The overall aim with this study was to explore the understanding of how nursing staff - at a service flat in the county of Gävleborg, is related to the residents with intellectual disabilities, with regard to the residents' health. Five personal research interviews were conducted with nursing staff in a sheltered housing. The survey was based on a qualitative method with semi-structured interviews. Five nursing staff aged 27-57 were participated in this investigation. The analysis was conducted, by using a thematic approach. My overall findings show that Nursing staff have different roles to play depending on the situation in their relationship with the residents. They also face difficult decisions when it comes to residents' health versus the residents' right to self-determination. The lack of understandings consequences of their (residents) choices is also seen as a reason for their health situation. Nursing staff calls for educated in nutrition and health issues for them and the residents, but also guidelines in their health promotion.

Bakgrund: Personer med funktionsnedsättning har i förhållande till övrig befolkning en lägre grad av delaktighet. De individer sin får stöd inom ramen för Lagen om stöd och service till vissa funktionshindrade (LSS) hamnar i en beroendeställning till den personal som utför insatserna. I syfte att öka brukares delaktighet används Delaktighetsmodellen, vilken bygger på professionellt ledda dialogmöten mellan brukare och habiliterare. Syfte: Syftet med studien är att undersöka hur erfarenheter och kunskaper från rollen som vägledare inom Delaktighetsmodellen har kommit till användning i habiliterares ordinarie arbete. Metod: En kvalitativ studie med induktiv ansats. Sex habiliterare, en man och fem kvinnor, deltog i semistrukturerade intervjuer. Utöver spridning i kön fanns också en spridning i ålder, utbildning och specifik yrkeserfarenhet. Resultat: Respondenterna upplevde att de erfarenheter och kunskaper de fått i och med sin vägledarroll har lett till reflektioner kring hur ens egna värderingar och attityder påverkar delaktigheten hos brukare samt vilken betydelse dessa insikter har för den professionella utvecklingen. Vidare visade resultatet att vägledarrollen har uppmärksammat respondenterna på maktförhållanden som råder mellan deras habiliterare och brukare samt vilken roll vägledaren kan fylla när det kommer till att skapa förutsättningar för en ökad delaktighet hos brukare. Slutsats: Vägledarutbildningen har lett till att habiliterarna reflekterat kring yrkesrollen samt fått insikt i hur värderingar och attityder påverkar brukares delaktighet. Habiliterarna har även fått en ökad känsla av meningsfullhet och förståelse för uppdraget och därmed en större trygghet i yrkesrollen. Studien belyser även komplexiteten i habiliteraruppdraget och vikten av kompetensutveckling och kontinuerlig reflektion kring uppdraget. / Background: People with disability report a lower level of social participation than others. Getting support through the Act concerning Support and Service for Persons with Certain Functional Impairments (LSS) lead to a dependency towards the support-staff. The Involvement Model is meant to increase the level of involvement among people with disabilities, with the guidance from trained facilitators. Aim: The aim of the study was to describe how the experience from being a facilitator in The Involvement Model have come into use in the support- staff’s ordinary occupation in-group homes. Methods: A qualitative interview with an inductive approach was used. There were six participants in the study, one male and five female. All of them where support-staff in-group homes. Apart from the variation in gender, there was also a difference in age, level of education and professional experience among the participants. Results: The participants reported that their role as a facilitator had led to awareness about how values and attitudes effect the involvement among people with disabilities. The participants describe their experience as professional development. They also report that they see their occupation from a new perspective and have realized their role in facilitating involvement for people with disabilities. Conclusions: This study has showed that the experience the support-staff gained, through the facilitator-education, led to an awareness about their role in empowering involvement. They also reported an increased meaning and understanding in their professional role. This study can also contribute to show the complexity of the support-staffs role.