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Identifying the prevalence of aggressive behaviour reported by Registered Intellectual Disability Nurses in residential intellectual disability services: an Irish perspective

机译:识别注册智力残疾护士报告的在住宅智力残疾服务中的攻击行为的普遍性:爱尔兰的观点

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Purpose - Despite the high incidence of aggressive behaviours among some individuals with intellectual disability, Ireland has paid little attention to the prevalence of aggressive behaviours experienced by Registered Intellectual Disability Nurses (RNID). Within services the focus is mainly on intervention and management of such behaviours. Therefore a disparity occurs in that these interventions and management strategies have become the exclusive concern. Resulting in aggressive behaviour being seen as a sole entity, where similar interventions and management strategies are used for ambiguously contrasting aggressive behaviours. Consequently the ability to document and assess-specific behaviour typologies and their prevalence is fundamental not only to understand these behaviour types but also to orient and educate RNIDs in specific behaviour programme development. The paper aims to discuss these issues. Design/methodology/approach - This study reports on a survey of the prevalence of verbal aggression, aggression against property and aggression against others experienced by RNIDs' within four residential settings across two health service executive regions in Ireland. A purposeful non-random convenience sampling method was employed. Totally, 119 RNIDs responded to the survey which was an adaptation of Crocker et al. (2006) survey instrument Modified Overt Aggression Scale. Findings - The findings of this study showed the experienced prevalence rate of verbal aggression, aggression against property and aggression against others were 64, 48.9 and 50.7 per cent, respectively. Cross-tabulation of specific correlates identifies those with a mild and intellectual disability as displaying a greater prevalence of verbal aggression and aggression against property. While those with a moderate intellectual disability displayed a higher prevalence of aggression against others. Males were reported as more aggressive across all three typologies studied and those aged between 20 and 39 recorded the highest prevalence of aggression across all three typologies. The practice classification areas of challenging behaviour and low support reported the highest prevalence of aggression within all typologies. Originality/value - The health care of the person with intellectual disability and aggressive behaviour presents an enormous challenge for services. In-order to improve considerably the quality of life for clients, services need to take a careful considered pragmatic view of the issues for the person with intellectual disability and aggressive behaviour and develop realistic, proactive and responsive strategies. To do this, precise knowledge of the prevalence of aggressive behaviours needs to be obtained. This study is the first of its kind in the Republic of Ireland.
机译:目的-尽管在一些智障人士中攻击行为的发生率很高,但爱尔兰很少注意注册智力残疾护士(RNID)所经历的攻击行为。在服务内,重点主要在于干预和管理此类行为。因此,出现了差异,因为这些干预措施和管理策略已成为唯一的关​​注点。结果导致侵略行为被视为唯一的实体,在这种情况下,类似的干预措施和管理策略被用于歧义地对比侵略行为。因此,记录和评估特定行为类型及其流行的能力不仅是了解这些行为类型的基础,而且对于特定行为程序开发中的RNID的定位和教育也至关重要。本文旨在讨论这些问题。设计/方法/方法-这项研究报告了对爱尔兰两个国家卫生服务执行区域内四个居住环境中RNID所经历的语言侵害,侵害财产侵害和侵害他人侵害的普遍程度的调查。采用了有目的的非随机便利抽样方法。总共有119个RNID回应了该调查,该调查是Crocker等人的改编。 (2006年)调查工具“改良的公开攻击量表”。调查结果-这项研究的结果表明,言语侵略,对财产的侵略和对他人的侵略的普遍发生率分别为64%,48.9%和50.7%。特定关联的交叉列表将那些具有轻度和智力残疾的人识别为表现出更大程度的言语侵略和针对财产的侵略。而那些中度智力残疾的人则表现出较高的对他人的攻击性。据报道,在所研究的所有三种类型中,男性更具攻击性,而年龄在20至39岁之间的男性则在这三种类型中均表现出最高的侵略率。具有挑战性的行为和低水平的支持的实践分类区域报告,在所有类型中,侵略的患病率最高。原创性/价值-智障和攻击行为的人的医疗保健对服务提出了巨大挑战。为了显着改善客户的生活质量,服务需要对智障和攻击性行为者的问题进行认真考虑的务实考虑,并制定切合实际,积极主动和反应迅速的策略。为此,需要获得有关攻击行为普遍性的精确知识。这项研究是爱尔兰共和国的同类研究中的第一次。

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