Journal
JOURNAL OF CLINICAL NURSING
Volume 25, Issue 7-8, Pages 972-982Publisher
WILEY
DOI: 10.1111/jocn.13142
Keywords
compassionate care; intellectual disability; liaison nurses; models of care; person-centred care
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Funding
- Centre for Integrated Health Research (CIHR)
- NHS Forth Valley
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Aims and objectivesTo 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. BackgroundPeople 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. DesignA qualitative design was adopted with Interpretative Phenomenological Analysis for data analysis. MethodsSemistructured 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. ResultsThemes identified vulnerability, presence and the human interface; information balance; critical points and broken trust; roles and responsibilities; managing multiple transitions; flagging up' and communication. ConclusionsThe 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 practiceThis 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.
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