Organisational culture in ‘better’ group homes for adults with intellectual and developmental disabilities in England: A qualitative study

IF 2.1 3区医学 Q2 PSYCHOLOGY, EDUCATIONAL

Journal of Applied Research in Intellectual Disabilities Pub Date : 2024-06-27 DOI:10.1111/jar.13270

Diane Fox, Julie Beadle-Brown, Jill Bradshaw, Christine Bigby, Lisa Richardson

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引用次数: 0

Abstract

Background

Previous research identifies organisational culture as one of a number of factors associated with the quality of life outcomes of group home residents' with intellectual and developmental disabilities. This study aims to elaborate on the dimensions of group home culture in settings in England.

Method

Participant observations and semi-structured interviews with staff were carried out in two group homes. Field-notes, interview notes and transcripts were analysed using inductive thematic analysis by a researcher naïve to the project and the previous literature. Initial coding was re-examined after sensitisation to theorised models in previous literature to identify the most parsimonious fit. The two settings were rated and compared using a five-point Likert scale for each of the dimensions.

Results

The findings describe group home culture across seven dimensions. There were mixed ratings across the different dimensions reflecting inconsistencies in culture that were reflected in staff practice. The challenge in assigning a global rating of culture in group homes, which includes interactions across multiple staff and multiple residents over time, was highlighted.

Conclusion

The development of an observational measure of culture is highlighted as potentially helpful in understanding and responding to culture in services for individuals with intellectual and developmental disabilities.

Abstract Image

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英格兰 "较好 "智力和发育障碍成人集体之家的组织文化：定性研究。

背景：以往的研究发现，组织文化是与智力和发育障碍群体之家居民的生活质量相关的诸多因素之一。本研究旨在详细阐述英格兰集体之家文化的各个层面：方法：在两所集体之家对工作人员进行了参与式观察和半结构化访谈。一名对本项目和以往文献不了解的研究人员采用归纳式主题分析法对现场笔记、访谈记录和笔录进行了分析。在对以往文献中的理论模型进行敏感性分析后，对最初的编码进行了重新审查，以确定最适合的模型。使用五点李克特量表对两种环境的每个维度进行评分和比较：结果：研究结果从七个方面描述了儿童之家文化。不同维度的评分不一，反映出文化的不一致性，这也反映在员工的实践中。结果：研究结果从七个维度描述了疗养院文化，不同维度的评分参差不齐，反映了员工实践中反映出的疗养院文化的不一致性，突出了对疗养院文化进行全面评分的挑战性，其中包括多名员工和多名入住者在一段时间内的互动：结论：文化观察测量方法的开发可能有助于理解和应对智力和发育障碍人士服务中的文化问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Applied Research in Intellectual Disabilities Multiple-

CiteScore

4.70

自引率

12.50%

发文量

期刊介绍： JARID is an international, peer-reviewed journal which draws together findings derived from original applied research in intellectual disabilities. The journal is an important forum for the dissemination of ideas to promote valued lifestyles for people with intellectual disabilities. It reports on research from the UK and overseas by authors from all relevant professional disciplines. It is aimed at an international, multi-disciplinary readership. Topics covered include community living, quality of life, challenging behaviour, communication, sexuality, medication, ageing, supported employment, family issues, mental health, physical health, autism, economic issues, social networks, staff stress, staff training, epidemiology and service provision.