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Care staff attributions toward self-injurious behaviour exhibited by adults with intellectual disabilities
- Authors:
- SNOW Elizabeth, LANGDON Peter E., REYNOLDS Shirley
- Journal article citation:
- Journal of Intellectual Disabilities, 11(1), March 2007, pp.47-63.
- Publisher:
- Sage
- Place of publication:
- London
Challenging behaviours may elicit negative emotional reactions and increase stress within care staff. The Leeds Attributional Coding System (LACS) was used to elicit spontaneous causal attributions of staff toward hypothetical clients with challenging behaviours. It was hypothesized that there would be relationships (1) between staff exposure to challenging behaviours and burnout, and (2) between staff cognitions and burnout. Using a cross-sectional correlational design, 41 care staff (qualified and unqualified nurses) recruited throughout East Anglia in the UK, took part in a 10 minute interview about two vignettes depicting self-injurious behaviour. Staff also completed measures of demographic information and burnout. Participants made attributions toward self-injurious behaviour that were typically internal to the client, uncontrollable, unstable and specific. There was a significant association between number of clients cared for and emotional exhaustion and personal accomplishment. Staff who made fewer stable attributions had higher levels of burnout. There were no other relationships found between staff cognition and burnout. The LACS can be successfully employed in this context, and may have some benefits over other methods. Future research is required to explore the relationship between cognition and burnout.
The last resort? Staff and client perspectives on physical intervention
- Authors:
- FISH Rebecca, CULSHAW Eloise
- Journal article citation:
- Journal of Intellectual Disabilities, 9(2), June 2005, pp.93-107.
- Publisher:
- Sage
- Place of publication:
- London
This study provides feedback from research with staff and clients of a medium secure learning disability service in north-west England. Participants were asked about incidents which required the use of physical intervention, using unstructured interviews within a participatory research framework. The article explores clients’ and staff accounts of aggressive incidents and the consequences of physical intervention. Clients cited other clients and the ward atmosphere as the main reasons for aggressive behaviour. Some clients said that the use of physical intervention made them more frustrated and brought back memories of frightening experiences. Staff reported that incidents of aggression and the use of physical intervention were upsetting and traumatic, causing feelings of guilt and self-reproach. Staff said that they always used physical intervention as a last resort, although clients often reported otherwise. Time out and post-incident discussions were valued by both groups, as were strong staff/client relationships.
Professional boundaries in learning disability care
- Authors:
- BOWLER Mandy, NASH Peter
- Journal article citation:
- Nursing Times, 110(21), 2014, pp.12-15.
- Publisher:
- Nursing Times
Healthcare staff providing care for people with a learning disability often deliver intimate personal care and have access to confidential information about vulnerable clients. Awareness of professional boundaries can help them to avoid either under- or over-involvement with patients and clients. This article gives examples of how South Tyneside Foundation Trust learning disabilities services support the education and training of staff working within the community and domiciliary care services in maintaining boundaries with patients. (Edited publisher abstract)