Supporting Rurally Dwelling Adults With Disabilities: The Experiences of Staff From Two Organisations in Western Australia During the COVID-19 Pandemic

IF 1.9 4区 医学 Q2 NURSING
Zoe Lawrence-Haughey, Monica Moran, Rohan Rasiah, Barbara Nattabi
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Abstract

Objective

The COVID-19 pandemic had a disproportionate impact on people with disabilities and people living in rural areas, worsening pre-existing inequalities. The objective of this study was to explore the experiences of disability support staff providing support to people with disabilities in rural Western Australia during the COVID-19 pandemic.

Setting

The two disability support organisations were located in a large rural town in Western Australia, approximately 400 km north of Perth.

Participants

Eleven employees from the organisations were recruited mid-2022 using non-random purposive sampling. Most participants were over the age of 40, two-thirds of the participants were female, and over half worked part time. Approximately half of the participants were administration and management staff, and around half had started working with their organisations less than 2 years prior to the research during the COVID-19 pandemic in 2020. Two participants were recruited from one organisation, and the remaining nine participants were recruited from the other.

Design

This qualitative study was conducted using semi-structured in-depth interviews. Three individual interviews and two group interviews were conducted via video-call software. Reflexive thematic analysis was used in data analysis.

Results

Four major themes were identified: (1) burden of the pandemic, (2) difficulties with government pandemic response, (3) unclear work boundaries and difficult choices and (4) adapting to COVID-19. Participants reported several positive outcomes of the pandemic, including increased service innovation and an improved sense of community.

Conclusion

Future pandemic response could be improved by early consultation with the disability sector, utilisation of appropriate communication channels and anticipation of challenges unique to rural Australia.

支持农村居住的残疾成年人:来自西澳大利亚州两个组织的工作人员在COVID-19大流行期间的经验
2019冠状病毒病大流行对残疾人和农村人口的影响尤为严重,加剧了原有的不平等现象。本研究的目的是探讨在2019冠状病毒病大流行期间,西澳大利亚农村残疾人支持人员为残疾人提供支持的经验。这两个残疾人支持组织位于西澳大利亚州的一个大型乡村小镇,距离珀斯北部约400公里。研究人员在2022年中期采用非随机有目的抽样的方式从这些组织中招募了11名员工。大多数参与者年龄在40岁以上,三分之二的参与者是女性,超过一半的参与者从事兼职工作。大约一半的参与者是行政和管理人员,大约一半的参与者在2020年COVID-19大流行期间的研究前不到两年就开始在他们的组织工作。两名参与者从一个组织招募,其余九名参与者从另一个组织招募。本定性研究采用半结构化深度访谈进行。通过视频通话软件进行了三次个人访谈和两次小组访谈。数据分析采用自反性主题分析。结果确定了四大主题:(1)疫情负担;(2)政府应对疫情的困难;(3)工作界限不清和选择困难;(4)适应COVID-19。与会者报告了疫情带来的若干积极成果,包括服务创新增加和社区意识增强。结论:通过早期与残疾部门协商、利用适当的沟通渠道和预测澳大利亚农村特有的挑战,可以改进今后的流行病应对工作。
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来源期刊
Australian Journal of Rural Health
Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.30
自引率
16.70%
发文量
122
审稿时长
12 months
期刊介绍: The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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