Radermacher Harriet, Toh Ying Li, Western Deborah, Coles Jan, Goeman Dianne, Lowthian Judy
Department of General Practice, Monash University, Melbourne, Victoria, Australia.
Department of Social Work, Monash University, Melbourne, Victoria, Australia.
Australas J Ageing. 2018 Dec;37(4):254-267. doi: 10.1111/ajag.12565. Epub 2018 Jul 30.
The purpose of this rapid review was to explore how residential aged care staff conceptualise and identify elder abuse.
English-language publications, between 2000 and 2017, about elder abuse in residential aged care in developed countries were sought from three academic databases. Only perspectives on staff-to-resident and resident-to-resident abuse were included.
Over 2000 articles were screened, and 19 journal articles were included in the review. A wide range of abusive behaviours was identified, but there was little common understanding of what constituted elder abuse. Furthermore, disparities in conceptualisations were greater for certain types of abuse (e.g. verbal, psychological and caregiving).
Elder abuse in residential aged care was conceptualised and identified by staff in diverse and different ways. This lack of common understanding hinders the development of effective interventions and prevention strategies, which include staff education and training as well as significant structural and institutional changes.
本次快速综述的目的是探讨老年护理机构工作人员如何界定和识别虐待老年人的行为。
从三个学术数据库中搜索2000年至2017年间关于发达国家老年护理机构中虐待老年人行为的英文出版物。仅纳入了对工作人员对居民的虐待以及居民之间虐待行为的观点。
筛选了2000多篇文章，19篇期刊文章被纳入综述。识别出了广泛的虐待行为，但对于什么构成虐待老年人行为几乎没有共识。此外，对于某些类型的虐待行为（如言语、心理和护理方面），在概念界定上的差异更大。
老年护理机构中的工作人员以多样且不同的方式界定和识别虐待老年人的行为。这种缺乏共识的情况阻碍了有效干预措施和预防策略的制定，这些措施包括工作人员教育与培训以及重大的结构和制度变革。
