Evaluating the Effectiveness of I-NEED Program: Improving Nurses’ Detection and Management of Elder Abuse and Neglect—A 6-Month Prospective Study

Abstract

Elder abuse and neglect (EAN) goes largely unrecognized and underreported globally by health care professionals. Despite acknowledging their role to intervene elder abuse, health care professionals lacked knowledge and skills in this issue. This is a single-blinded, three-armed, cluster randomized controlled trials aimed to evaluate the effectiveness of the face-to-face Improving Nurses’ dEtection and managEment of elDer abuse and neglect (I-NEED) intensive training program and I-NEED educational video in improving primary care nurses’ knowledge, attitude, and confidence to intervene EAN; 390 primary care nurses were randomized equally into two intervention groups—ITP group (intensive training program) and ITP+ group (intensive training program and educational video)—and a control group. The knowledge, attitudes, and confidence to intervene EAN were measured using questionnaires at four intervals during 6-month follow-up. A total of 269 primary care nurses participated in this study. There was a significant increase in knowledge, attitude, and confidence to intervene EAN immediately post intervention observed in both intervention groups compared to the control group ( p < .001). At the end of sixth month, there was an increase of knowledge favoring ITP group than the ITP+ group ( p < .001). There is, however, no significant difference in attitude score between ITP and ITP+ group. There is a significant difference of confidence to intervene among the participants between both intervention groups with ITP+ participants reporting higher scores post intervention ( p < .05). An intensive training module improved the knowledge, attitude, and confidence to intervene EAN. Other co-existing barriers for abuse victims getting help, resources, policy, and law of EAN need further highlights.

The impact of elder abuse training on subacute health providers and older adults: Study protocol for a randomized control trial

“…Reviews [14,15] consistently identify the most effective interventions to stop and prevent further occurrence of elder abuse include educating health providers, and involving multidisciplinary services. The few randomised control trials (RCTs) in this area mostly focus on one of these interventions, demonstrating that training health providers, can improve awareness and knowledge elder abuse response [16,17], and improve how student practitioners detect nancial elder abuse [18]. Evidence regarding the impact of training on health providers' attitudes, detection and reporting rates within health services is sparse [11,19,20].…”

The Experiences of Health Professionals Working in Family Health Centers with the Abuse of Older Adults and Related Factors: A Cross-Sectional Study

“…7 Bununla birlikte yaşa bağlı kronik hastalıklar nedeniyle istismara uğrayan bireylerin 1. basamak sağlık hizmetlerini daha fazla kullandığı tahmin edilmektedir. 8 Bu nedenle 1. basamakta çalışan sağlık profesyonelleri, yaşlı istismarını belirleme, bildirme ve önleme konusunda anahtar bir konumda yer almaktadır. 9,10 Ancak yapılan çalışmalarda, sağlık profesyonellerinin, özellikle aile hekimleri ve hemşirelerin bu konuda yeterli bilgi ve tutuma sahip olmadığı; risk faktörlerini tanılamada bazı engellerin olduğu bildirilmiştir.…”