Reducing Restrictive Measures in Complex Long-Term Care for People with Intellectual Disabilities: Implementation Interventions through the Lens of Normalisation Process Theory

Autor/inn/en	Bisschops, Esther H.; de Schipper, J. Clasien; Schippers, Baukje; Embregts, Petri J. C. M.; Schuengel, Carlo
Titel	Reducing Restrictive Measures in Complex Long-Term Care for People with Intellectual Disabilities: Implementation Interventions through the Lens of Normalisation Process Theory
Quelle	In: Journal of Intellectual & Developmental Disability, 47 (2022) 4, S.353-364 (12 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Embregts, Petri J. C. M.) ORCID (Schuengel, Carlo)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1366-8250
DOI	10.3109/13668250.2022.2044270
Schlagwörter	Health Services; Intellectual Disability; Social Influences; Normalization (Disabilities); Intervention; Group Homes; Residential Care; Foreign Countries; Caregivers; Patients; Caregiver Role; Change; Behavior; Cooperation; Netherlands + Suchen Sie Ihr Suchwort? Health service; Gesundheitsdienst; Gesundheitswesen; Intellect; Disability; Disabilities; Verstand; Behinderung; Sozialer Einfluss; Normalisierung; Gruppenheim; Ausland; Caregiver; Carer; Betreuungsperson; Pfleger; Patient; Wandel; Co-operation; Kooperation; Niederlande
Abstract	Background: The multi-disciplinarity of long-term care for people with intellectual disabilities makes organisations seek stability and predictability, complicating implementing innovations. Interventions to implement a method for reducing restrictive measures were analysed through the lens of Normalisation Process Theory to understand the social mechanisms at play. Methods: Process notes, collected during a trial in which a method to reduce restrictive measures was implemented, were analysed guided by implementation interventions defined by Cochrane Effective Practice and Organisation of Care Review Group. These interventions were mapped to social mechanisms of Normalisation Process Theory. Results: Implementation interventions were widely used in which clients' perspectives were expressed (client-related-interventions), and consensus processes were held with care professionals. These interventions initiated NPT's social mechanisms' Coherence, Cognitive Participation and Collective Action. Conclusions: The emphasis on consensus and clients' perspectives when methodically reducing restrictive measures reflects some unique implementation challenges in long-term intellectual disability care. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01