Disabled people in hospital: evaluating the CNS role.
OBJECTIVE
To evaluate a newly established clinical nurse specialist (CNS) post for disabled people in a large acute hospital.


METHODS
An action research approach was used to collect the data. Information was obtained by speaking to people with disabilities, hospital and community staff and voluntary organisations. A questionnaire was devised and sent to 38 clients. Of these, 24 were returned. Other sources of information included case scenarios from the wards, admissions data, nurses' views, diary reflections and feedback from carers.


RESULTS
The results demonstrated that the CNS role improved the support and information clients received before hospital admission. Clients felt less anxious about going into hospital. Staff's awareness of disability increased and the training and education needs of staff were also identified.


CONCLUSIONS
The action research cycle enabled the CNS to identify problem areas in a structured way and to implement change through critical self-reflection. Some disabled people are not having their needs met in hospital. The main reason for this was a lack of awareness among staff about disability. However, the implementation of the CNS role improved the care of people with disability and increased staff awareness.
Davis
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School of Health Care, Oxford Brookes University, Oxford.
Marsden
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D000208:Acute Disease / Q000451:nursing* / Q000523:psychology*; D001294:Attitude to Health; D006233:Persons with Disabilities / Q000523:psychology*; D006302:Health Services Research; D006801:Humans; D020380:Needs Assessment; D009720:Nurse Clinicians / Q000458:organization & administration*; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D010353:Patient Education as Topic; D012944:Social Support; D011795:Surveys and Questionnaires