Mental Health Services for Older People, South Eastern Health & Social Care Trust, Lisburn & Queens University Belfast, Belfast, UK.
Int J Older People Nurs. 2011 Jun;6(2):110-22. doi: 10.1111/j.1748-3743.2010.00226.x.
This paper presents a critical review of the literature related to the violence staff in care homes experience from people with dementia. It attempts to identify the psychological consequences abuse has on care workers and the implications this has for practice.
Abuse in the form of violence or aggression against healthcare professionals is not new. However, when this is from residents with dementia in care homes it is considered to be part of the job. Consequently it is largely underreported and ignored which masks its true extent.
The magnitude of violence in care homes crosses cultural boundaries. Fear of being blamed, job insecurity and resignation that abuse should be accepted as part of the job is unique to this care setting. The cumulative effect of psychological abuse leads to emotional exhaustion and depersonalisation which results in care workers emotionally and physically withdrawing from residents. Being subjected to abuse, feeling undervalued, unsupported and lacking essential skills may compromise a workforces' ability to provide person-centred care. A rising ageing population and prevalence of dementia will place demands on commissioners and providers to deliver high quality care. Consistent recording and reporting procedures, dementia specific training and infrastructures to support staff is therefore crucial.
本文对与养老院中患有痴呆症的人对工作人员实施暴力相关的文献进行了批判性回顾。它试图确定虐待对护理人员的心理后果，以及这对实践的影响。
以暴力或侵犯医护人员的形式虐待并不新鲜。然而，当这种虐待来自养老院的痴呆症患者时，它被认为是工作的一部分。因此，它在很大程度上被少报和忽视，掩盖了其真实程度。
养老院中的暴力程度跨越了文化界限。对被指责、工作不安全和辞职的恐惧，认为虐待应该被接受为工作的一部分，这是这种护理环境所特有的。心理虐待的累积效应会导致情绪疲惫和去人性化，从而导致护理人员在情感和身体上与居民保持距离。遭受虐待、感到被低估、不受支持和缺乏基本技能可能会影响员工提供以患者为中心的护理的能力。人口老龄化和痴呆症的普遍增加将要求决策者和服务提供者提供高质量的护理。因此，一致的记录和报告程序、针对痴呆症的特定培训以及支持员工的基础设施至关重要。
