Deaths from Resident‐to‐Resident Aggression in Australian Nursing Homes

Murphy, Briony; Bugeja, Lyndal; Pilgrim, Jennifer L.; Ibrahim, Joseph E.

doi:10.1111/jgs.15051

Cited by 27 publications

(62 citation statements)

References 29 publications

(64 reference statements)

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“…This inaction could be harmful because it may allow this abuse to continue and lead to more serious harm (Ferrah et al, 2015;Lachs et al, 2016;Lindner et al, 2007;Murphy et al, 2017). The lack of documentation of R-REM has a negative impact on the care of the older people, because other staff may not be aware of the abuse occurring (Rosen et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…A prevalence of 20.2% for R‐REM, was estimated in older people exposed to at least one of the subtypes of R‐REM (in a 1‐month observation period) and the most common abuse was verbal aggression (9.1%) followed by physical abuse (5.2%) and sexual violence (0.6%) (Lachs et al., ). This indicates that many older people living in aged care facilities have experienced R‐REM in their daily life and can be exposed to serious harm (Ferrah et al., ; Lachs et al., ) including fatal events (Ferrah et al., ; Lachs et al., ; Lindner et al., ; Murphy et al., ). Therefore, R‐REM has become a complex problem for nursing staff providing the care of older people in aged care facilities (Ellis et al., ; Lindbloom et al., ; McDonald et al., b), since they could experience diverse subtypes of R‐REM such as verbal, physical, sexual, etc.…”

Section: Introductionmentioning

confidence: 99%

“…R-REM has become a global issue of concern; however, it is still an understudied research area and the occurrence of R-REM in aged care facilities has not received adequate attention; even though R-REM is a potentially serious issue for older people living in aged care facilities (Ferrah et al, 2015;Lachs et al, 2016;Lindner et al, 2007;Murphy et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…R-REM is a potentially serious issue for older people because minor injuries can have catastrophic consequences and most of them are also affected with chronic diseases, impairments or disabilities and are unable to report the abusive experience (Hawes, 2003;Spector et al, 2001). Therefore, it is vital to prevent and/or reduce R-REM and give a safe environment for older people living in aged care facilities (Ferrah et al, 2015;Lachs et al, 2016;Lindner et al, 2007;Murphy, Bugeja, Pilgrim, & Ibrahim, 2017).…”

mentioning

confidence: 99%

See 3 more Smart Citations

Implementation and evaluation of an education programme for nursing staff on recognising, reporting and managing resident‐to‐resident elder mistreatment in aged care facilities

Ellis

Quintanilla

Ward

et al. 2018

Journal of Advanced Nursing

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Implementation and evaluation of an education programme for nursing staff on recognising, reporting and managing resident‐to‐resident elder mistreatment in aged care facilities

Ellis

Quintanilla

Ward

et al. 2018

Journal of Advanced Nursing

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“…Compared to research on elder abuse committed by healthcare staff [3], and the violence directed toward caregivers by nursing home residents [4][5][6][7], few studies have examined the occurrence of aggression that occurs between residents in long-term care facilities [2,8,9]. Such aggression has been associated with a range of serious health consequences, from minor bruises to fatal injuries, psychological distress, poorer quality of life, and an increased risk of hospitalisations and premature death [2,8,[10][11][12]. Resident-to-resident aggression may also create an unsafe and stressful working environment for healthcare staff [8,13].…”

Section: Introductionmentioning

confidence: 99%

Resident-to-resident aggression in Norwegian nursing homes: a cross-sectional exploratory study

et al. 2020

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Background: Resident-to-resident aggression in nursing homes is a public health problem of growing concern, impacting the safety, health and well-being of all residents involved. Despite this, little research has been conducted on its occurrence particularly in large-scale national studies. The aim of this study was to explore the extent and nature of resident-to-resident aggression in Norwegian nursing homes, as reported by nursing staff. Methods: We conducted a cross-sectional exploratory study, where nursing staff in 100 randomly selected Norwegian nursing homes completed a pen and paper survey measuring how often they had observed incidents of resident-to-resident aggression during the past year. These rates were separated according to nursing home size, location and units of workplace. Results: Of the 3693 nursing staff who participated (response rate 60.1%), 88.8% had observed one or more incidents of resident-to-resident aggression during the past year, with acts of verbal and physical aggression being the most commonly reported. Nursing staff working in dementia special care units, larger nursing homes and nursing homes located in suburban/urban municipalities, reported more incidents of resident-to-resident aggression than staff in short-term and long-term units, small institutions, and nursing homes located in rural municipalities. Conclusions: This is the first national study of resident-to-resident aggression in Norwegian nursing homes and is one of the largest surveys worldwide exploring the extent and nature of resident-to-resident aggression in long-term care settings. Overall, we found a high occurrence of all types of aggression, suggesting a need for strategies to improve residents' safety and quality of life in nursing homes.

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Estimated Prevalence of Resident-to-Resident Aggression in Assisted Living

Pillemer,

Teresi,

Ramirez

et al. 2024

JAMA Netw Open

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ImportanceResident-to-resident aggression in assisted living facilities can result in physical and psychological harm, but its prevalence is unknown.ObjectiveTo estimate the prevalence of resident-to-resident aggression, including physical, verbal, and sexual, among residents in assisted living facilities.Design, Setting, and ParticipantsThis study used cross-sectional, observational data from a clinical trial, in which residents of assisted living facilities were monitored for events over a 1-month period. All residents of 14 large facilities randomly selected from 2 geographic locations (N = 1067), except those receiving hospice care (n = 11), were invited to participate; 93 died or moved prior to enrollment. There were 33 family and resident refusals; 930 residents were enrolled. Data were collected between May 30, 2018, and August 11, 2022.Main Outcomes and MeasuresThe data are from a clinical trial testing the effectiveness of an intervention to reduce resident-to-resident aggression. In addition, the study was designed to assess prevalence using the Time 1 (baseline) data, using a probability sample of facilities to allow for this analysis. Resident-to-resident aggression was identified using a mixed-method, case-finding strategy involving 6 sources: (1) cognitively capable resident reports regarding 22 possible events, (2) direct care staff report, (3) staff member reports collected from event-reporting forms, (4) research assistant observation of events in real time, (5) facility accident or incident reports, and (6) resident records.ResultsThe prevalence of resident-to-resident aggression among the 930 participants (mean [SD] age, 88.0 [7.2] years; 738 women [79.4%]) during the past month was estimated to be 15.2% (141 of 930 residents; 95% CI, 12.1%-18.8%). The most common forms of aggression included verbal (11.2% [104 of 930 residents; 95% CI, 8.8%-14.2%]), physical (41 of 930 residents; 4.4% [95% CI, 3.1%-6.3%]), sexual (0.8% [7 of 930 residents; 95% CI, 0.4%-1.6%]), and other (70 of 930 residents; 7.5% [95% CI, 5.5%-10.2%]). These categories are not mutually exclusive as residents could be involved with more than 1 type of aggressive behavior.Conclusions and RelevanceIn this cross-sectional, observational prevalence study, resident-to-resident aggression in assisted living facilities was highly prevalent. Verbal aggression was the most common form, and physical aggression also occurred frequently. The effects of resident-to-resident aggression can be both morbid and mortal; therefore, intervention research is needed to prevent it and to treat it when it occurs.

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Deaths from Resident‐to‐Resident Aggression in Australian Nursing Homes

Abstract: This is the first national study in Australia, and the largest internationally, to examine RRA deaths using medicolegal data. This generates hypotheses for future research on the effect of environmental and organizational factors on the frequency and preventability of RRA.

Cited by 27 publications

References 29 publications

Implementation and evaluation of an education programme for nursing staff on recognising, reporting and managing resident‐to‐resident elder mistreatment in aged care facilities

Implementation and evaluation of an education programme for nursing staff on recognising, reporting and managing resident‐to‐resident elder mistreatment in aged care facilities

Resident-to-resident aggression in Norwegian nursing homes: a cross-sectional exploratory study

Estimated Prevalence of Resident-to-Resident Aggression in Assisted Living

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