Evaluating a Virtual Community-of-Practice as Implementation Strategy for the Needs Assessment Framework in Intellectual Disability Care: A Quasi-Experimental Multi-Methods Study

IF 2.1 3区医学 Q2 PSYCHOLOGY, EDUCATIONAL

Journal of Applied Research in Intellectual Disabilities Pub Date : 2025-01-18 DOI:10.1111/jar.70007

Esther H. Bisschops, Noud Frielink, J. Clasien de Schipper, Carlo Schuengel, Petri J. C. M. Embregts

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引用次数: 0

Abstract

Background

The Needs Assessment Framework (NAF) stimulates awareness of care staff to consider perspectives of clients with intellectual disabilities in decisions on involuntary care. We explored the effect of implementers' participation in a Virtual Community-of-Practice (VCoP) for designing implementation plans, on NAF implementation and staff awareness.

Method

A quasi-experimental design was used to compare implementation and awareness by care staff (n = 54) between organisations that implemented NAF with VCoP participation (N = 4) and organisations that implemented NAF as usual (N = 3). The ItFits toolkit work routine in the VCoP was qualitatively analysed to understand choices regarding implementation plans.

Results

No statistical differences in implementation and awareness among care staff were found between the intervention and control groups. Implementers evaluated collaboration on implementation and the ItFits toolkit as helpful.

Conclusions

Evaluation of implementation effectiveness and process are both needed to offer unique insights for iteratively changing daily practice around involuntary care.

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查看原文本刊更多论文

评估虚拟实践社区作为智障护理需求评估框架的实施策略：一项准实验的多方法研究。

背景：需求评估框架（NAF）激发了护理人员在决定非自愿护理时考虑智障患者观点的意识。我们探讨了实施者参与设计实施计划的虚拟实践社区（VCoP）对NAF实施和员工意识的影响。方法：采用准实验设计，比较在VCoP参与下实施NAF的组织（n = 4）和通常实施NAF的组织（n = 3）中护理人员（n = 54）的实施和意识。对VCoP中的ItFits工具包工作例程进行了定性分析，以了解有关实施计划的选择。结果：干预组与对照组护理人员在实施和意识方面无统计学差异。实现者评价在实现和ItFits工具包上的协作是有帮助的。结论：评估实施的有效性和过程都需要提供独特的见解迭代改变日常实践围绕非自愿护理。

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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.