Department of Health Studies, School of Social Sciences, University of South Africa, Pretoria.
Curationis. 2024 Oct 31;47(1):e1-e11. doi: 10.4102/curationis.v47i1.2592.
Providing care for adolescents living with intellectual disabilities (ALWIDs) within healthcare settings is a complex challenge. These adolescents require an environment that is specialised and conducive to their health, alongside tailored care, treatment and rehabilitation services. Nurse managers play a crucial role in supporting these adolescents, particularly given the difficulties parents face in meeting their unique needs.
This study aims to explore nurse managers' perspectives on the creation of a healthy environment for ALWIDs in health facilities.
An explorative qualitative study design was conducted. A purposive sampling method was used to select 13 nurse managers from three institutions relevant to the study's interests. Nurse managers with over 2 years of direct experience in the care, treatment and rehabilitation of ALWIDs were eligible to participate in the study. Selecting these nurse managers ensured the study captured their firsthand experiences and expertise in managing nursing services. Data were collected through face-to-face and telephonic semi-structured interviews, recorded digitally. Braun and Clarke's six-step thematic analysis was used for data analysis.
A safe environment; multi-disciplinary team involvement; competent and adequate staff and a conducive physical environment for structural support are beneficial for ALWIDs.
To promote the well-being of ALWIDs, it is essential to establish a spacious and safe environment equipped with sufficient material and non-material resources. Engaging a multi-disciplinary team is vital for addressing their diverse needs.Contribution: This study provided information on what constitutes a healthy environment for ALWIDs to inform clinical practice, nursing education, policy makers and research.
在医疗保健环境中为智障青少年（ALWIDs）提供护理是一项复杂的挑战。这些青少年需要一个专门的、有利于他们健康的环境，同时还需要提供量身定制的护理、治疗和康复服务。护士管理者在支持这些青少年方面发挥着至关重要的作用，特别是考虑到父母在满足他们独特需求方面所面临的困难。
本研究旨在探讨护士管理者对在卫生设施中为 ALWIDs 创建健康环境的看法。
采用探索性定性研究设计。采用目的抽样法从与研究兴趣相关的三个机构中选择了 13 名护士管理者。有 2 年以上直接照顾、治疗和康复 ALWIDs 经验的护士管理者有资格参加研究。选择这些护士管理者可以确保研究捕捉到他们在管理护理服务方面的第一手经验和专业知识。通过面对面和电话半结构化访谈收集数据，数字记录。使用 Braun 和 Clarke 的六步主题分析进行数据分析。
安全的环境；多学科团队的参与；有能力和足够的员工以及有利于结构支持的物理环境对 ALWIDs 有益。
为了促进 ALWIDs 的福祉，必须建立一个宽敞且安全的环境，配备充足的物质和非物质资源。聘请多学科团队对于满足他们的多样化需求至关重要。
本研究提供了有关为 ALWIDs 构建健康环境的信息，为临床实践、护理教育、政策制定者和研究提供了参考。
