关键词: Transforming Care forensic intellectual disability multi-perspectival IPA nursing

Mesh : Humans Intellectual Disability Nurse's Role Qualitative Research

来  源:   DOI:10.1111/jar.12855   PDF(Sci-hub)

Abstract:
BACKGROUND: Concerns have been expressed regarding the impact of Transforming Care (TC) an English deinstitutionalisation mandate, on forensic services. With nursing staff positioned as significant in delivering TC; this research explored nursing experiences.
METHODS: Nine face-to-face semi-structured interviews were completed with nursing staff working in either inpatient or community forensic teams. Multi-perspectival interpretive phenomenological analysis was used to explore participants\' experiences. Interviews were analysed independently, prior to a mini meta-synthesis.
RESULTS: Participants from the inpatient group experienced TC as a threat, which resulted in consistency of perspective and practice. Participants from the community group viewed TC as a worthwhile challenge, which presented opportunity. The community infrastructure was experienced as inadequate by both groups, with the needs of people in forensic services needing more consideration, leading to widespread frustration.
CONCLUSIONS: The blanket approach of TC may not be suitable for this population, with those leading TC perceived as naïve.
摘要:
背景:人们对转变医疗(TC)的影响表示关注,这是英国的非机构化授权,法医服务。护理人员在提供TC方面具有重要意义;这项研究探索了护理经验。
方法:在住院或社区法医团队工作的护理人员中完成了9次面对面半结构化访谈。多视角解释现象学分析用于探索参与者的经验。面试是独立分析的,在微型元合成之前。
结果:住院组的参与者将TC视为威胁,这导致了观点和实践的一致性。来自社区团体的参与者认为TC是一个有价值的挑战,这提供了机会。这两个群体都经历了社区基础设施不足,法医服务人员的需求需要更多考虑,导致广泛的挫败感。
结论:TC的一揽子方法可能不适合该人群,那些领先的TC被认为是幼稚的。
公众号