Wangmo Tenzin, Nordström Karin, Kressig Reto W
Institute for Biomedical Ethics, University of Basel, Basel, Switzerland.
University of Lucerne, Lucerne, Switzerland.
Geriatr Nurs. 2017 Sep-Oct;38(5):385-392. doi: 10.1016/j.gerinurse.2016.12.016. Epub 2017 Jan 27.
This study explores how and why abuse and neglect occurs in geriatric institutions and presents practical prevention measures. Exploratory qualitative interviews were carried out with purposive sample of 23 nursing staff members. They were recruited from different institutions caring for older patients in the north-western region of Switzerland. These interviews were analyzed using thematic analysis. Participating nursing staff members reported several factors pertaining to the care provider, the older patient, and the institution that precipitated abuse and neglect. They mentioned different solutions that could help them address their responsibilities in a reasonable manner. The solutions included, for example, ensuring proper education and training, better management nursing care provider's responsibilities and timely intervention to address abuse and neglect, as well as rotating care provider. Implementing these suggestions will allow geriatric institutions, its managers, and nursing care providers to improve quality of care and reduce such negative occurrences in these settings.
本研究探讨了老年护理机构中虐待和忽视行为发生的方式及原因，并提出了切实可行的预防措施。对来自瑞士西北部不同老年护理机构的23名护理人员进行了有目的抽样的探索性定性访谈。采用主题分析法对这些访谈进行了分析。参与访谈的护理人员报告了与护理提供者、老年患者以及机构相关的几个促成虐待和忽视行为的因素。他们提到了一些有助于他们合理履行职责的不同解决方案。这些解决方案包括，例如，确保适当的教育和培训、更好地管理护理提供者的职责以及及时干预以处理虐待和忽视行为，还有护理提供者轮岗。实施这些建议将使老年护理机构、其管理人员和护理提供者提高护理质量，并减少这些场所中的此类负面事件。
