前线员工及培训师对智障护理实施及坚持积极行为支持的看法：一项混合方法研究

IF 2.1 3区医学 Q2 PSYCHOLOGY, EDUCATIONAL

Journal of Applied Research in Intellectual Disabilities Pub Date : 2025-02-23 DOI:10.1111/jar.70023

Eke Bruinsma, Annelies A. de Bildt, Pieter J. Hoekstra, Gerda M. de Kuijper, Barbara J. van den Hoofdakker

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引用次数: 0

摘要

本研究的目的是找出由前线工作人员提供的积极行为支持（PBS）的关键因素，以解决居住在团体之家的智障人士的挑战性行为。方法对12名一线员工进行半结构化访谈，收集他们对PBS培训的看法。在两个独立的焦点小组中，有9名一线工作人员和9名PBS培训师，我们讨论了被认为影响PBS实施和依从性的因素。采用混合编码和专题分析。结果一线员工对培训内容持积极态度，并注意到他们所照顾的人的挑战行为有所改善。实施和遵守的关键因素包括在组织范围内嵌入PBS、管理层支持、激励员工、清晰的文档、定期评估和额外的培训课程。结论本研究为一线员工提供PBS的实施和依从性提供了有价值的见解。

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Frontline Staff and Trainer Perspectives on Implementing and Adhering to Positive Behaviour Support in Intellectual Disabilities Care: A Mixed-Methods Study

Background

We aimed to identify key factors in implementing and adhering to positive behaviour support (PBS), provided by frontline staff, targeting challenging behaviours of people with intellectual disabilities living in residential group homes.

Method

Using semi-structured interviews with 12 frontline staff members, we collected perspectives on a PBS training that they received. In two separate focus groups with nine frontline staff members and nine PBS trainers, we discussed factors perceived to influence PBS implementation and adherence. Hybrid coding and thematic analysis were employed.

Results

Frontline staff were positive about the content of the training and noticed improvements in challenging behaviours of the people they cared for. Key factors for implementation and adherence included organisation-wide embedding of PBS, management support, motivating staff, clear documentation, regular evaluations, and additional training sessions.

Conclusions

This study provides valuable insights for the implementation of and adherence to frontline staff-provided PBS.

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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.