Defense Date

2-15-2024

Graduation Date

Spring 5-11-2024

Availability

One-year Embargo

Submission Type

dissertation

Degree Name

PhD

Department

Nursing

School

School of Nursing

Committee Chair

Sr Rosemary Donley

Committee Member

Noah Potvin

Committee Member

Jesse Helton

Keywords

intellectual disability, health disparity, advocacy

Abstract

Background: Nurses working in the specialty of intellectual disabilities are positioned to advocate for individuals with intellectual disabilities and other health disparities. This study explored nurses’ perceived competencies, barriers, and facilitators when advocating for improved health status in adult patients with intellectual disabilities.

Methods: Twenty-five nurses working in the specialty of intellectual disabilities were interviewed using semi-structured interviews, and the data were analyzed using thematic analysis.

Results: Barriers identified in advocacy were: Funding, Communication, Negative Perceptions and Misperceptions, Lack of access, and Diagnostic Overshadowing. Nurses were also facilitated in advocating for improved health status in people with intellectual disabilities. Facilitators identified in advocacy were: Collaboration, Proactive Communication, Supportive Employers, Confidence, and Making a Difference.

Conclusion: The challenges identified in this study can help prevent and treat health disparities in this vulnerable population.

Language

English

Adams-2024.docx (244 kB)

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