Interventions for preventing abuse in the elderly

Baker, Philip; Francis, Daniel; Hairi, Noran Naqiah; Othman, Sajaratulnisah; Choo, Wan Yuen

doi:10.1002/14651858.cd010321.pub2

Cited by 92 publications

(83 citation statements)

References 242 publications

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“…With few exceptions, these programs, which were rigorously evaluated, generally only showed a modest measurable impact. This finding confirms other systematic reviews, which have concluded that no programs with high‐quality study designs have shown significant measurable impact. It emphasizes the challenges in designing and conducting research to evaluate elder mistreatment programs.…”

Section: Discussionsupporting

confidence: 90%

Review of Programs to Combat Elder Mistreatment: Focus on Hospitals and Level of Resources Needed

Rosen

Elman

Dion

et al. 2019

J American Geriatrics Society

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Background Elder mistreatment is common and has serious social and medical consequences for victims. Though programs to combat this mistreatment have been developed and implemented for more than three decades, previous systematic literature reviews have found few successful ones. Objective To conduct a more comprehensive examination of programs to improve elder mistreatment identification, intervention, or prevention, including those that had not undergone evaluation. Design Systematic review. Setting Ovid MEDLINE, Ovid EMBASE, Cochrane Library, PsycINFO Elton B. Stephens Co. (EBSCO), AgeLine, CINAHL. Measurements We abstracted key information about each program and categorized programs into 14 types and 9 subtypes. For programs that reported an impact evaluation, we systematically assessed the study quality. We also systematically examined the potential for programs to be successfully implemented in environments with limited resources available. Results We found 116 articles describing 115 elder mistreatment programs. Of these articles, 43% focused on improving prevention, 50% focused on identification, and 95% focused on intervention, with 66% having multiple foci. The most common types of program were: educational (53%), multidisciplinary team (MDT) (21%), psychoeducation/therapy/counseling (15%), and legal services/support (8%). Of the programs, 13% integrated an acute‐care hospital, 43% had high potential to work in low‐resource environments, and 57% reported an attempt to evaluate program impact, but only 2% used a high‐quality study design. Conclusion Many programs to combat elder mistreatment have been developed and implemented, with the majority focusing on education and MDT development. Though more than half reported evaluation of program impact, few used high‐quality study design. Many have the potential to work in low‐resource environments. Acute‐care hospitals were infrequently integrated into programs.

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Section: Discussionsupporting

confidence: 90%

Review of Programs to Combat Elder Mistreatment: Focus on Hospitals and Level of Resources Needed

Rosen

Elman

Dion

et al. 2019

J American Geriatrics Society

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“…Nevertheless, certain knowledge deficits are found in caregivers, which should be addressed by systematic education, appropriate protocols, and adequate assessment (30). Furthermore, professional education should be organised in the working environment, preferably between shifts when most professionals are in the institution.…”

Section: Figure 1 the Percentage Of Respondents Who Completely Agreementioning

confidence: 99%

Is the burnout syndrome associated with elder mistreatment in nursing homes: results of a cross-sectional study among nurses

Neuberg

Železnik

Meštrović³

et al. 2017

Archives of Industrial Hygiene and Toxicology

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As this issuehas not yet been addressed in Croatia, our aim was to explore the presence of the burnout syndrome in nurses and see how it is related to their perception of elder mistreatment in nursing homes and extended care units. The burnout syndrome was assessed in 171 nursing professionals with a standardised Maslach Burnout Inventory for Human Services Survey (MBI-HSS) for three dimensions: emotional exhaustion (EE), depersonalisation (DP), and personal accomplishment (PA). High EE was reported by 43.9 %, high DP by 22.2 %, and low PA by 39.8 % of the respondents. Their perception of elder abuse and neglect was investigated with two self-completion questionnaires. The answers suggest that elder mistreatment in Croatian nursing homes and extended care units is more common than expected: 55 % witnessed shouting at a resident in anger, 43 % insulting and swearing at a resident, 42 % force-feeding the resident, 39 % ignoring a resident when they called, and 38 % neglecting to turn or move a resident to prevent pressure sores. We also established associations between a number of questionnaire items on perceived abuse and neglect and the burnout syndrome dimensions and determined the items that predicted the type and level of burnout in our respondents. One way to avoid the pitfalls that lead to abuse and neglect is education in schools and at work. We believe our research could contribute to this end.

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“…They included 24 reviews (6% of the total) that reported searching one or more search engines and 39 reviews (9% of the total) that reported searching one or more websites. There were 2 reviews (less than 1% of the total) that reported web searching using both search engines and websites . A full list of reviews that reported using search engines and websites is presented in Appendix S2.…”

Section: Resultsmentioning

confidence: 99%

“…Google and Google Scholar were the only search engines reported. Both search engines were reported in 7 reviews; Google was reported as the sole search engine in 4 reviews (11 reviews in total); Google Scholar was reported as the sole search engine in 12 reviews (19 reviews in total); and an unnamed search engine was reported in 1 review …”

Section: Resultsmentioning

confidence: 99%

A review of the reporting of web searching to identify studies for Cochrane systematic reviews

Briscoe

2017

Research Synthesis Methods

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The literature searches that are used to identify studies for inclusion in a systematic review should be comprehensively reported. This ensures that the literature searches are transparent and reproducible, which is important for assessing the strengths and weaknesses of a systematic review and re-running the literature searches when conducting an update review. Web searching using search engines and the websites of topically relevant organisations is sometimes used as a supplementary literature search method. Previous research has shown that the reporting of web searching in systematic reviews often lacks important details and is thus not transparent or reproducible. Useful details to report about web searching include the name of the search engine or website, the URL, the date searched, the search strategy, and the number of results. This study reviews the reporting of web searching to identify studies for Cochrane systematic reviews published in the 6-month period August 2016 to January 2017 (n = 423). Of these reviews, 61 reviews reported using web searching using a search engine or website as a literature search method. In the majority of reviews, the reporting of web searching was found to lack essential detail for ensuring transparency and reproducibility, such as the search terms. Recommendations are made on how to improve the reporting of web searching in Cochrane systematic reviews.

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Interventions for preventing abuse in the elderly

Cited by 92 publications

References 242 publications

Review of Programs to Combat Elder Mistreatment: Focus on Hospitals and Level of Resources Needed

Review of Programs to Combat Elder Mistreatment: Focus on Hospitals and Level of Resources Needed

Is the burnout syndrome associated with elder mistreatment in nursing homes: results of a cross-sectional study among nurses

A review of the reporting of web searching to identify studies for Cochrane systematic reviews

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