[People with Intellectual and Multiple Disabilities in the Acute-In-Patient Care - Selected Results of a Qualitative Exploratory Study].
BACKGROUND
National and international publications indicate a higher importance of people with disabilities in health and nursing care. From the international literature it can be seen that for this target group the hospital care is to be regarded as deficient in many ways.


OBJECTIVE
This project intends to study on a qualitative exploratory basis experiences of employees of outpatient and residential care facilities for people with mental and multiple disabilities and family members of the target group concerning their experiences in health and nursing care.


METHODS
21 guided interviews with employees of outpatient and in-patient residential facilities for people with mental and multiple disabilities and family members of the target group were conducted.


RESULTS
21 interviews could be evaluated according to Grounded Theory with the software program MAXQDA. The results show above all that in the perception and from the experience of the interviewees mainly a "lack" exists in the care of the target group, e. g., in time, staff, resources, qualification, cooperation and so forth. Employees of outpatient and inpatient residential facilities for people with mental and multiple disabilities and family members must contribute to a high degree to the care in hospitals, so that nursing and health measures are performed.


CONCLUSIONS
The results point to an inadequate care of people with disabilities in hospitals. It is necessary to reflect critically on the medical and nursing care and to develop adequate measures, concepts, interventions and policies.
Ostfalia Hochschule für angewandte Wissenschaften, Wolfsburg.
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M
Hasseler
D000293:Adolescent; D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000592:standards; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data*; D002648:Child; D002908:Chronic Disease / Q000453:epidemiology / Q000628:therapy*; D003695:Delivery of Health Care / Q000592:standards* / Q000706:statistics & numerical data*; D006233:Persons with Disabilities / Q000523:psychology* / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany; D066296:Grounded Theory; D006297:Health Services Accessibility / Q000592:standards* / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008607:Intellectual Disability / Q000453:epidemiology* / Q000523:psychology*; D007406:Interview, Psychological; D008297:Male; D008432:Mathematical Computing; D008875:Middle Aged; D010348:Patient Care Team / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D036301:Qualitative Research; D011785:Quality Assurance, Health Care / Q000592:standards; D012112:Residential Facilities / Q000592:standards / Q000706:statistics & numerical data; D012984:Software; D014600:Utilization Review / Q000706:statistics & numerical data; D055815:Young Adult