ub.xmlui.mirage2.page-structure.muninLogoub.xmlui.mirage2.page-structure.openResearchArchiveLogo
    • EnglishEnglish
    • norsknorsk
  • Velg spraaknorsk 
    • EnglishEnglish
    • norsknorsk
  • Administrasjon/UB
Vis innførsel 
  •   Hjem
  • Det helsevitenskapelige fakultet
  • Institutt for helse- og omsorgsfag
  • Artikler, rapporter og annet (helse- og omsorgsfag)
  • Vis innførsel
  •   Hjem
  • Det helsevitenskapelige fakultet
  • Institutt for helse- og omsorgsfag
  • Artikler, rapporter og annet (helse- og omsorgsfag)
  • Vis innførsel
JavaScript is disabled for your browser. Some features of this site may not work without it.

Mediating the interface between voluntariness and coercion: a qualitative study of learning disability nurses` work in medical examinations of people with intellectual disability

Permanent lenke
https://hdl.handle.net/10037/20787
DOI
https://doi.org/10.1111/jocn.15211
Thumbnail
Åpne
article.pdf (976.4Kb)
Publisert versjon (PDF)
Dato
2020-02-11
Type
Journal article
Tidsskriftartikkel
Peer reviewed

Forfatter
Sparby, Linn Ebeltoft; Olsvold, Nina; Obstfelder, Aud
Sammendrag
Aims and Objectives - To gain knowledge of prevention and use of restraints in provision of medical care to people with intellectual disability. To this end, we explore how learning disability nurses in community services support the individual through medical examinations when facing resistance.

Background - Despite increased focus on limiting restraints, there is a lack of knowledge of how restraints are prevented and used in the delivery of physical health care to people with intellectual disability.

Design - We used an ethnographic comparative case design (n = 6).

Methods - The study was carried out in Norway. The analysis is based on data from semi‐structured interviews, participant observation and document studies, in addition to health sociological perspectives on how to support individuals to make their body available for medical examination and intervention. The SRQR checklist was used.

Results - Learning disability nurses strove to ensure that examinations were carried out on the individual's terms, supporting the individual in three phases: preparing for the examination, facilitating the examination and, when facing resistance, intervening to ensure safe and compassionate completion of the examination.

Conclusions - Supporting the person was a precarious process where professionals had to balance considerations of voluntariness and coercion, progress and breakdown, safety and risk of injury, and dignity and violation. Through their support, learning disability nurses helped to constitute the “resistant” individual as “a cooperative patient,” whose body could be examined within the knowledge and methods of medicine, but who could also be safeguarded as a human being through the strain of undergoing examination.

Relevance to clinical practice - The article sheds light on how restraints are used in the medical examination and treatment of people with intellectual disabilities and demonstrates the significance of professional support workers’ contributions, both in facilitating safe and efficient medical care and in ensuring the least restrictive and most compassionate care possible.
Forlag
Wiley
Sitering
Sparby L, Olsvold N, Obstfelder A. Mediating the interface between voluntariness and coercion: a qualitative study of learning disability nurses` work in medical examinations of people with intellectual disability. Journal of Clinical Nursing (JCN). 2020;29(9-10):1539-1551
Metadata
Vis full innførsel
Samlinger
  • Artikler, rapporter og annet (helse- og omsorgsfag) [841]
Copyright 2020 The Author(s)

Bla

Bla i hele MuninEnheter og samlingerForfatterlisteTittelDatoBla i denne samlingenForfatterlisteTittelDato
Logg inn

Statistikk

Antall visninger
UiT

Munin bygger på DSpace

UiT Norges Arktiske Universitet
Universitetsbiblioteket
uit.no/ub - munin@ub.uit.no

Tilgjengelighetserklæring