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Article
Publication date: 21 October 2020

Wenche Malmedal and Christiana Anyan

The aim of this study was to explore how Ghanaian staff in nursing homes and hospitals perceive abuse and neglect of older adults as well as to explore the nature and scope of…

299

Abstract

Purpose

The aim of this study was to explore how Ghanaian staff in nursing homes and hospitals perceive abuse and neglect of older adults as well as to explore the nature and scope of abuse and neglect of older adults as it exists in Ghana.

Design/methodology/approach

This exploratory study used a qualitative research methodology that sets out to explore staff’s perception of elder abuse in nursing homes and hospitals in Ghana. Five nursing assistants and two caregivers were interviewed in two nursing homes and four nurses were interviewed in one hospital. A semi-structured interview guide was used for data collection.

Findings

The findings showed that elder abuse occurs in both hospitals and nursing homes, which might be attributed to different personal, situational and institutional characteristics as well as cultural and traditional value systems. Various factors at the level of interpersonal relationships contributed to elder abuse. Situational characteristics such as aggressive exchanges between residents and health workers and institutional characteristics such as limited facilities and resources to care for residents are all factors that were implicated in elder abuse. Finally, culture and traditional views, beliefs system and socioeconomic factors seem to be implicated in elder abuse and neglect.

Originality/value

To the best of the authors’ knowledge, this is the first study that explores elder abuse and neglect in Ghanaian nursing homes and hospitals.

Details

The Journal of Adult Protection, vol. 22 no. 5
Type: Research Article
ISSN: 1466-8203

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Article
Publication date: 6 August 2020

Janne Myhre, Wenche Karin Malmedal, Susan Saga, Joan Ostaszkiewicz and Sigrid Nakrem

The purpose of this study is to explore the factors that influence the reporting of adverse events related to elder abuse and neglect in nursing homes from nursing home leaders'…

1156

Abstract

Purpose

The purpose of this study is to explore the factors that influence the reporting of adverse events related to elder abuse and neglect in nursing homes from nursing home leaders' perspectives. Good leadership requires in-depth knowledge of the care and service provided and the ability to identify and address problems that can arise in clinical practice.

Design/methodology/approach

A qualitative explorative design with data triangulation was used. The sample consisted of 43 participants from two levels of nursing home leadership, representing six municipalities and 21 nursing homes in Norway. Focus group interviews were undertaken with 28 ward leaders and individual interviews with 15 nursing home directors. The constant comparative method was used for the analyses.

Findings

Both ward leaders and nursing home directors described formal and informal ways of obtaining information related to elder abuse and neglect. There were differences between their perceptions of the feasibility of obtaining formal reports about abuse in the nursing home. Three main categories of influencing factors emerged: (1) organisation structural factors, (2) cultural factors and (3) abuse severity factors. A main finding is that in its present form, the Norwegian adverse event reporting system is not designed to detect abuse and neglect.

Originality/value

This paper provides an in-depth understanding of patient safety and factors related to reporting elder abuse in nursing homes in Norway.

Details

Journal of Health Organization and Management, vol. 34 no. 6
Type: Research Article
ISSN: 1477-7266

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Article
Publication date: 3 June 2014

Wenche Malmedal, Randi Hammervold and Britt-Inger Saveman

– The purpose of this paper is to investigate factors that influence the probability that staff will commit acts of inadequate care, abuse, and neglect.

694

Abstract

Purpose

The purpose of this paper is to investigate factors that influence the probability that staff will commit acts of inadequate care, abuse, and neglect.

Design/methodology/approach

A cross-sectional survey study was carried out in one county in the middle of Norway (Sør-Trøndelag). Random sampling, stratified by size of nursing homes, and location (rural or urban areas), was used to select a variety of nursing homes from a total population of 55 nursing homes. All staff working in 16 nursing homes working were asked to participate in the study. A response rate of 79 per cent was achieved (n=616).

Findings

Findings reveal that location and size of the nursing home, age of the staff, education level, job satisfaction, resident aggression, and conflicts between residents and staff predict inadequate care, abuse, and neglect. The most consistent findings are that resident aggression increases the risk for all three types of inadequate care, and that conflicts predict different types of inadequate care depending on whether the conflicts are related to direct care-giving activities or not.

Practical implications

Nursing home care is an important part of care for the elderly, and should be characterized by good-quality services. The relation between inadequate care and resident aggression, conflicts, and other factors shown in this study points to the relevance of further improvements in nursing home practices to minimize the occurrence of episodes of inadequate care, abuse, and neglect.

Originality/value

This study investigated the relationships between 11 specific factors and different types of inadequate care in a nursing home context.

Details

The Journal of Adult Protection, vol. 16 no. 3
Type: Research Article
ISSN: 1466-8203

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70

Abstract

Details

The Journal of Adult Protection, vol. 23 no. 1
Type: Research Article
ISSN: 1466-8203

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Article
Publication date: 21 October 2020

Bridget Penhale and Margaret Flynn

305

Abstract

Details

The Journal of Adult Protection, vol. 22 no. 5
Type: Research Article
ISSN: 1466-8203

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