An exploratory study on the nature of interactions between direct care staff and residents with developmental disabilities in a hospital setting

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An exploratory study on the nature of interactions between direct care staff and residents with developmental disabilities in a hospital setting

 

Author: Chan, Sau-lai Jenny
Title: An exploratory study on the nature of interactions between direct care staff and residents with developmental disabilities in a hospital setting
Degree: M.Sc.
Year: 1999
Subject: Developmentally disabled -- China -- Hong Kong -- Case studies
Medical personnel and patient -- China -- Hong Kong -- Case studies
Medical personnel -- China -- Hong Kong -- Case studies
Hospital patients -- China -- Hong Kong -- Case studies
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Dept. of Rehabilitation Sciences
Pages: xii, 122, [26] leaves : ill. (some col.) ; 31 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1477355
URI: http://theses.lib.polyu.edu.hk/handle/200/2637
Abstract: The research study attempted to explore the nature of the interactions between the health care assistants (HCAs) and the long-stayed residents with profound to severe developmental disabilities in an institutional setting in Hong Kong. A data-triangulation research design was adopted which involved three sources of data namely the observational data on the staff-resident interaction, the interview data of HCAs, and their supervisors had been collected. The daily interaction between HCAs and under their care residents were observed. The observed data were coded according to the categories of the Interaction Recording System (IRS). After the analysis of the observational data, the staff-resident interaction rate was found to be relatively low, i.e. only 37.2% of the total observations taken that interactions between HCAs and residents was seen. The 'nursing care' context was predominantly found in the staff-resident interaction. Major activities of 'nursing care' context comprised feeding, diaper changing, oral cleansing, vital signs taking and toileting. Most staff-resident interaction was initiated by the HCAs. The affect expressed by the HCAs in the interactions was primarily neutral. Subsequently, both the HCAs and their immediate supervisors were interviewed to gain an in-depth understanding of the observed phenomena. From the findings of interview data, factors that affecting the frequency and contents of interaction were identified, which included resident's physical dependence, interaction barriers, and hospital culture. Other potentially influential factors of affecting staff-resident interaction were also recognized. For instance, the frustrations that experienced by the HCA informants centered on inadequacies of supervisory skills of their nursing supervisors, and not having enough time or manpower to effectively discharge the demanding routine schedule. Though the interaction barriers of residents' characteristics would affect the contents and forms of staff-resident interaction, personal qualities of HCAs were perceived as a key factor to initiate an interaction with residents. The working relationship between HCAs and nursing supervisors was interwoven in inspiring the quality of residential care, further studies may need to explore the relationship between the effective management in the work motivation of direct-care staff and the quality of staff-resident interaction.

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