Slevin E
School of Health Sciences, University of Ulster at Jordanstown, Newtownabbey, Northern Ireland.
J Adv Nurs. 1995 May;21(5):928-34. doi: 10.1046/j.1365-2648.1995.21050928.x.
While the term 'challenging behaviour' is used frequently in literature with reference to people who have learning disabilities, the concept has not been defined comprehensively and empirical indicators for the presence of the phenomenon have not been defined from the perspective of nurses for people with learning disabilities. In this paper the concept 'challenging behaviour', as used in the area of nursing people who have learning disabilities, is analysed. It is suggested that it is an ambiguous term which is unsuitable for use in the field of learning disabilities. A new term is synthesized to replace that of 'challenging behaviour' and an attempt to develop concise indicators which will demonstrate the concept's presence in individuals who have a learning disability will be undertaken. It is suggested that the proposed term is less ambiguous than 'challenging behaviour' and, as such, is more user-friendly for both nurses and other carers of people who have learning disabilities. The paper concludes with the recommendation that further refinement is required in practice to expand and define the operational indicators of the proposed new term 'problematic behaviours'.
虽然“挑战性行为”这一术语在文献中经常被用于提及有学习障碍的人，但该概念尚未得到全面界定，且从学习障碍者护理人员的角度来看，也没有确定该现象存在的实证指标。本文分析了在学习障碍者护理领域中使用的“挑战性行为”这一概念。研究表明，这是一个含混不清的术语，不适用于学习障碍领域。合成了一个新术语来取代“挑战性行为”，并尝试制定简洁的指标，以证明该概念在有学习障碍的个体中的存在。研究表明，所提议的术语比“挑战性行为”的含混性更低，因此，对于学习障碍者的护士和其他护理人员来说，它更便于使用。本文最后建议，在实践中需要进一步完善，以扩展和界定所提议的新术语“问题行为”的操作指标。
