{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T03:29:42Z","timestamp":1764646182483,"version":"3.37.3"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,11,8]],"date-time":"2018-11-08T00:00:00Z","timestamp":1541635200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Research Intellect Disabil"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>People with intellectual disabilities are at increased risk of abuse which may not always be responded to appropriately. This study therefore sought to explore how nurses and social workers make decisions when safeguarding adults with intellectual disabilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A situational analysis grounded theory study. Semi\u2010structured interviews were undertaken with social workers (<jats:italic>n<\/jats:italic>\u00a0=\u00a016) and community nurses (<jats:italic>n<\/jats:italic>\u00a0=\u00a09) working in Community Learning (Intellectual) Disability Teams in Wales. Data were transcribed and analysed thematically and cartographically in keeping with situational analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four key themes emerged: The official line; Expectation and perception; Non\u2010vulnerable adult process options; Confidence and competence. Sites of silence were also identified: not making a decision, not asking further questions, preserving family relationships and the individual with intellectual disabilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Decision making in relation to safeguarding adults with intellectual disabilities is a complex process, influenced by many factors and in which discretion is exercised by professionals.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jar.12541","type":"journal-article","created":{"date-parts":[[2018,11,9]],"date-time":"2018-11-09T03:30:26Z","timestamp":1541734226000},"page":"435-445","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Exploring professional decision making in relation to safeguarding: A grounded theory study of social workers and community nurses in community learning (intellectual) disability teams in wales"],"prefix":"10.1111","volume":"32","author":[{"given":"Zoe","family":"Hodges","sequence":"first","affiliation":[{"name":"Torfaen Adult Services Cwmbran Wales, UK and School of Care Sciences, University of South Wales  Pontypridd Wales UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8420-733X","authenticated-orcid":false,"given":"Ruth","family":"Northway","sequence":"additional","affiliation":[{"name":"School of Care Sciences University of South Wales  Pontypridd Wales UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,11,8]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_7_2_1","DOI":"10.1080\/17496535.2010.484263"},{"doi-asserted-by":"publisher","key":"e_1_2_7_3_1","DOI":"10.1093\/bjsw\/bcr161"},{"doi-asserted-by":"publisher","key":"e_1_2_7_4_1","DOI":"10.1080\/0261547042000294491"},{"doi-asserted-by":"publisher","key":"e_1_2_7_5_1","DOI":"10.4135\/9781412985833"},{"volume-title":"No Secrets: Guidance on Developing and Implementing Multi\u2010Agency Policies and Procedures to Protect Vulnerable Adults From Abuse","year":"2000","author":"Department of Health","key":"e_1_2_7_6_1"},{"doi-asserted-by":"publisher","key":"e_1_2_7_7_1","DOI":"10.1093\/bjsw\/bcu149"},{"doi-asserted-by":"publisher","key":"e_1_2_7_8_1","DOI":"10.1093\/bjsw\/bct163"},{"doi-asserted-by":"publisher","key":"e_1_2_7_9_1","DOI":"10.1108\/14668201211217549"},{"doi-asserted-by":"publisher","key":"e_1_2_7_10_1","DOI":"10.1080\/09687599.2012.631801"},{"doi-asserted-by":"publisher","key":"e_1_2_7_11_1","DOI":"10.1002\/mrdd.20097"},{"doi-asserted-by":"publisher","key":"e_1_2_7_12_1","DOI":"10.1016\/S0140-6736(11)61851-5"},{"doi-asserted-by":"publisher","key":"e_1_2_7_13_1","DOI":"10.1016\/S0140-6736(12)60692-8"},{"doi-asserted-by":"publisher","key":"e_1_2_7_14_1","DOI":"10.1046\/j.1365-2788.2003.00479.x"},{"volume-title":"Street \u2013Level Bureaucracy. Dilemmas of the Individual in Public Services","year":"1980","author":"Lipsky M.","key":"e_1_2_7_15_1"},{"volume-title":"In Safe Hands","year":"2000","author":"National Assembly of Wales (NAW)","key":"e_1_2_7_16_1"},{"doi-asserted-by":"publisher","key":"e_1_2_7_17_1","DOI":"10.1111\/j.1467-9515.2007.00540.x"},{"doi-asserted-by":"publisher","key":"e_1_2_7_18_1","DOI":"10.1111\/jppi.12037"},{"doi-asserted-by":"publisher","key":"e_1_2_7_19_1","DOI":"10.1177\/1744629513509565"},{"doi-asserted-by":"publisher","key":"e_1_2_7_20_1","DOI":"10.1111\/bld.12172"},{"doi-asserted-by":"publisher","key":"e_1_2_7_21_1","DOI":"10.1111\/jar.12016"},{"doi-asserted-by":"publisher","key":"e_1_2_7_22_1","DOI":"10.1177\/1468017313479857"},{"volume-title":"Wales Interim Policy & Procedures for the Protection of Vulnerable Adults from Abuse","year":"2011","author":"Social Services Improvement Agency","key":"e_1_2_7_23_1"},{"doi-asserted-by":"publisher","key":"e_1_2_7_24_1","DOI":"10.1108\/JAP-03-2014-0008"},{"volume-title":"Grounded Theory for Qualitative Research","year":"2013","author":"Urquhart C.","key":"e_1_2_7_25_1"}],"container-title":["Journal of Applied Research in Intellectual Disabilities"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjar.12541","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jar.12541","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T15:11:29Z","timestamp":1694704289000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jar.12541"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,8]]},"references-count":24,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1111\/jar.12541"],"URL":"https:\/\/doi.org\/10.1111\/jar.12541","archive":["Portico"],"relation":{},"ISSN":["1360-2322","1468-3148"],"issn-type":[{"type":"print","value":"1360-2322"},{"type":"electronic","value":"1468-3148"}],"subject":[],"published":{"date-parts":[[2018,11,8]]},"assertion":[{"value":"2018-02-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-10-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}