Conceptualising and responding to self‐neglect: the challenges for adult safeguarding
Conceptualising and responding to self‐neglect: the challenges for adult safeguarding
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自我忽视的概念和应对：成人保护的挑战
DOI：
10.1108/14668201111177905
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
M. Preston
中科院分区：
文献类型：
--
作者：
S. Braye;D. Orr;M. Preston
用途：这里报告的研究旨在范围自我忽视的概念，因为它是在文献中探索，并在实践中解释的专业人士参与成人保障。设计图：所采取的方法包括对关于自我忽视的英语文献进行系统搜索和专题分析，与英国的成人保障领导人和社会服务、警察和卫生服务从业人员举办讲习班，以及审查成人保障委员会的文件。调查结果：自我忽视的概念是复杂的，有着截然不同的定义和病因，伴随着关于指导干预的原则的辩论。决策能力是专业应对自我忽视的关键支点。对自我忽视的干预需要在个性化、选择、控制和赋权原则的背景下进行仔细探索，这些原则是成人社会护理和保障政策的基础。研究限制/影响：作为一个概念范围的审查，这项研究试图建立广泛的主题使用的从业人员与自我忽视。因此，它没有对识别和讨论的文献进行全面的质量审查，但作为将来进行审查的基础。实际影响：自我忽视的评估应考虑一些可能的成因因素的影响，干预措施必须平衡尊重自主权和保护健康和福祉的责任。价值：本文总结并批判性地分析了在自我忽视这一具有挑战性的领域中，循证实践的新兴关键特征。
Purpose: The research reported here aimed to scope the concept of self-neglect as it is explored in the literature and interpreted in practice by professionals involved in adult safeguarding. Design: The approach taken included a systematic search and thematic analysis of English-language literature on self-neglect, workshops with UK-based adult safeguarding leads and practitioners from social services, police and health services, and scrutiny of Safeguarding Adults Boards' documentation. Findings: The concept of self-neglect is complex with contrasting definitions and aetiology, accompanied by debates on the principles that guide intervention. Decision-making capacity is a key pivot upon which professional responses to self-neglect turn. Intervention in self-neglect requires careful exploration in the context of principles of personalisation, choice, control and empowerment that underpin policy in adult social care and safeguarding. Research limitations/implications: As a conceptual scoping review, this study sought to establish broad themes of use to practitioners working with self-neglect. It thus does not carry out full quality review of the literature identified and discussed, but serves as a base for this to be done in future. Practical implications: Assessment in self-neglect should consider the influence of a number of possible causative factors, and intervention must balance respect for autonomy on the one hand and a perceived duty to preserve health and wellbeing on the other. Value: This article summarises and critically analyses the emerging key features of evidence-informed practice in the challenging field of self-neglect.