The importance of supporting unpaid carers for people living with dementia (PLWD) is recognised in adult social care policy both nationally and internationally. In the UK, social care legislation emphasises care and support should help people achieve the outcomes that matter to them in their life; this includes the opportunity to take a break from caring routines and responsibilities. Accordingly, there is growing policy and practice interest in short breaks provision to address the diversity of carer break needs and preferences and deliver meaningful outcomes for carers and those they support. This paper reports findings from qualitative staff interviews that offered strategic and operational insights into short breaks provision. It presents a dynamic model of the short break landscape in a region of Wales, describing factors shaping local and regional decision-making. The model identifies key challenges (barriers) and opportunities (enablers) that shape the planning, commissioning and delivery of bespoke short breaks for spousal carers and their partner living with dementia. Through highlighting the interplay between complex context-specific processes and contingences, the model informs initial theory development in short breaks provision.

中文翻译：

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为患有痴呆症的护理人员及其伴侣规划、委托和提供定制的短暂休息：挑战和机遇

为痴呆症患者 (PLWD) 提供无偿照护者的重要性在国内和国际的成人社会照护政策中得到认可。在英国，社会关怀立法强调关怀和支持应该帮助人们实现对他们生活至关重要的成果；这包括有机会从日常照料和责任中解脱出来。因此，政策和实践对提供短期休息的兴趣日益浓厚，以解决照顾者休息需求和偏好的多样性，并为照顾者及其支持的人提供有意义的结果。本文报告了定性员工访谈的结果，这些访谈提供了对短期休息规定的战略和运营见解。它展示了威尔士地区短暂休息景观的动态模型，描述影响地方和区域决策的因素。该模型确定了关键挑战（障碍）和机遇（促成因素），这些挑战决定了为配偶照顾者及其患有痴呆症的伴侣定制的短暂休息的规划、委托和交付。通过突出复杂的特定环境过程和偶然事件之间的相互作用，该模型为短期休息条款的初始理论发展提供信息。