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How frontline staff manage paperwork in group homes for people with intellectual disability: Implications for practice
Author(s) -
Quilliam Claire,
Bigby Christine,
Douglas Jacinta
Publication year - 2018
Publication title -
journal of applied research in intellectual disabilities
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 63
eISSN - 1468-3148
pISSN - 1360-2322
DOI - 10.1111/jar.12450
Subject(s) - participant observation , constructivist grounded theory , intellectual disability , grounded theory , coding (social sciences) , psychology , nursing , qualitative research , medicine , sociology , social science , psychiatry , anthropology
Background Paperwork is a key tool that transforms organizational intentions into actions in group homes, although prescriptive procedures may limit how frontline staff use it in practice. The aim of this study was to explore how frontline staff use paperwork in group homes for people with intellectual disability and identify practice implications. Method Constructivist grounded theory methodology guided the research. Data collection included semi‐structured interviews and participant observations. Coding, comparison and sorting methods were adopted to analyse how staff used paperwork. Results Staff followed organizational paperwork rules when they aligned with their resident‐focused approach to work. When they perceived rules to misalign with this approach, they managed paperwork by adjusting the time and place of completion, managing content, creating alternative tools and refusing completion. Conclusions Staff purposefully managed paperwork rather than simply following procedures. Disability service organizations could develop flexible paperwork procedures and include frontline perspectives in paperwork development.