Aged care managers' perceptions of staff preparedness for caring for older survivors of genocide and mass trauma in <scp>A</scp>ustralia: How prepared are aged care workers?

Teshuva, Karen; Wells, Yvonne

doi:10.1111/ajag.12286

Cited by 7 publications

(8 citation statements)

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“…This phenomenon may be exacerbated for survivors with dementia, as they may experience the intrusion of terrifying and painful memories of earlier trauma upon their current reality (David & Pelly, 2003). The difficulties that paid carers face in working with survivors are thought to arise to some extent from insufficient knowledge and skills for dealing with the effects of extreme trauma (Joffe, Joffe, & Brodaty, 1996; Teshuva & Wells, 2016).…”

Section: Introductionmentioning

confidence: 99%

The Lived Experience of Providing Care and Support Services for Holocaust Survivors in Australia

2016

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Lack of awareness among paid carers of the possible late-life consequences of early-life periods of extreme and prolonged traumatization may have negative impacts on the experiences of trauma survivors in receiving care. An interpretive phenomenological approach was used to investigate the lived experience of paid carers in providing care for Jewish Holocaust survivors. In total, 70 carers participated in 10 focus group discussions. Credibility of the findings was ensured by methodological triangulation and peer debriefing. Three major themes emerged: (a) knowing about survivors' past helps me make sense of who they are, (b) the trauma adds an extra dimension to caregiving, and (c) caring for survivors has an emotional impact. Specific knowledge, attitudes, and skills for building positive care relationships with Holocaust survivors were identified. The findings offer a starting point for advancing knowledge about the care of older survivors from other refugee backgrounds.

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Section: Introductionmentioning

confidence: 99%

The Lived Experience of Providing Care and Support Services for Holocaust Survivors in Australia

2016

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“…The strong feeling of trusting only yourself after having survived trauma has also been described by Teshuva et al 49 and Teshuva and Wells. 50 The lack of the cognitive-emotional ability to integrate past experiences into current life circumstances is also considered 51 to be even more challenging, since the post-traumatic stress of Holocaust survivors resides long in their past. One explanation could be that what a person experiences as a safe and known environment suddenly becomes extremely threatening and hostile without rational explanation or, for the NAs, apparent meaning; the occurrence of such a situation is therefore unpredictable.…”

Section: Discussionmentioning

confidence: 99%

Caring for older people with dementia reliving past trauma

Craftman

Swall

Båkman³

et al. 2019

Nurs Ethics

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Background: The occurrence of behavioural changes and problems, and degree of paranoid thoughts, are significantly higher among people who have experienced extreme trauma such as during the Holocaust. People with dementia and traumatic past experiences may have flashbacks reminding them of these experiences, which is of relevance in caring situations. In nursing homes for people with dementia, nursing assistants are often the group of staff who provide help with personal needs. They have firsthand experience of care and managing the devastating outcomes of inadequate understanding of a person’s past experiences. Aim: The aim was to describe nursing assistants’ experiences of caring for older people with dementia who have experienced Holocaust trauma. Research design: A qualitative descriptive and inductive approach was used, including qualitative interviews and content analysis. Participants and research context: Nine nursing assistants from a Jewish nursing home were interviewed. Ethical considerations: The study was approved by the Regional Ethical Review Board, Stockholm. Findings: The theme ‘Adapting and following the survivors’ expression of their situation’ was built on two categories: Knowing the life story enables adjustments in the care and Need for flexibility in managing emotional expressions. Discussion and conclusion: The world still witnesses genocidal violence and such traumatic experiences will therefore be reflected in different ways when caring for survivors with dementia in the future. Person-centred care and an awareness of the meaning of being a survivor of severe trauma make it possible to avoid negative triggers, and confirm emotions and comfort people during negative flashbacks in caring situations and environments. Nursing assistants’ patience and empathy were supported by a wider understanding of the behaviour of people with dementia who have survived trauma.

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“…A survey of 60 aged care service managers’ perceptions of staff preparedness for working with older people who experienced genocide or mass trauma earlier in their lives reported that three‐quarters of agencies had provided aged care services for older survivors . While some managers felt that their staff were moderately informed about trauma‐related issues, overall, managers felt that staff preparedness for providing care for older survivors could be improved …”

Section: Residential Aged Carementioning

confidence: 99%

Delivering inclusive and quality services in community and residential aged care settings

Parkinson

Radford

2019

Australas J Ageing

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Aged care managers' perceptions of staff preparedness for caring for older survivors of genocide and mass trauma in Australia: How prepared are aged care workers?

Abstract: Results suggest that, overall, managers perceive a need to improve aged care staff's preparedness for providing care for older survivors.

Cited by 7 publications

References 10 publications

The Lived Experience of Providing Care and Support Services for Holocaust Survivors in Australia

The Lived Experience of Providing Care and Support Services for Holocaust Survivors in Australia

Caring for older people with dementia reliving past trauma

Delivering inclusive and quality services in community and residential aged care settings

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