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The perspectives of stakeholder of intellectual disability liaison nurse: a model of compassionate, person-centered care.

MacArthur, Juliet; Brown, Michael; Chouliara, Zo�; McKechanie, Andrew; Mack, Siobhan; Hayes, Matthew; Fletcher, Joan

Authors

Juliet MacArthur

Michael Brown

Zo� Chouliara

Andrew McKechanie

Siobhan Mack

Matthew Hayes

Joan Fletcher



Abstract

AIMS AND OBJECTIVES:

To investigate the experiences of patients with intellectual disabilities, family and paid carers regarding the role of liaison nurses and the delivery of compassionate, person-centred care. From this to propose a model of person-centred care embedded in these experiences.

BACKGROUND:

People with intellectual disabilities have a high number of comorbidities, requiring multidisciplinary care, and are at high risk of morbidity and preventable mortality. Provision of compassionate, person-centred care is essential to prevent complications and avoid death.

DESIGN:

A qualitative design was adopted with Interpretative Phenomenological Analysis for data analysis.

METHODS:

Semistructured interviews and focus groups were conducted. Data were analysed with a focus on compassionate, person-centred care elements and components. Themes were modelled to develop a clinically meaningful model for practice.

RESULTS:

Themes identified vulnerability, presence and the human interface; information balance; critical points and broken trust; roles and responsibilities; managing multiple transitions; 'flagging up' and communication.

CONCLUSIONS:

The findings provide the first 'anatomy' of compassionate, person-centred care and provide a model for operationalising this approach in practice. The applicability of the model will have to be evaluated further with this and other vulnerable groups.

RELEVANCE TO CLINICAL PRACTICE:

This is the first study to provide a definition of compassionate, person-centred care and proposes a model to support its application into clinical practice for this and other vulnerable groups

Journal Article Type Article
Acceptance Date Nov 9, 2015
Online Publication Date Feb 11, 2016
Publication Date 2016-04
Deposit Date Mar 3, 2016
Print ISSN 0962-1067
Electronic ISSN 1365-2702
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 25
Issue 7-8
Pages 972-982
DOI https://doi.org/10.1111/jocn.13142
Keywords Compassionate care; intellectual disability; liaison nurses; models of care; person-centred care
Public URL http://researchrepository.napier.ac.uk/id/eprint/9607
Publisher URL http://dx.doi.org/10.1111/jocn.13142