{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:30:15Z","timestamp":1782847815279,"version":"3.54.5"},"reference-count":45,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,9,5]],"date-time":"2014-09-05T00:00:00Z","timestamp":1409875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Research Intellect Disabil"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>This study examines the experiences of qualified nurses working with individuals diagnosed with both intellectual disability and personality disorder (<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>) in a medium\u2010secure 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>In\u2010depth, semi\u2010structured interviews were used to explore the nine participants\u2019 experiences; the narratives were analysed with interpretative phenomenological analysis (<jats:styled-content style=\"fixed-case\">IPA<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four master themes emerged from (i) disorder overriding disability; (ii) resilience; (iii) ambivalence towards label and (iv) knowledge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The findings highlight that for these participants, the clients' intellectual disability appeared to be lost under the complexity of the <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> diagnosis. The clinical implications are discussed in terms of developing training, supervision and support.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jar.12125","type":"journal-article","created":{"date-parts":[[2014,9,5]],"date-time":"2014-09-05T07:52:39Z","timestamp":1409903559000},"page":"238-248","source":"Crossref","is-referenced-by-count":19,"title":["\u2018It's One of the Hardest Jobs in the World\u2019: The Experience and Understanding of Qualified Nurses Who Work with Individuals Diagnosed with Both Learning Disability and Personality Disorder"],"prefix":"10.1111","volume":"28","author":[{"given":"Amy","family":"Lee","sequence":"first","affiliation":[{"name":"Community Team for Learning Disabilities Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gundi","family":"Kiemle","sequence":"additional","affiliation":[{"name":"Community Team for Learning Disabilities Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,9,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.182.44.s28"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2010.01248.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-3156.2003.00193.x"},{"key":"e_1_2_7_5_1","volume-title":"Dangerous and Severe Personality Disorder: Response and Role of the Psychiatric Team","author":"Bowers L.","year":"2002"},{"key":"e_1_2_7_6_1","unstructured":"BowersL. 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