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Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
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Exploring decision making in intellectual disability nursing practice: a qualitative study.

Ruth W Williams1, Gwerfyl W Roberts, Fiona E Irvine

  • 1School of Healthcare Sciences, Bangor University, UK. hsp42e@bangor.ac.uk

Journal of Intellectual Disabilities : JOID
|November 11, 2010
PubMed
Summary

Intellectual disability nurses prioritize person-centered care over empirical evidence when making clinical decisions. This study explored how nurses in Wales make decisions, finding that understanding the individual is paramount.

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Area of Science:

  • Nursing
  • Intellectual Disability Care
  • Evidence-Based Practice

Background:

  • Limited research exists on how intellectual disability nurses make clinical decisions.
  • Nurses may struggle to find evidence to guide their practice.
  • Understanding decision-making processes is crucial for improving care.

Purpose of the Study:

  • To explore how intellectual disability nurses make clinical decisions.
  • To investigate the influence of evidence on these decisions.
  • To understand nurses' perspectives on evidence-based practice.

Main Methods:

  • Interpretative phenomenology guided the research.
  • An idiographic approach was used for analysis.
  • Semi-structured interviews were conducted with 12 nurses.

Main Results:

  • Four key themes emerged: knowing the person, teamwork, evidence for decisions, and understanding evidence-based practice.
  • Nurses demonstrated a strong commitment to person-centered decision-making.
  • Empirical evidence was acknowledged but considered secondary to individual needs.

Conclusions:

  • Person-centered decision-making is paramount for intellectual disability nurses.
  • While evidence is valued, it is integrated within a holistic, individualized approach.
  • Further research could explore strategies to better integrate empirical evidence into practice.