Improving medication practices for persons with intellectual and developmental disability: Educating direct support staff using simulation, debriefing, and reflection. (December 2019)

• Record Type: Journal Article
• Authors: Auberry, Kathy; Wills, Katherine; Shaver, Carrie
• Is Part Of: Journal of intellectual disabilities. Volume 23:Number 4(2019)
• Page Start: 498
• Page End: 511
• Publication Date: 2019-12
• Subjects: intellectual disability -- developmental disability -- direct support professional -- simulation -- debriefing -- reflection -- medication management; Mental retardation -- Periodicals; People with mental disabilities -- Periodicals; Learning disabilities -- Periodicals; Handicap intellectuel; Trouble d'apprentissage; Handicapé mental; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 362.1968588
• DOI: 10.1177/1744629517731231
• Languages: English
• ISSNs: 1744-6295

Abstract

Direct support professionals (DSPs) are increasingly active in medication administration for people with intellectual and developmental disabilities, thus supplementing nursing and family caretakers. Providing workplace training for DSPs is often the duty of nursing personnel. This article presents empirical data and design suggestions for including simulations, debriefing, and written reflective practice during in-service training for DSPs in order to improve DSPs' skills and confidence related to medication administration. Quantitative study results demonstrate that DSPs acknowledge that their skill level and confidence rose significantly after hands-on simulations. The skill-level effect was statistically significant for general medication management −4.5 ( p < 0.001) and gastrointestinal medication management −4.4 ( p < 0.001). Qualitative findings show a deep desire by DSPs to not just be "pill poppers" but to understand the medical processes, causalities, and consequences of their medication administration. On the basis of our results, the authors make recommendations regarding how to combine DSP workplace simulations and debriefing with written reflective practice in DSP continuing education.