Abuse by care professionals. Part 1: an introduction

Barber, Christopher

doi:10.12968/bjon.2007.16.15.24518

Cited by 3 publications

(7 citation statements)

References 7 publications

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“…We need to continue to develop our thinking on frailty to better understand the impact of care on older people. Low expectations of care for older people have in the past been reinforced by legislative systems (such as the UK Poor Laws, Barber, 2007) and by ageist assumptions, but there are international commitments to improve care for older people and to prevent abuse (WHO, 2008).…”

Section: Resultsmentioning

confidence: 99%

“…The test is ‘what the ordinary skilled person exercising and professing to have that special skill, and determined by a responsible body of professional opinion, would have done in the same circumstances’ (http://www.wikipedia.org/wiki/bolam_Test). Neglect can be inaction/omission, for example withholding or failing to provide basic forms of care (Gifis, 1998; Jenkins, 2004; NMC, 2008a; Stevenson, 2008) or action/commission (Pritchard 2001 in Jenkins 2004; Hirst, 2002; Barber, 2007) such as the act of taking a decision not to perform an action. Professionals should anticipate the consequences of both action and inaction (Papworth 2007).…”

Section: Defining Neglectmentioning

confidence: 99%

“…Professionals should anticipate the consequences of both action and inaction (Papworth 2007). Neglect can be both intentional and unintentional (Hirst, 2002; Jenkins, 2004; Garner, 2006; Barber, 2007; NMC, 2008a) and in England a new offence of willful neglect (of someone who lacks mental capacity to make a decision) was introduced in Section 44 of the Mental Capacity Act 2005. Neglect can be considered as context‐bound or context‐free. Hirst (2002) contends that in some care environments a culture of abusive behaviour may already be embedded.…”

Section: Defining Neglectmentioning

confidence: 99%

“…Neglect can be both intentional and unintentional (Hirst, 2002; Jenkins, 2004; Garner, 2006; Barber, 2007; NMC, 2008a) and in England a new offence of willful neglect (of someone who lacks mental capacity to make a decision) was introduced in Section 44 of the Mental Capacity Act 2005.…”

Section: Defining Neglectmentioning

confidence: 99%

“…staffing levels, resources and equipment and training opportunities for staff. The context of care should also be considered, for example institutionalized practices (Hirst, 2002) which, in the literature, are defined as abusive but have become accepted norms of practice within individual organizations or, sometimes, recognized as sub‐optimal and labelled as ‘poor care’ (Barber, 2007). Such wider issues will not necessarily change the view of whether the care was neglectful or not, but will assist in understanding why the situation has occurred, where responsibilities rest and what actions need to be undertaken within the care setting both to safeguard others and to improve practice in the future.…”

Section: Key Components Of This Conceptionmentioning

confidence: 99%

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The concept of frailty and its significance in the consequences of care or neglect for older people: an analysis

Heath¹,

Phair²

2009

Int J Older People Nursing

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Older people, and particularly those of advanced age, become increasingly vulnerable to the consequences of abuse or neglect and, since the birth of specialist services for older people, researchers and clinicians have sought to understand the reasons for this.  Multi-agency work across the UK is developing innovative strategies, protocols and tools to support investigation into situations of possible neglect in formal care settings. Emerging within this work has been a dilemma concerning which terminology should be used to most accurately describe care in specific situations, for example should care be described as 'inadequate' or 'poor', or as 'neglect'. One key element in this decision is the consequence, or consequences, of the care for the vulnerable person, i.e. its impact on the individual. Because of the complex changes which accompany ageing, and particularly older age, this is not straightforward. Is a person's health deteriorating as a consequence of ageing or disease? Are factors such as mental state or motivation impacting on their health? Is this the trajectory that their health would naturally follow? Or is the deterioration a direct consequence of the care that they have, or have not, been given? And, if so, to what degree? Identifying ways of addressing these questions could support the development of a lexicon of terms and definitions which could be used to accurately define specific categories of neglect in specific circumstances. This paper describes the practice based dilemmas that prompted this work. It briefly sets a historical context for contemporary understandings of the mechanisms that render older people particularly vulnerable to the effects of neglect. Some perspectives on defining neglect are offered. The paper then outlines the findings of a literature review and concepts analysis of the term frailty. It offers a new definition of frailty and explains the theoretical approach within which this nests. The paper concludes with a discussion on the implications of frailty as a consequence of care or neglect for older people.

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Section: Resultsmentioning

confidence: 99%

Section: Defining Neglectmentioning

confidence: 99%

Section: Defining Neglectmentioning

confidence: 99%

Section: Defining Neglectmentioning

confidence: 99%

Section: Key Components Of This Conceptionmentioning

confidence: 99%

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The concept of frailty and its significance in the consequences of care or neglect for older people: an analysis

Heath¹,

Phair²

2009

Int J Older People Nursing

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A first online intervention to increase patients’ perceived ability to act in situations of abuse in health care: reports of a Swedish pre-post study

2015

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BackgroundEfforts to counteract abuse in health care, defined as patient-experienced abuse, have mainly focused on interventions among caregivers. This study is the first to test an online intervention focusing on how patients can counteract such abuse. The intervention aimed at increasing patients’ intention and perceived ability to act in future situations where they risk experiencing abuse.MethodsParticipants were recruited through a nephrology clinic in Sweden. The intervention consisted of an online program that aimed to stimulate patients to think of possible actions in situations in which they risk experiencing abuse. The program comprised stories and exercises in text and comic form. The participants filled out a questionnaire immediately before and after going through the program, as well as during follow-up four to eight weeks later.ResultsForty-eight patients (39 %) participated in the study and spent, on average, 41 min responding to questions and going through the program. Both men and women, of various ages and educational backgrounds, participated. An increase in participants' self-reported ability to identify opportunities to act in a given situation was seen immediately afterwards, as well as during follow up.ConclusionThe current study suggests that it is feasible and most likely useful to a variety of patients to work with the provided material that has the aim of counteracting abuse in health care. It would be of interest to further develop ways of using comics and to test similar interventions in other health care settings.

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Neglect of older people in formal care settings part one: new perspectives on definition and the nursing contribution to multi‐agency safeguarding work

Phair

Heath

2010

The Jnl of Adult Protection

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Despite widespread development in safeguarding vulnerable adults across legislation, policy, research, education and practice in recent years, some aspects of this work remain relatively ill‐defined. Neglect in formal care settings and the nursing contribution to multi‐agency safeguarding work are two such aspects. This paper offers perspectives acknowledging the current context of safeguarding. It identifies defining attributes of neglect and highlights why older people are particularly vulnerable to the consequences of neglect. The nursing contribution to multi‐agency safeguarding work, specifically health‐focused investigations, is discussed in detail, including when nurses should be involved, the knowledge and skills required and considerations for giving a professional opinion. The paper offers a model of registered nurse involvement in health safeguarding investigations and concludes with suggestions on how investigations can be approached.

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Abuse by care professionals. Part 1: an introduction

Cited by 3 publications

References 7 publications

The concept of frailty and its significance in the consequences of care or neglect for older people: an analysis

The concept of frailty and its significance in the consequences of care or neglect for older people: an analysis

A first online intervention to increase patients’ perceived ability to act in situations of abuse in health care: reports of a Swedish pre-post study

Neglect of older people in formal care settings part one: new perspectives on definition and the nursing contribution to multi‐agency safeguarding work

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