Bridging the Gap: A Reflexive Thematic Analysis of the Value of Developmental Disabilities Nurses
Melissa L. DesrochesABSTRACT
Aims
To explore how developmental disabilities nurses conceptualise their specialty's contribution to health and well‐being.
Design
Qualitative study informed by critical realism and reflexive thematic analysis.
Methods
Eighteen experienced developmental disabilities nurses recruited at the 2023 Developmental Disabilities Nurses Association conference completed semi‐structured interviews. Data were analysed using Braun and Clarke's reflexive thematic analysis.
Results
Participants described developmental disabilities nursing as bridging the gap between people with developmental disabilities and care systems. This bridge integrated embodied values, specialist expertise and person‐centered knowing and connecting throughout the nursing process. Key activities included figuring it out, aggressive advocacy, cultivating understanding and care planning and oversight, helping ensure nothing fell through the cracks and supporting longer, fuller lives.
Conclusion
Developmental disabilities nursing integrates specialist expertise, values and person‐centered care to bridge fragmented systems and address health inequities.
Implications for the Profession and/or Patient Care
Education and workforce development should recognise and strengthen developmental disabilities nurses' specialist contributions.
What Problem Did the Study Address?
This is the first empirical US study examining how developmental disabilities nurses conceptualise their specialty's contribution.
What Were the Main Findings?
Developmental disabilities nurses bridge fragmented systems through specialist expertise, embodied values, person‐centered care and distinctive nursing interventions.