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重度智力障碍人士更好的群体之家的文化。

Culture in Better Group Homes for People With Intellectual Disability at Severe Levels.

机构信息

Christine Bigby, Living with Disability Research Centre, La Trobe University, Melbourne, Victoria, Australia; and Julie Beadle-Brown, Living with Disability Research Centre, La Trobe University, and Tizard Centre, University of Kent, Canterbury, England.

出版信息

Intellect Dev Disabil. 2016 Oct;54(5):316-31. doi: 10.1352/1934-9556-54.5.316.

DOI:10.1352/1934-9556-54.5.316
PMID:27673733
Abstract

Building on cultural dimensions of underperforming group homes this study analyses culture in better performing services. In depth qualitative case studies were conducted in 3 better group homes using participant observation and interviews. The culture in these homes, reflected in patterns of staff practice and talk, as well as artefacts differed from that found in underperforming services. Formal power holders were undisputed leaders, their values aligned with those of other staff and the organization, responsibility for practice quality was shared enabling teamwork, staff perceived their purpose as "making the life each person wants it to be," working practices were person centered, and new ideas and outsiders were embraced. The culture was characterized as coherent, respectful, "enabling" for residents, and "motivating" for staff. Though it is unclear whether good group homes have a similar culture to better ones the insights from this study provide knowledge to guide service development and evaluation.

摘要

本研究以表现不佳的群体之家的文化维度为基础,分析了表现更好的服务中的文化。在 3 个表现更好的群体之家进行了深入的定性案例研究,采用参与者观察和访谈。这些家庭的文化,反映在员工实践和谈话的模式以及人工制品中,与表现不佳的服务中发现的文化不同。正式的权力持有者是无可争议的领导者,他们的价值观与其他员工和组织的价值观一致,对实践质量负责,能够实现团队合作,员工认为自己的目的是“让每个人都过上他们想要的生活”,工作实践是以个人为中心的,并且接受新的想法和外部人员。这种文化的特点是连贯的、尊重的、对居民“有利的”,对员工“激励的”。虽然还不清楚良好的群体之家是否与更好的群体之家有类似的文化,但这项研究的见解提供了指导服务发展和评估的知识。

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