The response to challenging behaviour by care staff: emotional responses, attributions of cause and observations of practice
The response to challenging behaviour by care staff: emotional responses, attributions of cause and observations of practice
复制标题
DOI：
10.1111/j.1365-2788.2005.00769.x
复制
发表时间：
2006-03-01
影响因子：
3.6
通讯作者：
Limb, K
中科院分区：
文献类型：
--
作者：
Bailey, BA;Hare, DJ;Limb, K
背景以前的研究试图应用韦纳的归因模型的帮助行为的护理人员谁与服务用户的工作与智力残疾和挑战性的行为，通过使用基于小插曲的研究。目前的研究的目的是调查韦纳的模型的应用程序，以“真实的”服务用户与智力残疾和具有挑战性的行为，并观察护理人员的实际反应，以挑战性的行为所显示的服务用户。此外，还将护理人员的归因、情绪、乐观态度、帮助意愿以及观察到的自残行为与其他形式的挑战行为进行比较。方法共有27名护理人员完成了两组测量，一组关于自残行为，另一组关于其他形式的挑战行为。另有16名工作人员完成了一套措施。这些措施的重点是护理人员的归因，情绪，乐观和愿意帮助。此外，16的护理人员进行了观察与服务用户的互动，收集数据，他们的反应，以挑战behaviors.Results自我伤害的行为和其他形式的挑战性behaviors.Results，协会被发现之间的护理人员内部，稳定和不可控的归因分数和护理人员的负面情绪分数。然而，没有发现护理人员之间的情感，乐观和愿意帮助的水平。一些协会之间的护理人员的水平，愿意帮助和观察到的帮助行为。护理人员归因得分之间存在显着差异，其他形式的挑战性行为的不可控和稳定的归因得分较高。护理人员之间的情绪，乐观，愿意帮助和观察到的帮助behaviors.Conclusions结果没有提供支持韦纳的归因模型的帮助behaviors.Conclusions没有显着差异。然而，从已完成的探索性分析中得出了护理人员消极行为的初步模型。该模型提出，有内部的，稳定的和不可控的归因和负性情绪之间的关联，在护理人员和负性情绪和负性行为之间显示的护理人员在响应服务用户的行动。
Bacground Previous studies have attempted to apply Weiner's attributional model of helping behaviour to care staff who work with service users with intellectual disabilities and challenging behaviours by using studies based on vignettes. The aims of the current study were to investigate the application of Weiner's model to 'real' service users with intellectual disabilities and challenging behaviours and to observe the care staff's actual responses to challenging behaviours displayed by service users. Also, to compare care staff attributions, emotions, optimism, willingness to help and observed helping behaviours for self-injurious behaviours in comparison to other forms of challenging behaviours.Method A total of 27 care staff completed two sets of measures, one set regarding a self-injurious behaviour and the other regarding other forms of challenging behaviour. An additional 16 staff completed one set of measures. The measures focused on care staff attributions, emotions, optimism and willingness to help. Also, 16 of the care staff were observed interacting with the service users to collect data regarding their responses to challenging behaviours.Results For both self-injurious behaviours and other forms of challenging behaviour, associations were found between the care staff internal, stable and uncontrollable attribution scores and care staff negative emotion scores. However, no associations were found between the care staff levels of emotion, optimism and willingness to help. Some associations were found between the care staff levels of willingness to help and observed helping behaviours. There were significant differences between the care staff attribution scores with higher scores being obtained for uncontrollable and stable attributions for other forms of challenging behaviours. No significant differences were found between the care staff emotions, optimism, willingness to help and observed helping behaviours.Conclusions The results did not provide support for Weiner's attributional model of helping behaviour. However, a preliminary model of negative care staff behaviour was derived from the exploratory analyses completed. This model proposes that there are associations between internal, stable and uncontrollable attributions and negative emotions in care staff and also between negative emotions and negative behaviours displayed by care staff in response to the actions of service users.