Elder Abuse in Residential Settings in Israel—Myth or Reality?

Mpa, Ariela Lowenstein PhD and

doi:10.1300/j084v10n01_09

Cited by 8 publications

(8 citation statements)

References 32 publications

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“…The results also demonstrated that inadequate care of a negligent and emotional character was most frequently reported. These findings are in accordance with earlier reports (7, 8, 20, 35, 36). The most frequently reported act of emotional character both observed and committed was to enter a resident’s room without knocking.…”

Section: Discussionsupporting

confidence: 94%

Inadequate care in Norwegian nursing homes – as reported by nursing staff

Malmedal

Ingebrigtsen

Saveman

2009

Scandinavian Caring Sciences

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Studies have shown that inadequate care, also referred to as abuse, violence, neglect and maltreatment occur in nursing homes in many countries. The aim of this study was to describe the frequency and types of inadequate care committed by staff in nursing homes. Another aim was to investigate if nursing staff reported differently depending on age, education level and years of experience working at nursing homes. A questionnaire survey was conducted among nursing staff (n = 616) in 16 nursing homes in the central part of Norway. Twenty items concerned staff behaviour in forms of acts of inadequate care. The respondents were asked to report how often they had observed colleagues commit acts and how often they themselves had committed such acts. The response rate was 79%. All in all, 91% of the nursing staff reported that they had observed at least one act of inadequate care and 87% reported that they had committed at least one act of inadequate care. Acts of negligent and emotional character were most frequently reported, both as observed and committed. Depending on the higher educational level that the nursing staff had more acts of all types were observed and committed. The oldest staff and those with longest experience at the present nursing home reported more observed and committed acts of physical character than did the others. The extent of inadequate care confirms that this is a common part of activities in nursing homes. Because emotional and negligent acts can be just as harmful as physical acts, more knowledge is needed about the reasons in order to take preventive actions.

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Section: Discussionsupporting

confidence: 94%

Inadequate care in Norwegian nursing homes – as reported by nursing staff

Malmedal

Ingebrigtsen

Saveman

2009

Scandinavian Caring Sciences

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“…Studies indicate that the work environment has a crucial effect on maltreatment of elders in long‐term facilities (Pillemer 1988). Lowenstein (1999) reported that most maltreatment incidents perpetrated in Israel are at facilities with a small number of patients. In contrast, two studies claim that licensed facilities with a large number of patients are associated with a higher incidence of maltreatment (Allen et al.…”

Section: The Theory Of Reasoned Actionmentioning

confidence: 99%

Psycho‐social factors affecting elders' maltreatment in long‐term care facilities

Natan

Lowenstein

Eisikovits

2010

International Nursing Review

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“…In addition, we wished to assess how far the risk indicators that have been found suitable for identifying abuse among community-dwelling older people applied in long-term residential facilities, and to assess these in relation to socio-demographic and health variables. The study used Lowenstein's (1999) broader definition of abuse that includes physical and psychological abuse, neglect, financial exploitation, disrespectful behaviour and humiliation.…”

Section: Introductionmentioning

confidence: 99%

“…It includes physical, psychological and sexual abuse, financial exploitation, passive or active neglect, and violations of rights (Dixon et al 2010; Joshi and Flaherty 2005; Payne and Burke-Fletcher 2005). Lowenstein's (1999) broad definition of abuse included violations of care, such as lack of privacy, de-individuation, infantilisation and disrespectful behaviours, which impair the elder residents' quality of life.…”

Section: Introductionmentioning

confidence: 99%

“…Precise data on the prevalence of abuse or neglect in long-term institutions for frail older people are lacking, because of the hidden nature of abuse in institutions (Baker and Heitkemper 2005) and inadequate procedures for its assessment and identification (Liang 2006). Based on a multi-dimensional analysis of the situation in Israel, Lowenstein (1999) concluded that severe forms of abuse were mainly confined to a few small, private unlicensed facilities, but a wider range of mistreatments, including disrespectful behaviours and humiliation, were much more prevalent. A study of frail older people living in the community or in nursing homes and sheltered homes in Sweden revealed that 11 per cent of the nursing aides had observed incidents of physical, psychological, financial and sexual abuse or neglect, while 2 per cent admitted committing abusive behaviours (Saveman et al 1999).…”

Section: Introductionmentioning

confidence: 99%

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Elder abuse in long-term care residences and the risk indicators

et al. 2010

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The aim of the study was to assess the prevalence of abuse among the residents of long-term care facilities in Israel, and its associations with risk indicators. Seventyone such residents aged 70 or more years were assessed in the internal and orthopaedic departments of two university medical centres for possible abuse by carers at the long-term facilities from which they were admitted. The study collected socio-demographic and health profiles and a list of maltreatment or abusive acts, and administered the Signs of Abuse Inventory and the Expanded Indicators of Abuse Questionnaire. Among the 71 residents, 31 per cent reported some form of maltreatment, most being instances of disrespectful behaviour. Signs of abuse, mostly of neglect, were detected in 22.5 per cent of the sample. Hierarchical regression analysis revealed that higher scores on risk indicators and higher dependence on others for the activities of daily living significantly associated with reported abuse, while age, gender, risk indicators and lower blood albumin level (being an indicator of worse nutritional and health status) significantly associated with identified signs of abuse. It is concluded that direct questioning mainly discloses instances of disrespectful behaviours and humiliation, while the assessment of signs of abuse is more sensitive to cases of neglect. Risk indicators were found to be reliable indicators of abuse. Routine screening for these indicators is recommended to improve detection and thereby to prevent abuse in long-term care facilities.KEY WORDS -elder abuse, long-term facilities, signs of abuse, risk indicators.

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Elder Abuse in Residential Settings in Israel—Myth or Reality?

Cited by 8 publications

References 32 publications

Inadequate care in Norwegian nursing homes – as reported by nursing staff

Inadequate care in Norwegian nursing homes – as reported by nursing staff

Psycho‐social factors affecting elders' maltreatment in long‐term care facilities

Elder abuse in long-term care residences and the risk indicators

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