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The expectations and experiences of Filipino nurses working in an intellectual disability service in the Republic of Ireland
- Authors:
- McGONAGLE Catherine, HALLORAN Siobahn, O'REILLY Orla
- Journal article citation:
- Journal of Learning Disabilities, 8(4), December 2004, pp.371-381.
- Publisher:
- Sage
The Republic of Ireland has experienced difficulty in recruiting nurses to both acute and long-term care settings, including intellectual disability. Many health care providers have looked outside Ireland for nurses to provide services guaranteed under national health strategies. This article describes a small-scale study undertaken in a large service provider following the employment of a large number of Filipino nurses. The aim was to explore the expectations and experiences of a sample of 10 Filipino nurses working in Ireland for at least 3 months. A qualitative approach using a phenomenological philosophy was adopted. Data were collected using focus group discussion followed by seven individual interviews, and analysed using a framework described by Moustakas. Five themes emerged: infrastructure; expectation versus experience; understanding of intellectual disability; education; and the role of the family. The study highlights the Filipino nurses’ expressed need for more accurate and relevant information during recruitment in the Philippines.
Evaluation of a nurse led annual review of patients with severe intellectual disabilities, needs identified and needs met, in a large group practice
- Authors:
- MARTIN Graham, et al
- Journal article citation:
- Journal of Learning Disabilities, 8(3), September 2004, pp.235-246.
- Publisher:
- Sage
A learning disabilities nurse led health review, with doctor backup, was offered to patients with learning disabilities during 2002 in a large general practice. Prior to the check, patients completed an agenda sheet. During the check, the nurse discussed issues with patient and carer and completed a structured questionnaire. Patient and carer were then seen by doctor and nurse and the implementation sheet was completed. Fifty-three patients attended, an uptake of 91 percent. Of these patients and their carers, 34 percent recorded agendas/concerns. The nurse/GP questionnaire identified further interventions in 62 percent. A total of 79 interventions were identified, an average of 1.49 per patient attendance. At 3 months, 84 percent of patients with patient/carer generated, and 88 percent of patients with clinician generated interventions, had had one or more actions implemented. The check met the majority of identified unmet health needs in these adults with learning disabilities. Annual checks will continue to be offered.