Abuse of the Elderly by Formal Caregivers in Nursing Homes : A Systematic Review of Underlying Factors
Akpeniba, James (2016)
Akpeniba, James
Yrkeshögskolan Arcada
2016
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2016102915526
https://urn.fi/URN:NBN:fi:amk-2016102915526
Tiivistelmä
ABSTRACT
Background: Elderly abuse is prevalent in the general population setup as well as in institutional settings such as the nursing home. It is even expected to increase due to the aging world population which will put more elderly people in the vulnerable position to be abused. Although there have been large numbers of research about elderly abuse in the general population, research about the phenomenon in institutional settings is limited. In this regard, this study aimed to (1) identify the types and prevalence of elder abuse in nursing homes, (2) identify the risk factors and possible causes of elderly abuse by health care professionals in nursing homes and (3) identify the prevention and intervention strategies to curtail elderly abuse in nursing homes.
Method: To achieve this, ten (10) articles were selected from two main data bases (CINAHL-ABSCO host and SAGE Journal) and reviewed based on a set criterion. A qualitative content analysis was then applied in the analysis of the result.
Findings: Findings from the study indicate that about 11% to 29.1 % of residents have reported to have been a victim of at least one form of elder abuse within the past year in institutional setting. The commonest form of elderly abuse in nursing homes was identified to be neglect and emotional/psychological abuse. The least form of elderly abuse was sexual and material abuse. The study also identified risk factors such as residents’ behavioral problem and limitation in ADL/IADL, staff stress and burnout, and poor working condition, unclear roles, poor leadership and insufficient supplies in the facilities to increase the incidence of elderly abuse in nursing homes. Strategies that could improve on these risk factors were also identified to help in preventing elderly abuse in nursing home.
Conclusion: In conclusion, elderly abuse is prevalent in nursing homes due mainly to the interplay of characteristics associated with the resident, the staff (nurses) and the institution in general. It is therefore important to involve all these stakeholders in order to improve on this problem in nursing homes.
Background: Elderly abuse is prevalent in the general population setup as well as in institutional settings such as the nursing home. It is even expected to increase due to the aging world population which will put more elderly people in the vulnerable position to be abused. Although there have been large numbers of research about elderly abuse in the general population, research about the phenomenon in institutional settings is limited. In this regard, this study aimed to (1) identify the types and prevalence of elder abuse in nursing homes, (2) identify the risk factors and possible causes of elderly abuse by health care professionals in nursing homes and (3) identify the prevention and intervention strategies to curtail elderly abuse in nursing homes.
Method: To achieve this, ten (10) articles were selected from two main data bases (CINAHL-ABSCO host and SAGE Journal) and reviewed based on a set criterion. A qualitative content analysis was then applied in the analysis of the result.
Findings: Findings from the study indicate that about 11% to 29.1 % of residents have reported to have been a victim of at least one form of elder abuse within the past year in institutional setting. The commonest form of elderly abuse in nursing homes was identified to be neglect and emotional/psychological abuse. The least form of elderly abuse was sexual and material abuse. The study also identified risk factors such as residents’ behavioral problem and limitation in ADL/IADL, staff stress and burnout, and poor working condition, unclear roles, poor leadership and insufficient supplies in the facilities to increase the incidence of elderly abuse in nursing homes. Strategies that could improve on these risk factors were also identified to help in preventing elderly abuse in nursing home.
Conclusion: In conclusion, elderly abuse is prevalent in nursing homes due mainly to the interplay of characteristics associated with the resident, the staff (nurses) and the institution in general. It is therefore important to involve all these stakeholders in order to improve on this problem in nursing homes.