Centre for Consultation and Expertise, Australielaan 14, 3526AB, Utrecht, The Netherlands.
Erasmus School of Health Policy and Management, Erasmus University Rotterdam, The Netherlands.
Res Dev Disabil. 2020 May;100:103629. doi: 10.1016/j.ridd.2020.103629. Epub 2020 Mar 3.
This study explored the perspectives of residents of residential disability service organisations and resident representatives on the influence of the organisational environment on challenging behaviour in people with intellectual disabilities (ID).
Sixteen residents and representatives from four specialised Dutch disability service organisations were interviewed. Data were analysed using a grounded theory approach, with a sensitising frame based on Bronfenbrenner's ecological theory.
Some organisational factors (e.g. staff turnover, insufficient finances) can have negative effects on interactions among residents and staff and family members, resulting in more challenging behaviour, but other organisational factors (e.g. shared vision, values and expectations, competent staff) can positively influence staffs' attitudes and actions, which in turn helps to manage challenging behaviour in people with ID.
Residents' and representatives' perspectives provide a better understanding of the positive and negative influences of the organisational environment on challenging behaviour in people with ID.
本研究探讨了居住在残疾人住宿服务机构的居民和居民代表对组织环境对智障人士（ID）挑战性行为的影响的看法。
对来自四个荷兰专门残疾服务组织的 16 名居民和代表进行了访谈。使用扎根理论方法分析数据，基于 Bronfenbrenner 的生态理论的敏感框架。
一些组织因素（如员工流动率、资金不足）会对居民和员工以及家庭成员之间的互动产生负面影响，从而导致更多的挑战性行为，但其他组织因素（如共同愿景、价值观和期望、有能力的员工）会对员工的态度和行为产生积极影响，从而有助于管理智障人士的挑战性行为。
居民和代表的观点使人们更好地理解了组织环境对智障人士挑战性行为的积极和消极影响。
