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Is the amount of exposure to aggressive challenging behaviour related to staff work-related 14 well-being in intellectual disability services? Evidence from a clustered research design.

Flynn, Samantha, Hastings, Richard, Gillespie, David, McNamara, Rachel and Randell, Elizabeth 2018. Is the amount of exposure to aggressive challenging behaviour related to staff work-related 14 well-being in intellectual disability services? Evidence from a clustered research design. Research in Developmental Disabilities 81 , pp. 155-161. 10.1016/j.ridd.2018.04.006

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Abstract

Abstract Background: Previous research has demonstrated an association between aggressive challenging behaviour (CB) and reductions in work-related well-being for intellectual disability (ID) support staff. Much of this research has used subjective measures of CB. Aims: To examine whether exposure to aggressive CB is associated with reduced work-related well-being in staff working in ID residential settings across the UK. Methods and procedure: A cross-sectional analysis was undertaken as part of a randomised trial; 186 staff from 100 settings completed questionnaires on their CB self-efficacy, empathy, positive work motivation, and burnout. Objective measures of aggressive CB in the preceding 16 weeks were collected from each setting. Outcomes and results: There was little association between staff exposure to aggressive CB and work-related well-being. Clustering effects were found for emotional exhaustion and positive work motivation, suggesting these variables are more likely to be influenced by the environment in which staff work. Conclusions and implications: The level of clustering may be key to understanding how to support staff working in ID residential settings, and should be explored further. Longitudinal data, and studies including a comparison of staff working in ID services without aggressive CB exposure are needed to fully understand any association between aggressive CB and staff well-being. What this paper adds? This paper presents a unique method of data collection regarding staff exposure to aggressive challenging behaviour (CB), and takes into consideration the clustered nature of the data. In doing so, it is apparent that there is little evidence to suggest an association between staff exposure to aggressive CB and their work-related well-being. The clustering effects identified for two variables (emotional exhaustion and positive work motivation) have not been explored in previous research, and suggest an interesting avenue for future research.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Centre for Trials Research (CNTRR)
Publisher: Elsevier
ISSN: 0891-4222
Funders: National Institute for Health Research School for Social Care Research
Date of First Compliant Deposit: 31 May 2018
Date of Acceptance: 3 April 2018
Last Modified: 20 Oct 2019 14:27
URI: http://orca.cf.ac.uk/id/eprint/111636

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