{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T06:50:15Z","timestamp":1790146215609,"version":"4.0.1"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T00:00:00Z","timestamp":1732752000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["Award Number TL1TR002546."],"award-info":[{"award-number":["Award Number TL1TR002546."]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011533","name":"Academy of Medical Surgical Nurses","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100011533","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Intellect Disabil"],"abstract":"<jats:p>Background: Despite their central role in hospital care, little research has explored medical-surgical nurses\u2019 perspectives on the rewarding aspects of and significant influences on caring for adults with intellectual disabilities, even though they are key to understanding this population\u2019s inequitable hospital outcomes. Methods: A qualitative descriptive design was used, and interviews were conducted with 13 medical-surgical nurses from the United States. Manifest content analysis was used to analyze the interview transcripts and categorize findings. Results: Five categories of significant influences: Preparedness to Care for People with Intellectual Disabilities, Communication, Caregiver Involvement, Ethical Concerns, and Context of Care, and four categories of rewards: Connecting, Making a Difference, Enjoyment, and Learning Opportunity, were revealed. Conclusion: Medical-surgical nurses derive meaning from connecting with and making a difference in the lives of hospitalized adults with intellectual disabilities, but face barriers to providing high-quality nursing care, resulting in dehumanized, delayed, or missed care.<\/jats:p>","DOI":"10.1177\/17446295241304135","type":"journal-article","created":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T05:49:47Z","timestamp":1732772987000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["\u201cA little bit more challenging, but more rewarding\u201d: Medical-surgical nurses\u2019 perspectives on caring for adults with intellectual disabilities"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5353-6907","authenticated-orcid":false,"given":"Melissa L.","family":"Desroches","sequence":"first","affiliation":[{"name":"Community Nursing, College of Nursing and Health Sciences, University of Massachusetts Dartmouth, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Fisher","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Professions, Drexel University, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Daudelin","sequence":"additional","affiliation":[{"name":"Tufts Clinical and Translational Science Institute, USA"},{"name":"Tufts University, USA"},{"name":"Institute for Clinical Research and Policy Studies, Tufts Medical Center, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,28]]},"reference":[{"key":"bibr1-17446295241304135","volume-title":"Implicit Biases & People with Disabilities","author":"ABA Commission on Disability Rights","year":"2024"},{"key":"bibr2-17446295241304135","volume-title":"What is Med-Surg Nursing?","author":"Academy of Medical Surgical Nurses","year":"2024"},{"key":"bibr3-17446295241304135","volume-title":"The President\u2019s Committee for People with Intellectual Disabilities (PCPID)","author":"Administration for Community Living","year":"2023"},{"key":"bibr4-17446295241304135","doi-asserted-by":"publisher","DOI":"10.1352\/1934-9556-53.2.114"},{"key":"bibr5-17446295241304135","volume-title":"Defining criteria for intellectual disability","author":"American Association on Intellectual and Developmental Disabilities","year":"2024"},{"issue":"1","key":"bibr6-17446295241304135","first-page":"1","volume":"26","author":"American Nurses Association","year":"2021","journal-title":"Online Journal of Issues in Nursing"},{"key":"bibr7-17446295241304135","unstructured":"ANA Enterprise. 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