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美国直接护理工作者对智力和发育障碍者悲伤过程的看法:对实践的启示。

Perspectives of US Direct Care Workers on the Grief Process of Persons with Intellectual and Developmental Disabilities: Implications for Practice.

作者信息

Gray Jennifer A, Abendroth Maryann

机构信息

School of Nursing and Health Studies, Northern Illinois University, DeKalb, IL, USA.

出版信息

J Appl Res Intellect Disabil. 2016 Sep;29(5):468-80. doi: 10.1111/jar.12189. Epub 2015 May 27.

Abstract

BACKGROUND

The study explored the grief process of persons with intellectual and developmental disabilities (PWIDDs) as perceived by direct care workers (DCWs) and how such workers can guide and support PWIDDs experiencing grief.

MATERIALS AND METHODS

A thematic analysis approach was used to examine data from nine focus groups with 60 DCWs from five community-based organizations.

RESULTS

Findings were supported in the context of seminal grief and bereavement theories. Three themes (i.e. reactions to loss, processing the loss and incorporating the loss) and related subthemes emerged from the data.

CONCLUSIONS

PWIDDs are susceptible to traumatic grief, and DCWs are often key witnesses to such experiences. DCWs' perspectives can guide the development of grief and bereavement training which can lead to more tailored support systems.

摘要

背景

本研究探讨了直接护理人员(DCW)所感知的智力和发育障碍者(PWIDD)的悲伤过程,以及这些工作人员如何指导和支持经历悲伤的PWIDD。

材料与方法

采用主题分析方法,对来自五个社区组织的60名DCW参加的九个焦点小组的数据进行了分析。

结果

研究结果在开创性的悲伤和丧亲理论背景下得到了支持。数据中出现了三个主题(即对损失的反应、处理损失和融入损失)以及相关的子主题。

结论

PWIDD易患创伤性悲伤,而DCW往往是这些经历的关键见证者。DCW的观点可以指导悲伤和丧亲培训的发展,从而形成更具针对性的支持系统。

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