Prevention of Abuse and Neglect in the Institutional Care of Older Adults
Publication year:
2011
Pagination:
110
Place of publication:
London
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
(Edited publisher abstract)
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;
This research document examines the experiences for older people from black and minority ethnic communities living in care homes and their family caregivers. It explores issues of mistreatment in care homes, with a particular focus on dignity and respect and discusses understandings of abuse, neglect and loss of dignity as BME older people, family caregivers, managers and care staff see them to principles of care, routines, relationships, culture and religion, mistreatment and promotion of dignity and respect. The report presents key implications for policy and the promotion of good practice.
(Edited publisher abstract)
This research document examines the experiences for older people from black and minority ethnic communities living in care homes and their family caregivers. It explores issues of mistreatment in care homes, with a particular focus on dignity and respect and discusses understandings of abuse, neglect and loss of dignity as BME older people, family caregivers, managers and care staff see them in care home contexts. Fieldwork was conducted in seven care homes across England and Scotland and data were collected through interviews with care home residents of BME background, family caregivers, managerial staff and care staff and through Dementia Care Mapping (DCM) observation. The report outlines in detail both staff and residents’ and family caregivers’ perspectives and experiences in relation to principles of care, routines, relationships, culture and religion, mistreatment and promotion of dignity and respect. The report presents key implications for policy and the promotion of good practice.
(Edited publisher abstract)
Subject terms:
dignity, residential care, home care, black and minority ethnic people, abuse, elder abuse, neglect, religious beliefs, cultural identity;
Journal of Adult Protection, 15(1), 2013, pp.5-14.
Publisher:
Emerald
This article describes findings from a recent developmental study, commissioned by the English Department of Health and the charity, Comic Relief, which was commissioned to clarify definitional issues and recommend ways of operationalising key concepts for a prospective survey of abuse, neglect and loss of dignity in the care of older people in residential care in the United Kingdom (UK).
(Edited publisher abstract)
This article describes findings from a recent developmental study, commissioned by the English Department of Health and the charity, Comic Relief, which was commissioned to clarify definitional issues and recommend ways of operationalising key concepts for a prospective survey of abuse, neglect and loss of dignity in the care of older people in residential care in the United Kingdom (UK). The authors held consultation events with a range of stakeholders and undertook in-depth interviews with international academics and care home residents. Findings revealed that existing definitions and descriptions vary widely in form and content, are commonly subjective and imprecise and frequently make reference to abstract concepts which themselves need defining. The study considered how, in this context, practical research definitions that are clear, unambiguous and widely acceptable to a range of stakeholders could be developed. The article identifies the responsibilities of the care home and multiple perpetrators and makes practical proposals for operationalising the “perpetrator” in research.
(Edited publisher abstract)
Subject terms:
residential care, older people, dignity, safeguarding adults, adult abuse, neglect, care homes, elder abuse;
The author brings together a range of evidence to highlight the decline of care in our health services. The book looks at the causes of poor care and the lack of accountability for those responsible. The political, moral, professional and legal implications of a failure to care are highlighted and suggestions for making changes are made. A wide range of issues are covered including: dignity;
The author brings together a range of evidence to highlight the decline of care in our health services. The book looks at the causes of poor care and the lack of accountability for those responsible. The political, moral, professional and legal implications of a failure to care are highlighted and suggestions for making changes are made. A wide range of issues are covered including: dignity; management of continence; nutrition and hydration; staffing levels and attitudes; manslaughter; misinformation and spin; human rights; and the legal implications of neglect and abuse.
Subject terms:
hospitals, nutrition, neglect, older people, patients, staff, accountability, adult abuse, abuse, safeguarding adults, dignity, health care, hydration;