Organizational dynamics of respect and elder care

KILLETT Anne, et al
Prevention of Abuse and Neglect in the Institutional Care of Older Adults
Publication year:
Place of publication:

This is a report of a study to examine the organisational dynamics associated with abuse, neglect and/or loss of dignity of older people being cared for in care homes. The report identifies the organisational factors associated with mistreatment and examines the ways in which these factors can interact to shape the provision of care and the care experiences of residents. A participative research approach was used in order to involve the people affected by the issues under study as active participants throughout the whole research process. The study draws on a quasi-systematic review of the literature and on data from a purposive sample of eight care homes in the East Anglia and North West regions of England. Among the factors underlying mistreatment in the care of older people the study highlights: the organisational infrastructure; management and procedures, including management of the workforce; inadequate skill mix, training and numbers of staff; resident population characteristics, including cognitive impairment and dementia; and combined factors, including organisational culture, isolation and changes from outside the organisation. The report also examines patterns of organisational dynamics grouped around key elements found to be important in the organisation of care. These include: team work; routines and work based norms; openness and relatives’ participation; meeting residents’ needs and skilful practice; care quality and responding to mistreatment; being resourceful; and feeling of ‘being at home’. (Edited publisher abstract)

Subject terms:
organisational structure, organisational culture, elder abuse, dignity, neglect, care homes, quality assurance, older people, care workforce;
Content type:
Register/Log in to view this resource

Key to icons

  • Free resource Free resource
  • Journal article Journal article
  • Book Book
  • Digital media Digital media
  • Journal Journal

Give us your feedback

Social Care Online continues to be developed in response to user feedback.

Contact us with your comments and for any problems using the website.

Sign up/login for more

Register/login to access resource links, advanced search and email alerts