South London and the Maudsley NHS Foundation Trust, London, UK.
J Appl Res Intellect Disabil. 2012 May;25(3):189-202. doi: 10.1111/j.1468-3148.2011.00653.x. Epub 2011 Oct 18.
A gap prevails between the conceptualization of good practice in challenging behaviour management and its implementation in intellectual disability services. This study aimed to investigate staff members' perspectives of managing clients with challenging behaviours in residential services.
Semi-structured interviews were conducted with eleven staff in two services. Additionally, service documents on challenging behaviour management were examined in these services. A qualitative methodology was used to investigate staff members' immediate responses to clients' difficult behaviours and their decision-making processes.
The immediate responses of staff were conceptualized as the result of complex appraisals shaped by their service context involving the core processes of making the right choice and prioritizing the best interests of all involved.
Staff members' responses were understood as a dynamic and retroactive process, where their past and current challenging behaviour management experiences in the service influenced their responses to clients in the future.
在挑战性行为管理的良好实践的概念化与其在智力障碍服务中的实施之间存在差距。本研究旨在调查工作人员在住宅服务中管理具有挑战性行为的客户的观点。
对两家服务机构的 11 名工作人员进行了半结构化访谈。此外，还对这些服务机构中关于挑战性行为管理的服务文件进行了审查。采用定性方法研究工作人员对客户困难行为的即时反应及其决策过程。
工作人员的即时反应被认为是他们服务背景中复杂评估的结果，这些评估涉及做出正确选择和优先考虑所有相关人员最佳利益的核心过程。
工作人员的反应被理解为一个动态和回溯的过程，他们在服务中的过去和当前挑战性行为管理经验影响了他们对未来客户的反应。
