A Conceptual Mapping Exercise of Deprivation of Liberty Safeguards in Residential & Community Care Using Hodges' Model and Threshold Concepts

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-04-21 DOI:10.1111/jep.70085

Peter Jones

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引用次数: 0

Abstract

Rationale

This article combines recent work on a generic model of care called ‘Hodges' Health Career—Care Domains—Model’ and the threshold concepts framework, with the issue of deprivation of liberty Safeguards. Created within higher education for health and social care, Hodges' model is used relationally with a practice-based emphasis to explore the Deprivation of Liberty Safeguards in residential care.

Aims and Objectives

The context is long-term care for people living with learning disability, dementia and chronic physical health problems. That is, people unable to live in their own home (even with support) who are cared for in residential, and nursing homes and specialised/intensive care units. Hodges' model, which can also be described as a conceptual framework, is combined with threshold concepts to illustrate how deprivation of liberty safeguards can be integrated in theory and practice.

Methods

The study is descriptive and draws on the author's experience as a community mental health nurse for older adults and nursing home liaison. The emphasis is practice-based, adopting a conceptual mapping approach supported by discussion and literature.

Conclusion

Resources are provided and avenues for further and ongoing study are also given in conclusion.

查看原文本刊更多论文

基于Hodges模型和阈值概念的住宅和社区护理中剥夺自由保障的概念映射

理论依据本文结合了最近在 "霍奇斯健康职业-护理领域-模型 "通用护理模型和阈值概念框架方面的工作，探讨了剥夺自由的保障措施问题。霍奇斯模式是在健康和社会护理高等教育中创立的，它以实践为基础，以关系为重点，用于探讨寄宿护理中的剥夺自由保障措施。目的和目标为有学习障碍、痴呆症和慢性身体健康问题的人提供长期护理。也就是说，无法在自己家中生活（即使有支持）的人需要在养老院、护理院和特殊/重症监护病房接受护理。霍奇斯模式也可以说是一个概念框架，它与阈值概念相结合，说明了如何将剥夺自由的保障措施融入理论和实践中。研究方法本研究是描述性的，借鉴了作者作为社区老年人心理健康护士和疗养院联络员的经验。重点是以实践为基础，采用以讨论和文献为支持的概念图法。结论提供了相关资源，并在结论中提出了进一步持续研究的途径。

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 evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.