Healthcare inequities among adults with developmental disability: An integrative review with implications for nursing education

Document Type

Article

Publication Date

11-2021

Abstract

Aim

This integrative review synthesized research on the healthcare inequities experienced by adults with developmental disability in the United States and discussed implications for nursing education.

Background

Individuals with developmental disability are living longer with chronic comorbidities and experience healthcare inequities.

Method

Application of inclusion criteria to database and ancestry searches resulted in 26 articles that were assessed for quality and analyzed thematically.

Results

Three categories of inequity were identified: knowledge deficits, communication challenges and poor quality of care. Knowledge deficits and communication challenges can lead to frustration, errors and unmet needs. Poor quality of care encompasses the decreased availability and access to services, limited health promotion participation and higher rates of hospitalizations and complications for adults with developmental disability.

Conclusion

Healthcare inequities may be reduced by targeting patient and provider knowledge. Inclusion of developmental disability content and clinical experiences in nursing education may improve care and reduce inequities for this underserved population.

DOI

https://doi.org/10.1016/j.nepr.2021.103225

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