Abstract
BACKGROUND The multi-disciplinarity of long-term care for people with intellectual disabilities makes organisations seek stability and predictability, complicating implementing innovations. Interventions to implement a method for reducing restrictive measures were analysed through the lens of Normalisation Process Theory to understand the social mechanisms at play.
METHODS Process notes, collected during a trial in which a method to reduce restrictive measures was implemented, were analysed guided by implementation interventions defined by Cochrane Effective Practice and Organisation of Care Review Group. These interventions were mapped to social mechanisms of Normalisation Process Theory.
RESULTS Implementation interventions were widely used in which clients’ perspectives were expressed (client-related-interventions), and consensus processes were held with care professionals. These interventions initiated NPT’s social mechanisms’ Coherence, Cognitive Participation and Collective Action.
CONCLUSIONS The emphasis on consensus and clients’ perspectives when methodically reducing restrictive measures reflects some unique implementation challenges in long-term intellectual disability care.
METHODS Process notes, collected during a trial in which a method to reduce restrictive measures was implemented, were analysed guided by implementation interventions defined by Cochrane Effective Practice and Organisation of Care Review Group. These interventions were mapped to social mechanisms of Normalisation Process Theory.
RESULTS Implementation interventions were widely used in which clients’ perspectives were expressed (client-related-interventions), and consensus processes were held with care professionals. These interventions initiated NPT’s social mechanisms’ Coherence, Cognitive Participation and Collective Action.
CONCLUSIONS The emphasis on consensus and clients’ perspectives when methodically reducing restrictive measures reflects some unique implementation challenges in long-term intellectual disability care.
Original language | English |
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Pages (from-to) | 353-364 |
Number of pages | 12 |
Journal | Journal of Intellectual & Developmental Disability |
Volume | 47 |
Issue number | 4 |
Early online date | 15 Mar 2022 |
DOIs | |
Publication status | Published - 2022 |
Bibliographical note
Funding Information:This research was supported by ZonMW and Scientific Research Foundation ‘s Heeren Loo. Netherlands Organisation for Health Research and Development.
Publisher Copyright:
© 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
Keywords
- Implementation
- implementation interventions
- social mechanisms
- long-term care
- intellectual disabilities
- restrictive measures