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Organisational impact on the use of restrictive measures : The perspective of Swedish front-line managers

Björne, Petra LU ; McGill, Peter ; Deveau, Roy and Hofvander, Björn LU (2023) In Journal of applied research in intellectual disabilities : JARID 36(5). p.1025-1033
Abstract

BACKGROUND: Restrictive measures (RM) are prevalent in services for people with intellectual disabilities. This study investigates managerial awareness of RM and the nature of organisational supports required to reduce their use.

METHOD: A survey asked front-line managers and staff what (RM) were used, their purpose, impact and importance (10-item Likert scales) and what organisational changes were required (free text). Responses were analysed using descriptive methods and content analysis.

RESULTS: Managers reported a lower use of RM, compared with staff. According to managers, RM were mainly used to keep service users from harm, their use having a significant impact. Opportunities to change practices were limited by a lack... (More)

BACKGROUND: Restrictive measures (RM) are prevalent in services for people with intellectual disabilities. This study investigates managerial awareness of RM and the nature of organisational supports required to reduce their use.

METHOD: A survey asked front-line managers and staff what (RM) were used, their purpose, impact and importance (10-item Likert scales) and what organisational changes were required (free text). Responses were analysed using descriptive methods and content analysis.

RESULTS: Managers reported a lower use of RM, compared with staff. According to managers, RM were mainly used to keep service users from harm, their use having a significant impact. Opportunities to change practices were limited by a lack of resources and organisational support.

CONCLUSION: Front-line managers seem to lack the capacity to address the use of RM due to organisational drift; limited manager time and opportunity to allocate resources; inadequate environments; and lack of skilled staff, knowledge and relevant professional input.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of applied research in intellectual disabilities : JARID
volume
36
issue
5
pages
1025 - 1033
publisher
Wiley-Blackwell
external identifiers
  • pmid:37151147
  • scopus:85158097077
ISSN
1360-2322
DOI
10.1111/jar.13112
language
English
LU publication?
yes
additional info
© 2023 The Authors. Journal of Applied Research in Intellectual Disabilities published by John Wiley & Sons Ltd.
id
ec17825c-ef09-418a-ab04-b6dd6d759553
date added to LUP
2023-06-01 11:22:58
date last changed
2024-06-15 03:41:37
@article{ec17825c-ef09-418a-ab04-b6dd6d759553,
  abstract     = {{<p>BACKGROUND: Restrictive measures (RM) are prevalent in services for people with intellectual disabilities. This study investigates managerial awareness of RM and the nature of organisational supports required to reduce their use.</p><p>METHOD: A survey asked front-line managers and staff what (RM) were used, their purpose, impact and importance (10-item Likert scales) and what organisational changes were required (free text). Responses were analysed using descriptive methods and content analysis.</p><p>RESULTS: Managers reported a lower use of RM, compared with staff. According to managers, RM were mainly used to keep service users from harm, their use having a significant impact. Opportunities to change practices were limited by a lack of resources and organisational support.</p><p>CONCLUSION: Front-line managers seem to lack the capacity to address the use of RM due to organisational drift; limited manager time and opportunity to allocate resources; inadequate environments; and lack of skilled staff, knowledge and relevant professional input.</p>}},
  author       = {{Björne, Petra and McGill, Peter and Deveau, Roy and Hofvander, Björn}},
  issn         = {{1360-2322}},
  language     = {{eng}},
  month        = {{05}},
  number       = {{5}},
  pages        = {{1025--1033}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Journal of applied research in intellectual disabilities : JARID}},
  title        = {{Organisational impact on the use of restrictive measures : The perspective of Swedish front-line managers}},
  url          = {{http://dx.doi.org/10.1111/jar.13112}},
  doi          = {{10.1111/jar.13112}},
  volume       = {{36}},
  year         = {{2023}},
}