Elder Mistreatment in the Nursing Home: A Systematic Review

Lindbloom, Erik; Brandt, Julie; Hough, Landon; Meadows, Susan E.

doi:10.1016/j.jamda.2007.09.001

Cited by 103 publications

(95 citation statements)

References 77 publications

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“…Generally speaking, nurses have difficulty in acknowledging an elderly individual as a partner in care. This finding reflects some of the six common characteristics of abusive caregivers of elderly individuals: low job satisfaction, perception of elderly individual as a child, burnout syndrome, inability to cope with a stressful work environment, domestic violence, mental illness, and drug/ alcohol abuse (25). Conversely, the probability of high DP significantly drops in nurses who read professional medical literature on how to take care of the elderly (OR=0.44) (Table 6).…”

Section: Figure 1 the Percentage Of Respondents Who Completely Agree mentioning

confidence: 78%

Is the burnout syndrome associated with elder mistreatment in nursing homes: results of a cross-sectional study among nurses

Neuberg

Železnik

Meštrović³

et al. 2017

Archives of Industrial Hygiene and Toxicology

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As this issuehas not yet been addressed in Croatia, our aim was to explore the presence of the burnout syndrome in nurses and see how it is related to their perception of elder mistreatment in nursing homes and extended care units. The burnout syndrome was assessed in 171 nursing professionals with a standardised Maslach Burnout Inventory for Human Services Survey (MBI-HSS) for three dimensions: emotional exhaustion (EE), depersonalisation (DP), and personal accomplishment (PA). High EE was reported by 43.9 %, high DP by 22.2 %, and low PA by 39.8 % of the respondents. Their perception of elder abuse and neglect was investigated with two self-completion questionnaires. The answers suggest that elder mistreatment in Croatian nursing homes and extended care units is more common than expected: 55 % witnessed shouting at a resident in anger, 43 % insulting and swearing at a resident, 42 % force-feeding the resident, 39 % ignoring a resident when they called, and 38 % neglecting to turn or move a resident to prevent pressure sores. We also established associations between a number of questionnaire items on perceived abuse and neglect and the burnout syndrome dimensions and determined the items that predicted the type and level of burnout in our respondents. One way to avoid the pitfalls that lead to abuse and neglect is education in schools and at work. We believe our research could contribute to this end.

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Section: Figure 1 the Percentage Of Respondents Who Completely Agree mentioning

confidence: 78%

Is the burnout syndrome associated with elder mistreatment in nursing homes: results of a cross-sectional study among nurses

Neuberg

Železnik

Meštrović³

et al. 2017

Archives of Industrial Hygiene and Toxicology

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“…Important and often neglected cause of appetite and weight loss is elder abuse, which can also present with anorexia (Lindbloom et al 2007). Verbal mistreatment was self-reported by 38 % of older adults (Fulmer et al 2014), while it may also include other forms: psychological abuse, physical abuse, financial exploitation, and caregiver neglect (Dong and Simon 2013).…”

Section: Social Factors Of the Anorexia Of Agingmentioning

confidence: 99%

Mechanisms of the anorexia of aging—a review

Wysokiński

Sobów

Kłoszewska

et al. 2015

AGE

189

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Many, even healthy, older people fail to adequately regulate food intake and experience loss of weight. Aging-associated changes in the regulation of appetite and the lack of hunger have been termed as the anorexia of aging. The etiology of the anorexia of aging is multi-factorial and includes a combination of physiological changes associated with aging (decline in smell and taste, reduced central and peripheral drive to eat, delayed gastric emptying), pathological conditions (depression, dementia, somatic diseases, medications and iatrogenic interventions, oral-health status), and social factors (poverty, loneliness). However, exact mechanisms of the anorexia of aging remain to be elucidated. Many neurobiological mechanisms may be secondary to age-related changes in body composition and not associated with anorexia per se. Therefore, further studies on pathophysiological mechanisms of the anorexia of aging should employ accurate measurement of body fat and lean mass. The anorexia of aging is associated with protein-energy malnutrition, sarcopenia, frailty, functional deterioration, morbidity, and mortality. Since this symptom can lead to dramatic consequences, early identification and effective interventions are needed. One of the most important goals in the geriatric care is to optimize nutritional status of the elderly.

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“…While in the general population around 10% of older people are affected [3,4] , in institutional settings between 10 and 54% of staff report committing abuse and over 80% have observed abuse occurring [4][5][6] . Elder abuse is associated with a negative impact on elders' physical and emotional health, including depression and anxiety, higher admission rates to skilled nursing facilities, and higher rates of mortality [3,[7][8][9] . Older adults with dementia are especially vulnerable to being abused by their carers [3,10] .…”

Section: Introductionmentioning

confidence: 99%

Elder Abuse in Nursing Homes: Do Special Care Units Make a Difference? A Secondary Data Analysis of the Swiss Nursing Homes Human Resources Project

Arens

Fierz

Zúñiga³

2016

Gerontology

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Background: In special care units (SCUs) for residents with advanced dementia, both personnel and organizations are adapted to the needs of residents. However, whether these adaptations have a preventive effect on elder abuse has not yet been explored. Objective: To describe the prevalence of observed emotional abuse, neglect, and physical abuse in Swiss nursing homes, to compare SCUs with non-SCUs concerning the frequency of observed emotional abuse, neglect, and physical abuse, and to explore how resident-related characteristics, staff outcomes/characteristics, and organizational/environmental factors relate to observed elder abuse. Methods: This is a secondary data analysis of the Swiss Nursing Homes Human Resources Project (SHURP), a cross-sectional multicenter study. Data were collected from 2012 to 2013 and are based on observed rather than perpetrated elder abuse. We performed multilevel mixed-effects logistic regressions taking into account the hierarchical structure of the data with personnel nested within units and facilities. Results: Of 4,599 care workers in 400 units and 156 facilities, 50.8% observed emotional abuse, 23.7% neglect, and 1.4% physical abuse. There was no significant difference between SCUs and non-SCUs regarding observed emotional abuse and neglect. Higher scores for ‘workload' and sexual aggression towards care workers were associated with higher rates of emotional abuse and neglect. Verbal and physical resident aggression, however, were only associated with higher rates of emotional abuse. Negative associations were found between ‘teamwork and resident safety climate' and both forms of abuse. Conclusion: Improving teamwork and the safety climate and reducing work stressors might be promising points of intervention to reduce elder abuse. More specific research about elder abuse in SCUs and the interaction between work climate and elder abuse is required.

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Elder Mistreatment in the Nursing Home: A Systematic Review

Cited by 103 publications

References 77 publications

Is the burnout syndrome associated with elder mistreatment in nursing homes: results of a cross-sectional study among nurses

Is the burnout syndrome associated with elder mistreatment in nursing homes: results of a cross-sectional study among nurses

Mechanisms of the anorexia of aging—a review

Elder Abuse in Nursing Homes: Do Special Care Units Make a Difference? A Secondary Data Analysis of the Swiss Nursing Homes Human Resources Project

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