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dc.contributor.authorJackman-Galvin, Vicki
dc.contributor.authorPartridge, Martin
dc.date.accessioned2022-11-11T12:51:45Z
dc.date.available2022-11-11T12:51:45Z
dc.date.issued2022-10-18
dc.identifier.citationJackman-Galvin, V. and Partridge, M. (2022) Relationships and power: An exploration of person-centredness in an intellectual disability service in Ireland. Health and Social Care in the Community, 30(6), pp. e6294-e6302en
dc.identifier.issn0966-0410en
dc.identifier.pmid36254810 (pubmed)
dc.identifier.doi10.1111/hsc.14068en
dc.identifier.urihttp://hdl.handle.net/2436/624990
dc.descriptionThis is an accepted manuscript of an article published by Wiley on 18/10/2022, available online: https://doi.org/10.1111/hsc.14068 The accepted version of the publication may differ from the final published version.en
dc.description.abstractInstitutionalised cultures and imbalances of power have been identified within the literature as risk factors for the abuse of adults with intellectual disability living in residential services. Governments in the Republic of Ireland and internationally continue to support person-centredness as a framework of care that can promote cultural change within disability services as a safeguard against abuse. However, there is limited research which seeks to explore if person-centredness as a framework of care has had much impact on changing cultures within disability services as a protective factor against abuse. This study aims to explore how adults with intellectual disability living in residential services and staff experience the professional caring relationship and the framework of person-centredness. The study was based on a phenomenological approach using thematic analysis which enabled six adults with intellectual disability and six staff to participate through one-to-one interviews. The thematic analysis resulted in three main themes: (1) Conflict within the relational dynamic between service users and staff. (2) Challenges to delivering person-centred care. (3) Shared needs. Participants reported that there was conflict within the relationship between service users and staff influenced by relational and cultural issues. Participants also experienced challenges in delivering person-centred care within the service. This study revealed that as a result of wider organisational and cultural influences, person-centred cultures, which are vital to underpin changes in power imbalances, were often undermined. This research highlights that it is not enough to have a system of quality of care guided by the principles of person-centredness alone to ensure a shift in culture and safeguard against abuse of adults with intellectual disability. Rather, consideration of the relational and cultural factors that impact their lives also needs to be built into the values and practices of services offered to adults with intellectual disability.en
dc.formatapplication/pdfen
dc.languageeng
dc.language.isoenen
dc.publisherWileyen
dc.relation.urlhttps://onlinelibrary.wiley.com/doi/10.1111/hsc.14068en
dc.subjectdisability serviceen
dc.subjectperson-centrednessen
dc.subjectrelational needsen
dc.subjectabuseen
dc.subjectintellectual disabilityen
dc.subjectorganisational cultureen
dc.subjectquality of lifeen
dc.titleRelationships and power: An exploration of person-centredness in an intellectual disability service in Irelanden
dc.typeJournal articleen
dc.identifier.eissn1365-2524
dc.identifier.journalHealth and Social Care in the Communityen
dc.date.updated2022-11-08T12:23:48Z
dc.contributor.institutionFaculty of Post-Qualification & Professional Doctorates, Metanoia Institute, London, UK.
pubs.place-of-publicationEngland
dc.date.accepted2022-10-01
rioxxterms.funderUniversity of Wolverhamptonen
rioxxterms.identifier.projectUOW11112022MPen
rioxxterms.versionAMen
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
rioxxterms.licenseref.startdate2023-10-18en
dc.source.volume30
dc.source.issue6
dc.source.beginpagee6294
dc.source.endpagee6302
dc.description.versionPublished version
refterms.dateFCD2022-11-11T12:51:10Z
refterms.versionFCDAM


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