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Non-verbal communication between Registered Nurses Intellectual Disability and people with an intellectual disability: an exploratory study of the nurse’s experiences. Part 1
- Authors:
- MARTIN Anne-Marie, O'CONNOR-FENELON Maureen, LYONS Rosemary
- Journal article citation:
- Journal of Intellectual Disabilities, 16(1), March 2012, pp.61-75.
- Publisher:
- Sage
- Place of publication:
- London
This is the first of 2 articles presenting the findings of a qualitative study which set out to explore the experiences of Registered Nurses Intellectual Disability (RNIDs) in communicating with people with an intellectual disability who communicate non-verbally. Purposeful sampling was used to select 8 experienced intellectual disability nurses. Individual, in-depth, semi-structured interviews were conducted, and the transcripts sent to the participants for them to modify if wished. The article reports and critically discusses the findings in the context of the policy and service delivery discourses of person-centredness, inclusion, choice, and independence. The study highlights how the unique context, experience and skill of the RNID place them in an ideal situation to support people with an intellectual disability and communication impairment. Communication is both complicated and multifaceted. An overarching category of ‘familiarity/knowing the person’ encompasses discrete but related themes and subthemes that explain the process: the RNID knowing the service-user; the RNID/service-user relationship; and the value of experience. Although this process is challenging, the participants felt it was worthwhile to give time to developing this knowledge and familiarity.
Therapeutic characteristics of nursing staff in a medium secure setting
- Author:
- INGLIS Pamela A.
- Journal article citation:
- Journal of Learning Disabilities and Offending Behaviour, 1(2), July 2010, pp.30-46.
- Publisher:
- Emerald
This article discusses the therapeutic and security roles of forensic nursing staff, in medium secure units, viewed as they are by male patients with learning disabilities or mentally disordered patients (the ‘men’) as providing “a source of treatment, comfort, and advice”, but also as “part of the system that deprives them of their liberty”, respectively, which can cause problems for both nurses and patients. Following an introduction, topics such as ‘forensic practice’, ‘therapeutic relationships’, ;the therapy/security paradox’, ‘custodial care’, ‘positive aspects of caring’, ‘characteristics of the “good” nurse’ and ‘discourse’ are discussed prior to describing the methods involved in this retrospective discourse analysis of a local study from the UK. The research involved interviews, group workshops, focus groups and written accounts with and from 10 nursing staff, 3 researchers and 7 ‘men’ about their beliefs about forensic nursing characteristics/practices and ‘truths’ about staff-user relationships. These authors quote the participants’ own words while discussing findings. They claim that ‘staff take pleasure in the men’s achievements’ and ‘men and staff enjoy each others’ company’ and list implications for future practice.
Changing practice in health and social care
- Editors:
- DAVIES Celia, FINLAY Linda, BULLMAN Anne
- Publisher:
- Sage
- Publication year:
- 2000
- Pagination:
- 400p.,bibliogs.
- Place of publication:
- London
Collection of papers exploring current challenges facing practitioners across a broad spectrum of the caring professions. Includes chapters on: reshaping welfare; the public administration model of welfare delivery; community care in the 1990s; changes in maternity policy; human behaviour and social policy; theory and practice in health and social care; applying reflective practice; reflection and reflective practice; requirements of a caregiver; social work values; anti oppressive theory and practice in social work; working with diversity; keys to collaboration; collaboration and conflict within the treatment team; using psychotherapeutic concepts to understand team conflict; the missing link in quality assurance for disabled people; developing the role of user involvement in the UK; the role of women support staff in relation to men with learning difficulties who have difficult sexual behaviour; care costs; confidentiality, accountability and the boundaries of client worker relationships; obstacles to medical audit; the accreditation experience; the resettlement of people with severe learning difficulties; the creative work of care package purchasing; voluntary sector boards in a changing public policy environment; professional practice in social work and health care; a new social basis for welfare; and user voice, interprofessionalism and postmodernity.