Nursing Aide Reports of Combative Behavior by Residents With Dementia: Results from a Detailed Prospective Incident Diary

Morgan, Debra; Cammer, Allison; Stewart, Norma J.; Crossley, Margaret; D’Arcy, Carl; Forbes, Dorothy; Karunanayake, Chandima

doi:10.1016/j.jamda.2011.07.003

Cited by 47 publications

(43 citation statements)

References 30 publications

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“…Elder abuse is related to larger facility size, more residents per unit, less staff on the unit, and higher staff turnover [5,25] , although such correlations do not occur consistently [18] . Aggressive behavior of residents, on the other hand, is associated with factors such as inadequate staff-ing levels [21,26] , mandatory overtime, too little time for activities of daily living [27] , rigid institutional routines [26] , and a low caregiver-to-resident ratio [17] . In an interactionist approach, Stevens et al [28] indicated that organizational culture could either facilitate or inhibit elder abuse.…”

Section: Risk Factors For Elder Abusementioning

confidence: 99%

Elder Abuse in Nursing Homes: Do Special Care Units Make a Difference? A Secondary Data Analysis of the Swiss Nursing Homes Human Resources Project

Arens

Fierz

Zúñiga³

2016

Gerontology

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Background: In special care units (SCUs) for residents with advanced dementia, both personnel and organizations are adapted to the needs of residents. However, whether these adaptations have a preventive effect on elder abuse has not yet been explored. Objective: To describe the prevalence of observed emotional abuse, neglect, and physical abuse in Swiss nursing homes, to compare SCUs with non-SCUs concerning the frequency of observed emotional abuse, neglect, and physical abuse, and to explore how resident-related characteristics, staff outcomes/characteristics, and organizational/environmental factors relate to observed elder abuse. Methods: This is a secondary data analysis of the Swiss Nursing Homes Human Resources Project (SHURP), a cross-sectional multicenter study. Data were collected from 2012 to 2013 and are based on observed rather than perpetrated elder abuse. We performed multilevel mixed-effects logistic regressions taking into account the hierarchical structure of the data with personnel nested within units and facilities. Results: Of 4,599 care workers in 400 units and 156 facilities, 50.8% observed emotional abuse, 23.7% neglect, and 1.4% physical abuse. There was no significant difference between SCUs and non-SCUs regarding observed emotional abuse and neglect. Higher scores for ‘workload' and sexual aggression towards care workers were associated with higher rates of emotional abuse and neglect. Verbal and physical resident aggression, however, were only associated with higher rates of emotional abuse. Negative associations were found between ‘teamwork and resident safety climate' and both forms of abuse. Conclusion: Improving teamwork and the safety climate and reducing work stressors might be promising points of intervention to reduce elder abuse. More specific research about elder abuse in SCUs and the interaction between work climate and elder abuse is required.

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Section: Risk Factors For Elder Abusementioning

confidence: 99%

Elder Abuse in Nursing Homes: Do Special Care Units Make a Difference? A Secondary Data Analysis of the Swiss Nursing Homes Human Resources Project

Arens

Fierz

Zúñiga³

2016

Gerontology

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“…A prior study with NH aides reported similar behaviour issues [28]. They also discussed the risks to other residents and to the demented elder, particularly from wandering.…”

Section: Discussionmentioning

confidence: 72%

Direct Care Workers’ Views on Improving Care for People with Dementia in Residential Setting

Phillips¹,

Roberts²

2017

J Nurs Health Stud

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Background: Dementia is a brain disorder affecting memory, mood, personality and behaviour. An estimated 5 million people in the United States (US) have dementia and the vast majority of elders in residential care are cognitively impaired. Direct care workers, Certified Nursing Assistant (CNAs) and Care Assistants (CAs), provide most of the hands-on assistance for these residents. However, little is known about their views on providing care and ways to improve it.

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“…In contrast, a recent study by Morgan et al . () reports that caregivers who attributed most aggressive behaviour to resident‐related factors, particularly dementia or cognitive impairment, were not optimistic that anything could be done to prevent further aggression or that they personally could control or change the cause of aggression. This result underlines the importance of the caregivers’ view of residents’ situation and their competence ‘to go into residents’ world’.…”

Section: Discussionmentioning

confidence: 99%

Dealing with aggressive behaviour in nursing homes: caregivers’ use of recommended measures

Zeller

Müller

Needham

et al. 2013

Journal of Clinical Nursing

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Nursing Aide Reports of Combative Behavior by Residents With Dementia: Results from a Detailed Prospective Incident Diary

Cited by 47 publications

References 30 publications

Elder Abuse in Nursing Homes: Do Special Care Units Make a Difference? A Secondary Data Analysis of the Swiss Nursing Homes Human Resources Project

Elder Abuse in Nursing Homes: Do Special Care Units Make a Difference? A Secondary Data Analysis of the Swiss Nursing Homes Human Resources Project

Direct Care Workers’ Views on Improving Care for People with Dementia in Residential Setting

Dealing with aggressive behaviour in nursing homes: caregivers’ use of recommended measures

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