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A multiple case study investigating changes in organizations serving residents with intellectual disabilities and challenging behaviours

BACKGROUND: the present authors examined changes made in disability service organizations supporting residents with intellectual disabilities and challenging behaviours, because these changes may influence residents’ support and subsequently their challenging behaviours. METHOD: In this multiple cas...

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Detalles Bibliográficos
Autores principales: Olivier‐Pijpers, Vanessa Charissa, Cramm, Jane Murray, Landman, Wouter, Nieboer, Anna Petra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7821192/
https://www.ncbi.nlm.nih.gov/pubmed/32939925
http://dx.doi.org/10.1111/jar.12797
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author Olivier‐Pijpers, Vanessa Charissa
Cramm, Jane Murray
Landman, Wouter
Nieboer, Anna Petra
author_facet Olivier‐Pijpers, Vanessa Charissa
Cramm, Jane Murray
Landman, Wouter
Nieboer, Anna Petra
author_sort Olivier‐Pijpers, Vanessa Charissa
collection PubMed
description BACKGROUND: the present authors examined changes made in disability service organizations supporting residents with intellectual disabilities and challenging behaviours, because these changes may influence residents’ support and subsequently their challenging behaviours. METHOD: In this multiple case study, the present authors collected and qualitatively analysed data (organizational documents, meetings records and focus group reports) on organizational changes made in two specialized Dutch disability service organizations, using ecological theory as a sensitizing framework and the constant comparative method. RESULTS: Themes describing organizational changes in this context were as follows: a messy start to the transition; staff, professionals and managers remain at a distance; staff members’ ability to change; clear boundaries between formal and informal caregivers; and staff’s feelings of being unheard. CONCLUSIONS: Organizational changes can enhance, but also limit, the quality of residential support services provided to people with intellectual disabilities and challenging behaviours. The change process and impact of organizational changes on residents must be examined closely.
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spelling pubmed-78211922021-01-29 A multiple case study investigating changes in organizations serving residents with intellectual disabilities and challenging behaviours Olivier‐Pijpers, Vanessa Charissa Cramm, Jane Murray Landman, Wouter Nieboer, Anna Petra J Appl Res Intellect Disabil Original Articles BACKGROUND: the present authors examined changes made in disability service organizations supporting residents with intellectual disabilities and challenging behaviours, because these changes may influence residents’ support and subsequently their challenging behaviours. METHOD: In this multiple case study, the present authors collected and qualitatively analysed data (organizational documents, meetings records and focus group reports) on organizational changes made in two specialized Dutch disability service organizations, using ecological theory as a sensitizing framework and the constant comparative method. RESULTS: Themes describing organizational changes in this context were as follows: a messy start to the transition; staff, professionals and managers remain at a distance; staff members’ ability to change; clear boundaries between formal and informal caregivers; and staff’s feelings of being unheard. CONCLUSIONS: Organizational changes can enhance, but also limit, the quality of residential support services provided to people with intellectual disabilities and challenging behaviours. The change process and impact of organizational changes on residents must be examined closely. John Wiley and Sons Inc. 2020-09-16 2021-01 /pmc/articles/PMC7821192/ /pubmed/32939925 http://dx.doi.org/10.1111/jar.12797 Text en © 2020 The Authors. Journal of Applied Research in Intellectual Disabilities published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
Olivier‐Pijpers, Vanessa Charissa
Cramm, Jane Murray
Landman, Wouter
Nieboer, Anna Petra
A multiple case study investigating changes in organizations serving residents with intellectual disabilities and challenging behaviours
title A multiple case study investigating changes in organizations serving residents with intellectual disabilities and challenging behaviours
title_full A multiple case study investigating changes in organizations serving residents with intellectual disabilities and challenging behaviours
title_fullStr A multiple case study investigating changes in organizations serving residents with intellectual disabilities and challenging behaviours
title_full_unstemmed A multiple case study investigating changes in organizations serving residents with intellectual disabilities and challenging behaviours
title_short A multiple case study investigating changes in organizations serving residents with intellectual disabilities and challenging behaviours
title_sort multiple case study investigating changes in organizations serving residents with intellectual disabilities and challenging behaviours
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7821192/
https://www.ncbi.nlm.nih.gov/pubmed/32939925
http://dx.doi.org/10.1111/jar.12797
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