Department of Ethics, Law & Humanities, Amsterdam UMC, Amsterdam, The Netherlands.
Department of Pediatrics, Amsterdam UMC, Emma Children's Hospital, Amsterdam, The Netherlands.
J Appl Res Intellect Disabil. 2023 Sep;36(5):966-977. doi: 10.1111/jar.13134. Epub 2023 Jun 20.
Caring for persons with profound intellectual and multiple disabilities (PIMD) demands specific expertise. Tacit knowledge seems to play an important role, but little is known about its nature, including what is necessary for its development and transfer.
To gain understanding of the nature and development of tacit knowledge between persons with PIMD and their caregivers.
We conducted an interpretative synthesis of literature on tacit knowledge in caregiving dyads with persons with PIMD, persons with dementia or infants. Twelve studies were included.
Tacit knowledge is about caregivers and care-recipients becoming sensitive and responsive to each other's cues and together crafting care routines. Learning takes place in a constant process of action and response that transforms those involved.
Building tacit knowledge together is necessary for persons with PIMD to learn to recognise and express their needs. Suggestions are made for ways to facilitate its development and transfer.
照顾极重度智力和多重残疾（PIMD）患者需要特定的专业知识。隐性知识似乎起着重要的作用，但对于其性质，包括其发展和转移所需的条件，知之甚少。
了解 PIMD 患者与其照顾者之间隐性知识的性质和发展。
我们对 PIMD 患者、痴呆症患者或婴儿照顾者对隐性知识的文献进行了解释性综合分析。共纳入 12 项研究。
隐性知识是指照顾者和被照顾者对彼此的暗示变得敏感和做出反应，并共同制定护理常规。学习是在一个不断的行动和反应过程中进行的，这个过程改变了参与者。
共同构建隐性知识对于 PIMD 患者学习识别和表达他们的需求是必要的。为促进其发展和转移提出了一些建议。
