Resident-to-resident physical aggression leading to injury in nursing homes: a systematic review

Abstract

we must continue to grow our knowledge base on the nature and circumstances of RRA to prevent harm to an increasing vulnerable population of nursing home residents and ensure a safe working environment for staff.

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

“…Information contained in the coronial record included police report, witness statements (from family members, nursing home staff, or treating health care professionals), medical or nursing notes (where available), autopsy report, toxicology report, and coroners' finding. Variables for collection were derived from findings of a systematic literature review and informed by the Socio‐Ecological Model (SEM) for violence prevention . The SEM is a theory‐based framework that advocates for collection and analysis of information at the individual, interpersonal, incident, organizational, and societal level to identify opportunities for health promotion and injury prevention at each level .…”

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

“…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).…”

“…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.…”

“…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).…”

“…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).…”