title: 'It's one of the hardest jobs in the world': the experience and understanding of qualified nurses who work with individuals diagnosed with both learning disability and personality disorder.
abstract: BACKGROUND
  This study examines the experiences of qualified nurses working with individuals diagnosed with both intellectual disability and personality disorder (PD) in a medium-secure forensic intellectual disability setting. Potential training needs are highlighted, as well as other ways in which services could better support staff to work effectively with this client group.
  
  
  METHODS
  In-depth, semi-structured interviews were used to explore the nine participants' experiences; the narratives were analysed with interpretative phenomenological analysis (IPA).
  
  
  RESULTS
  Four master themes emerged from (i) disorder overriding disability; (ii) resilience; (iii) ambivalence towards label and (iv) knowledge.
  
  
  CONCLUSIONS
  The findings highlight that for these participants, the clients' intellectual disability appeared to be lost under the complexity of the PD diagnosis. The clinical implications are discussed in terms of developing training, supervision and support.
authors.affiliation: Community Team for Learning Disabilities, Hull, UK.
authors.forename: Amy
authors.initials: A
authors.lastname: Lee
authors.forename: Gundi
authors.initials: G
authors.lastname: Kiemle
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D032882:Comprehension; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007859:Learning Disabilities / Q000451:nursing*; D008297:Male; D008875:Middle Aged; D033262:Narration; D009723:Nurse-Patient Relations; D010554:Personality Disorders / Q000451:nursing*; D011568:Psychiatric Nursing; D055500:Resilience, Psychological
keywords: intellectual disability; personality disorder; subjective experiences