Hospitalized elder abuse in Iran: a qualitative study

Naderi, Zeinab; Gholamzadeh, Sakineh; Zarshenas, Ladan; Ebadi, Abbas

doi:10.1186/s12877-019-1331-8

Cited by 24 publications

(30 citation statements)

References 38 publications

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“…The mistreatment older adults experience from healthcare professionals during the COVID‐19 pandemic confirm the known research findings indicating that older people are vulnerable to abuse when they visit the hospital to seek medical treatment (Naderi et al., 2019; Rosen et al., 2018). This event is unfortunate, and it is a severe infringement of older adults' inherent right to be treated with respect and courtesy.…”

Section: Discussionsupporting

confidence: 74%

Understanding older adults' functioning and health‐seeking behaviour during the COVID‐19 pandemic in Ghana: A descriptive qualitative study

Newton

Awuviry-Newton

Nkansah

et al. 2021

Health Social Care Comm

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Little research has been conducted to explore the functional status of community‐dwelling older adults in sub‐Saharan Africa, including Ghana, especially during the COVID‐19 pandemic. This study investigated the functional status and the health‐seeking behaviour of older adults during the COVID‐19 pandemic in Ghana. Utilising a descriptive qualitative approach, semi‐structured interviews were used to collect data from 12 eligible older adults from southern Ghana. With the use of NVivo (v12), descriptive and focused coding techniques were employed to analyse the data. The following five themes were identified after the data analysis: (a) older adults' health status during COVID‐19 pandemic, (b) feeling limited, (c) feeling of unhappiness for being inactive, (d) striving to be active and (e) seeking healthcare during COVID‐19 pandemic. This study revealed the unique health and social‐related needs of Ghanaian older adults during the COVID‐19 pandemic. This study's findings draw attention to the urgent need for the state to devise practical health and social‐related initiatives to support older adults during and after the COVID‐19 pandemic.

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Section: Discussionsupporting

confidence: 74%

Understanding older adults' functioning and health‐seeking behaviour during the COVID‐19 pandemic in Ghana: A descriptive qualitative study

Newton

Awuviry-Newton

Nkansah

et al. 2021

Health Social Care Comm

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“… 71 , 72 Mistreatment includes psychological abuse by restricting decision-making, 73 ignoring older people’s preferences and coercing them into following instructions from professionals. 74 The psychological abuse of older people was reflected in our results. There is limited research evidence to support the development of best practice, 75 and further studies are needed to identify how to prevent violating older people’s autonomy.…”

Section: Discussionmentioning

confidence: 51%

Older people’s perceived autonomy in residential care: An integrative review

Moilanen¹,

Kangasniemi

Papinaho

et al. 2020

Nurs Ethics

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Autonomy has been recognised as a key principle in healthcare, but we still need to develop a consistent understanding of older people’s perceived autonomy in residential care. This study aimed to identify, describe and synthesise previous studies on the perceived autonomy of older people in residential care. Ethical approval was not required, as this was a review of published literature. We carried out an integrative review to synthesise previous knowledge published in peer-review journals in English up to September 2019. Electronic and manual searches were conducted using the CINAHL, Philosopher’s Index, PubMed, SocINDEX, Scopus and Web of Science databases. The data were analysed using the constant comparison method. The review identified 46 studies. Perceived autonomy referred to the opportunities that older people had to make their own choices about their daily life in residential care, and achieving autonomy promoted both health and quality of life. Autonomy was linked to older people’s individual capacities, including their level of independence, physical and mental competence, personal characteristics, and whether relatives shared and supported their perceived autonomy. Professionals could facilitate or hinder older peoples’ autonomy in a number of ways, including providing opportunities for autonomy, how daily care needs and activities were managed, and controlling older people’s choices. Professionals’ characteristics, such as education and attitudes, and the older people’s living environments were also associated with their perceived autonomy and included organisational characteristics and physical and social care facilitators. Older people’s perceived autonomy promoted health and quality of life in residential care. However, their autonomy was associated with a number of protective and restrictive individual and environmental factors, which influenced whether autonomy was achieved.

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“…It is recognized as "the most painful form of mistreatment identified by older adults", especially in the developing countries [26]. Studies showed that ageism, stereotyping and negative prejudices against elderly patients still exist [27], and elders are frequently the subjects of abuse [28]. The aged might be treated in "a patronizing manner", for instance, through the use of infantilizing language.…”

Section: Discussionmentioning

confidence: 99%

Dignity Violations and Barriers to Dignity Assurance for Terminally Ill Patients at the End of Life: A Cross-Sectional Analysis

et al. 2022

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Background and Objectives: Investigation into forms of behavior that violate dignity is not the typical way to look for means of dignity preservation, but it may be the optimal way to prevent improper behavior. Numerous studies document that maintaining and improving patient dignity at the end of life require an understanding of factors posing threats to dignity in health care organizations. This study aimed to assess associations between dignity-violating behaviors and barriers to the assurance of dignity in health care settings from the perspective of health professionals. Materials and Methods: An anonymous survey of health professionals was conducted in Lithuania in May 2021 by using a convenience sampling method (N = 168). Two scales were developed and included in the questionnaire. One scale measured respondents’ perceptions of Dignity Violations that they had witnessed. The other scale measured their opinions about Barriers to Dignity Assurance of terminally ill patients in clinical settings. Data analysis began with descriptive statistics, followed by exploratory principal component analysis (PCA) to identify the underlying structure of each scale. The variables assigned to distinct components in the PCA were combined into reflective latent variables in a path model. The path model of the relationships between the latent constructs was tested for significant links by implementing the partial least squares structural equation modeling technique. Results: Dehumanization, Humiliation, Inattentiveness, Control, Demonization, and Manipulation were identified as major forms of dignity-violating behavior. In addition, Organizational Barriers and Patient as an Obstacle were identified as two major types of barriers to the assurance of patient dignity. Both organizational and patient-oriented barriers were directly or indirectly associated with all forms of violations of patient dignity. Conclusions: The Dignity Violations scale showed potential for estimating professionals’ observations of dignity violations in health care settings. Perceived high workloads, staff shortages, insufficient resources, and lack of organizational support were identified as negative organizational factors that may result in increased risk of seeing patients as obstacles to providing care that preserves the dignity of terminally ill patients.

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Hospitalized elder abuse in Iran: a qualitative study

Cited by 24 publications

References 38 publications

Understanding older adults' functioning and health‐seeking behaviour during the COVID‐19 pandemic in Ghana: A descriptive qualitative study

Understanding older adults' functioning and health‐seeking behaviour during the COVID‐19 pandemic in Ghana: A descriptive qualitative study

Older people’s perceived autonomy in residential care: An integrative review

Dignity Violations and Barriers to Dignity Assurance for Terminally Ill Patients at the End of Life: A Cross-Sectional Analysis

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