An Ecological Perspective on Elder Abuse Interventions

Phelan, Amanda; O’Donnell, Deirdre

doi:10.1007/978-3-030-25093-5_14

Cited by 9 publications

(13 citation statements)

References 105 publications

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“…The results are presented thematically, addressing the objectives of the study 1) “The predicament: being unwilling or not able to intervene” 2) “Bridging the older people and health system gap” 3) “Getting to grips with the barriers”. Within each theme, there were multifactorial contributors identified at the individual, organizational, community and policy level of the Socio‐ecological framework (Phelan & O'Donnell, 2020). These factors interacted across the levels to influence nurses’ capability to intervene in elder abuse (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…The socio‐ecological framework takes into consideration the individual (primary care nurse) and their affiliations to people, organizations, and their community at large to be effective in elder abuse intervention. It has been suggested that a comprehensive approach, such as that offered by the socio‐ecological framework, is essential for examining the multiple level factors that might be determinants of abuse intervention (Phelan & O'Donnell, 2020). There are five levels to this framework which is – Individual, Interpersonal, Organizational, Community, and Policy (Figure 1).…”

Section: Methodsmentioning

confidence: 99%

“…The socio‐ecological framework assumes that multiple levels of influence exist, and all domains are interactive and reinforcing of each other (Kilanowski, 2017). This framework was also used to examine interventions of elder abuse, including the older person's direct surroundings to the policy and legislation (Phelan & O'Donnell, 2020). From this perspective, the socio‐ecological framework is most central to describe the multifaceted and interactive effects of nurses in elder abuse intervention.…”

Section: Introductionmentioning

confidence: 99%

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Primary care nurses’ challenges, opportunities, and facilitators of elder abuse intervention in Malaysia

Mydin

Othman

Choo

et al. 2021

Public Health Nursing

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Objectives To explore the views of nurses on challenges, perceived roles and improvement strategies concerning elder abuse intervention in Malaysia. Design and sample Eleven focus group discussions were conducted using a semi‐structured interview based on the socio‐ecological framework. The data were analyzed using a multistep process of thematic analysis. Results Three themes emerged from the data analysis: (1) The predicament: being unwilling or not able to intervene (2) Bridging the older people and health system gap (3) Getting to grips with the barriers. There are multifactorial contributors identified at the individual, interpersonal, organizational, community and policy levels in each theme. These factors interact across the levels to influence nurses’ capability to intervene in elder abuse. Conclusion A framework is needed to articulate Malaysian nurses’ role in elder abuse intervention in terms of personal and professional development through culturally sensitive education and the establishment of clinical guidelines in the primary care setting. Strengthening organizational support and the institution of national policy and permissive reporting laws of elder abuse will empower the primary care nurses to address elder abuse in primary care settings and communities.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Primary care nurses’ challenges, opportunities, and facilitators of elder abuse intervention in Malaysia

Mydin

Othman

Choo

et al. 2021

Public Health Nursing

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“…Several authors highlighted the lack of a consensus definition of elder abuse within the sector; however, most draw on the WHO definition of elder abuse, with 7 of the 10 articles including this definition (Benbow et al, 2018;Bows & Penhale, 2018;Goergen & Beaulieu, 2013;Mysyuk et al, 2013;Phelan, 2012Phelan, , 2013Yaffe & Tazarkji, 2012). Other definitions of elder abuse do not differ significantly from that proposed by the WHO.…”

Section: Table 3 (Continued)mentioning

confidence: 99%

Exploring Categories of Family Violence Across the Lifespan: A Scoping Review

Warren

Blundell

Chung

et al. 2023

Trauma, Violence, & Abuse

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Family violence may be experienced at any stage of the lifespan; however, these experiences are often understood differently based on the age of the victim and who perpetrates the abuse. The significance of age is evident in the three categories of child abuse, domestic and family violence (DFV), and elder abuse. Each of these categories has its own definition which determines who is considered a victim or a perpetrator, and the behaviors counted as violent and abusive. These definitions influence how practitioners view victim-survivors’ experiences of violence, and the subsequent available responses. This article reports the findings of a scoping review of international literature published between 2011 and 2021, which explored how family violence is categorized and defined. The review was conducted as part of a larger study exploring how violence against women in intimate and family contexts is conceptualized and experienced, as well as the available responses. Forty-eight articles were included in the final review, and five categories of violence in family and intimate contexts were identified. These were child abuse, DFV, elder abuse, adolescent-to-parent violence, and sibling abuse. Comparison of definitions across categories found similarities in terms of the relationship between victim and perpetrator, behavior, intention, and harm caused to the victim. Review findings suggest that definitions of various forms of family violence do not differ greatly. Further research is needed to determine whether responses to family violence across the lifespan can and should be streamlined.

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“…In contrast, across UK policy and practice elder abuse is subsumed within adult safeguarding. However, a common recent development across these policy contexts is to try to move theorising away from individual vulnerabilities to a more systematic approach to analysing vulnerability, highlighting cultural and structural factors that cause or aggravate harm (Phelan and O’Donnell, 2020).…”

Section: Abuse As Carer Strainmentioning

confidence: 99%

Dangerous care: developing theory to safeguard older adults in caring relationships in the UK

Sherwood-Johnson

Rummery

Lawrence

et al. 2023

JAP

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Purpose Most abuse affecting older adults in the UK, as across Europe, takes place within caring relationships, where one person is disabled and needs care/support. This paper critically appraises two of the key theoretical explanations. First, feminist theories of “intimate partner abuse” tell us that it is mostly men who perpetrate abuse against women. Second, “carer strain”: the stress caused by caring responsibilities, often with inadequate help from services. Neither fully reflects the complex dynamics of “dangerous care” leading to a lack of voice and choice in safeguarding responses. This paper aims to articulate the need for an overarching theoretical framework, informed by a deeper understanding of the intersectional risk factors that create and compound the diverse experiences of harm by disabled people and family carers over the life course. Design/methodology/approach The critical synthesis of the theoretical approaches informing UK policy and practice presented here arises from a structured literature review and discussions held with three relevant third sector agencies during the development of a research proposal. Findings No single theory fully explains dangerous care and there are significant gaps in policy, resources and practice across service sectors, highlighting the need for joint training, intersectional working and research across service sectors. Originality/value Drawing both on existing literature and on discussions across contrasting policy and practice sectors, this paper raises awareness of some less well-acknowledged complexities of abuse and responses to abuse in later life.

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An Ecological Perspective on Elder Abuse Interventions

Cited by 9 publications

References 105 publications

Primary care nurses’ challenges, opportunities, and facilitators of elder abuse intervention in Malaysia

Primary care nurses’ challenges, opportunities, and facilitators of elder abuse intervention in Malaysia

Exploring Categories of Family Violence Across the Lifespan: A Scoping Review

Dangerous care: developing theory to safeguard older adults in caring relationships in the UK

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