McCray Janet
Portsmouth Institute of Medicine, Health and Social Care, University of Portsmouth, Portsmouth.
Br J Nurs. 2003;12(22):1335-44. doi: 10.12968/bjon.2003.12.22.11897.
Several decades of policy and service change in the field of learning disability have set in place new service boundaries in health and social care, leading to different working relationships for professionals based on interprofessional and interagency collaboration. However, economic pressures may result in agencies offering resource-led rather than needs-led services, resulting in fragmented services and tensions between professional groups faced with tough choices in order to meet the long-term needs of people with learning disabilities. One of the key roles of the registered learning disability nurse (RLDN) is that of facilitator in meeting the healthcare needs of people with learning disabilities, which involves interprofessional working across these new health and social care boundaries. The aim of this article is to present the findings from a small scale research study that was undertaken to explore the views of the RLDN group in relation to interprofessional practice in the long-term support of people with learning disabilities. Set within a grounded theory methodology, this article focuses on one element of the research study, which was a descriptive analysis of individual practitioners' experiences. In documenting the practitioners' accounts, the research begins to identify a series of key roles and significant practice knowledge held by those employed in learning disability nursing positions.
几十年来,学习障碍领域的政策和服务变革在健康与社会护理方面设定了新的服务界限,使得基于跨专业和跨机构合作的专业人员建立起不同的工作关系。然而,经济压力可能导致各机构提供以资源为导向而非以需求为导向的服务,从而造成服务碎片化,以及专业群体之间的紧张关系,因为他们为满足学习障碍者的长期需求而面临艰难抉择。注册学习障碍护士(RLDN)的关键角色之一是充当促进者,满足学习障碍者的医疗保健需求,这涉及跨越这些新的健康与社会护理界限的跨专业合作。本文旨在呈现一项小规模研究的结果,该研究旨在探讨RLDN群体对于在长期支持学习障碍者方面的跨专业实践的看法。本文采用扎根理论方法,聚焦于该研究的一个要素,即对个体从业者经历的描述性分析。在记录从业者的叙述时,该研究开始识别学习障碍护理岗位从业者所具备的一系列关键角色和重要实践知识。