De uitvoering van slaapadviezen in de verstandelijk gehandicaptenzorg en de organisatorische factoren die hiermee samenhangen

Abstract

Introduction. Sleeping problems among people with intellectual disabilities is a relatively new topic of interest within scientific research and healthcare organisations. A healthcare organisation for people with intellectual disabilities (ID) started using actigraphy and provided subsequent recommendations to their staff to improve the sleep efficiency of their clients. It is not clear to what extent these recommendations are actually carried out and which organisational factors, such as resources, staff availability, management support and education are related to this. Method. A questionnaire on these topics, based on a preliminary inquiry, was completed by 68 professional staff members from 2 clusters (severely disabled and senior clients) of this organisation. Results. In general, staff members carried out half to most of the recommendations. Staff members from the cluster of severely disabled clients executed more recommendations than staff members from the cluster of senior clients. Furthermore, staff members executed the recommendations more often when they were more dissatisfied with staff availability. All other independent variables were not significantly related to the execution of the recommendations. Discussion. The lower level of carrying out recommendations within the cluster of senor clients needs to be addressed. More education on the topic of sleep is desirable in both clusters. Further research is needed to determine what other factors are likely to influence the execution of sleep recommendations