"帮助我做出决定":研究基于人权的支持决策与智障人士
Ugnė Gudelytė1, Jonas Ruškus2, Katherine Tyson McCrea3
1L'Arche Community.
The American journal of orthopsychiatry
|March 21, 2024
概括
支持决策 (SDM) 赋予智力障碍 (ID) 的成年人做出生活选择的权力. 这种方法促进了自治,参与和更强烈的自我意识,与人权原则保持一致.
科学领域:
- 关于残疾人的研究.
- 人权法 人权法 人权法
- 社会心理学 社会心理学
背景情况:
- 支持决策 (SDM) 对于自治至关重要,并与"联合国残疾人权利公约"保持一致.
- 实施模型和SDM的社区成果需要进一步调查.
研究的目的:
- 探索环境和社会因素,使智障人士能够做出和执行决策.
- 调查SDM对ID成年人的自主性和参与的影响.
主要方法:
- 使用人权视角进行定性,参与式的研究.
- 6个月的实地笔记从一个SDM干预L'Arche日期节目与26名成年人ID.
- 对现场笔记,意见和图纸进行主题分析.
主要成果:
- 患有智障的人变得更具表现力,讨论选择,并参与组织/市政决策.
- 参与者报告说,由于SDM,他们的"快乐"增加,感觉"更人性化".
- 工作人员指出,拥有权和满足感增加,强调需要支持性的组织环境.
结论:
- 尊重尊严,培养关系,个性化支持和鼓励员工自我反思的组织文化对于有效的SDM至关重要.
- SDM挑战压迫性叙述,促进一个社会,关系型的智障人士的决策能力模型.
相关概念视频
Intellectual Disability
49
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
49
Ethical Dilemmas II
1.0K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.0K
Community Based Intervention
41
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
41
Ethical Dilemmas I
886
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
886
Decision Making
109
Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
Automatic decision-making is fast, intuitive, and relies on gut feelings...
Automatic decision-making is fast, intuitive, and relies on gut feelings...
109
Standards of Care II
645
Nurses bear specific legal responsibilities under several federal statutes, including:
645


