Universite de Bordeaux, France.
Universite de Franche-Comte, Besancon, France.
J Interpers Violence. 2021 Jun;36(11-12):5709-5729. doi: 10.1177/0886260518803606. Epub 2018 Oct 19.
The present study focuses on elderly abuse committed by nurses and nurses' aides in nursing homes. Elderly abuse includes neglect and abusive behaviors deleterious to the health and welfare of the elderly. The study aimed at a better understanding of neglect and abusive behaviors by considering caregiver burnout and the work context of these professionals. To achieve this goal, direct effects of job demands (workload and emotional demands) and organizational resources (quality of relationships with colleagues and with the supervisor) on elderly abuse were analyzed. Moreover, the mediating role of caregiver burnout was explored by suggesting that job demands and lack of organizational resources were related to neglect and abusive behaviors through burnout. The study was conducted among 481 nurses and health care assistants from different French nursing homes. Correlations, multiple regressions, and mediation analyses were performed. Results globally confirmed our hypotheses. Emotional demands and poor quality relationships with colleagues and the team supervisor were the most predictive variables for caregiver burnout, neglect, and abusive behaviors toward the elderly. Moreover, the results contributed to the literature by highlighting the mediating effect of burnout and give rise to potential implications in preventing elderly abuse in nursing homes.
本研究关注养老院护士和护士助理对老年人的虐待行为。老年人虐待包括对老年人健康和福利有害的忽视和虐待行为。该研究旨在通过考虑护理人员的倦怠和这些专业人员的工作环境，更好地理解忽视和虐待行为。为了实现这一目标，分析了工作要求（工作量和情绪要求）和组织资源（与同事和主管的关系质量）对老年人虐待的直接影响。此外，通过提出工作要求和缺乏组织资源通过倦怠与忽视和虐待行为相关，探讨了护理人员倦怠的中介作用。该研究在来自不同法国养老院的 481 名护士和保健助理中进行。进行了相关性、多元回归和中介分析。结果总体上证实了我们的假设。情绪需求以及与同事和团队主管的不良关系是导致护理人员倦怠、对老年人的忽视和虐待行为的最具预测性变量。此外，结果通过强调倦怠的中介作用为文献做出了贡献，并为预防养老院老年人虐待提供了潜在的影响。
