Results One-third of people with intellectual disability who died in hospital in England between 2016 and 2021 had input from an intellectual disability liaison nurse. Intellectual disability liaison nurse input was not evenly distributed across England and was more common in those who died of cancer. Having an intellectual disability liaison nurse involved in an individual’s care was associated with increased likelihood of reasonable adjustments being made to care (adjusted OR (aOR) 1.95, 95% CI 1.63 to 2.32) and of best practice being identified (aOR 1.37, 95% CI 1.17 to 1.60) but was not associated with a rating of overall quality of care received (aOR 0.94, 95% CI 0.78 to 1.12). Conclusions Intellectual disability liaison nurses see only a minority of people with intellectual disability who are admitted to hospital in England. Increasing the availability of intellectual disability liaison nurses could improve care for this disadvantaged group.
AB - Objective Intellectual disability liaison nurses in general hospitals could enhance access to high-quality, adapted healthcare and improve outcomes. We aimed to explore associations between the input of intellectual disability liaison nurses and the quality of care in people with intellectual disability who are admitted to hospital. Design Retrospective analysis of a national dataset of mortality reviews. Setting General hospitals in England. Participants 4742 adults with intellectual disability who died in hospital between 2016 and 2021 and whose deaths were reviewed as part of the Learning from Lives and Deaths mortality review programme. Outcome measures We used logistic regression to compare the sociodemographic and clinical characteristics of those who did, and did not, receive input from an intellectual disability liaison nurse. We explored associations between liaison nurse input, care processes and overall quality of care. Results One-third of people with intellectual disability who died in hospital in England between 2016 and 2021 had input from an intellectual disability liaison nurse. Intellectual disability liaison nurse input was not evenly distributed across England and was more common in those who died of cancer. Having an intellectual disability liaison nurse involved in an individual’s care was associated with increased likelihood of reasonable adjustments being made to care (adjusted OR (aOR) 1.95, 95% CI 1.63 to 2.32) and of best practice being identified (aOR 1.37, 95% CI 1.17 to 1.60) but was not associated with a rating of overall quality of care received (aOR 0.94, 95% CI 0.78 to 1.12). Conclusions Intellectual disability liaison nurses see only a minority of people with intellectual disability who are admitted to hospital in England. Increasing the availability of intellectual disability liaison nurses could improve care for this disadvantaged group.
UR - http://www.scopus.com/inward/record.url?scp=85201064392&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2023-077124
DO - 10.1136/bmjopen-2023-077124
M3 - Article
C2 - 39122397
AN - SCOPUS:85201064392
SN - 2044-6055
VL - 14
JO - BMJ Open
JF - BMJ Open
IS - 8
M1 - e077124
ER -