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- Title
Belemmerende en bevorderende factoren bij implementatie van de methode Multi-Disciplinair Expertise Team voor afbouw van onvrijwillige zorg.
- Authors
Grapendaal, K.; Bisschops, E.; de Schipper, J.; Schuengel, C.
- Abstract
Introduction: Since 2020, the Care and Coercion Act (Wet zorg en dwang) gives organizations in care for people with intellectual disabilities the urge to implement innovative methods stimulating reduction of involuntary care. The Multi-Disciplinary Expertise Team (MDET) is a method to accelerate reduction of involuntary care. The research question was which factors were impeding or promoting implementation of MDET at 's Heeren Loo, so that lessons can be learned for scaling up and scaling out this method. Method: Directed qualitative content analysis of written materials of MDET consultation processes in 19 care homes was conducted using the determinants overview for implementation of innovations in health care of Fleuren et al. (2004). Results: Within the context of the care organization, care professionals, clients, and the method itself, 9 promoting or hindering determinants emerged: expected (in)convenience clients, staff turnover, staff capacity, peer support, compatibility of goals, clear guidelines/procedures, relative benefits, client risks, and financial resources. By means of inductive analysis, 5 determinants and preconditions emerged that were complementary to the overview of Fleuren et al. (2004): organisation of care during the night, motivation/resistance, risks of other clients, building, and willingness of parents/representatives. Discussion: Although Fleuren et al. (2004)'s overview was developed for regular health care, it was also useful for identifying determinants in implementation processes in long-term care. Besides this, other limiting or promoting factors also seemed to influence implementation in long-term care for people with intellectual disabilities. Knowledge of these determinants can contribute to the success of long-term care implementation.
- Subjects
OCCUPATIONAL roles; HEALTH services accessibility; INVOLUNTARY treatment; HUMAN services programs; QUALITATIVE research; NURSING care facilities; HEALTH care teams; MEDICAL referrals; DESCRIPTIVE statistics; CONTENT analysis; PEOPLE with intellectual disabilities; HEALTH promotion; LONG-term health care
- Publication
Nederlands Tijdschrift voor de Zorg aan Mensen met Veerstandelijke Beperkingen, 2022, Issue 2, p12
- ISSN
0923-2370
- Publication type
Article