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Is there a relationship between role identity, work demands, and burnout in direct care staff working with individuals with intellectual disability?
- Authors:
- OUTAR Cara, ROSE John
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 42(2), 2017, pp.123-130.
- Publisher:
- Taylor and Francis
Background The relationship between work demands and burnout is complex and it is likely that a number of different variables mediate this relationship. The study had 2 aims: first, to investigate whether there is a relationship between work demands and staff burnout, and, second, to explore whether role identity or self-determination mediates this relationship. Method Seventy staff completed measures examining burnout, role identity, self-determination, and work demands. Results A relationship was found between work demands and burnout. Relationships between personal accomplishment, and role identity and self-determination were found. A negative correlation was found between work demands and self-determination. Regression analyses demonstrated that role identity and self-determination did not mediate the relationship between work demands and burnout. Conclusion Role identity and self-determination were associated with personal accomplishment, which suggest that an individual’s view of their work-based role and role-relevant behaviours are important in relation to what they get out of their work. This has implications for training and the design of care roles. (Publisher abstract)
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)
Duty of care and autonomy: how support workers managed the tension between protecting service users from risk and promoting their independence in a specialist group home
- Authors:
- HAWKINS R., REDLEY M., HOLLAND A. J.
- Journal article citation:
- Journal of Intellectual Disability Research, 55(9), September 2011, pp.873-884.
- Publisher:
- Wiley
In the UK those paid to support adults with intellectual disabilities have to manage two potentially conflicting duties that are described in policy documents as being vital to their role: protecting service users (their duty of care) and recognising service users' autonomy. This study examines these issues in the context of supporting people with the genetic condition, Prader–Willi syndrome (PWS). The authors believe that the behaviours associated with PWS clearly illustrates the tension between respect for autonomy and duty of care. This article explores how support workers in a residential group home managed their competing duties in practice. This was an ethnographic study, comprising of qualitative observations, semi-structured interviews (14 staff and 8 residents) and documentary analysis. Risk was central to care delivery and support workers often adhered to standardised risk management procedures. The organisation required support workers to promote service users' independence and many thought acknowledging service users' autonomy and promoting their independence was important. To manage tensions between their differing duties, some support workers deviated from standardised risk management procedures to allow service users a degree of independence. The authors suggest that further work is needed by both residential services and policy makers to facilitate the reconciliation of the duty of care with the duty to recognise service users' autonomy in practice.