Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
Centre for Quality and Patient Safety Research - Barwon Health Partnership, School of Nursing and Midwifery, Deakin University, Geelong, Australia.
J Health Organ Manag. 2020 Aug 6;ahead-of-print(ahead-of-print). doi: 10.1108/JHOM-02-2020-0031.
The purpose of this study is to explore the factors that influence the reporting of adverse events related to elder abuse and neglect in nursing homes from nursing home leaders' perspectives. Good leadership requires in-depth knowledge of the care and service provided and the ability to identify and address problems that can arise in clinical practice.
DESIGN/METHODOLOGY/APPROACH: A qualitative explorative design with data triangulation was used. The sample consisted of 43 participants from two levels of nursing home leadership, representing six municipalities and 21 nursing homes in Norway. Focus group interviews were undertaken with 28 ward leaders and individual interviews with 15 nursing home directors. The constant comparative method was used for the analyses.
Both ward leaders and nursing home directors described formal and informal ways of obtaining information related to elder abuse and neglect. There were differences between their perceptions of the feasibility of obtaining formal reports about abuse in the nursing home. Three main categories of influencing factors emerged: (1) organisation structural factors, (2) cultural factors and (3) abuse severity factors. A main finding is that in its present form, the Norwegian adverse event reporting system is not designed to detect abuse and neglect.
ORIGINALITY/VALUE: This paper provides an in-depth understanding of patient safety and factors related to reporting elder abuse in nursing homes in Norway.
本研究旨在从养老院领导的角度探讨影响养老院中与虐待和忽视老年人相关的不良事件报告的因素。良好的领导力需要深入了解所提供的护理和服务，以及识别和解决临床实践中可能出现的问题的能力。
设计/方法/方法：采用定性探索性设计和数据三角测量法。样本由来自挪威两个层次的养老院领导的 43 名参与者组成，代表 6 个直辖市和 21 家养老院。对 28 名病房领导进行了焦点小组访谈，对 15 名养老院主任进行了个别访谈。采用恒比方法进行分析。
病房领导和养老院主任都描述了获取与虐待和忽视老年人有关的信息的正式和非正式方式。他们对在养老院获得虐待正式报告的可行性的看法存在差异。出现了三个主要的影响因素类别：（1）组织结构因素，（2）文化因素和（3）虐待严重程度因素。一个主要发现是，挪威现行的不良事件报告系统旨在检测虐待和忽视。
原创性/价值：本文深入了解了挪威养老院中患者安全和与报告虐待老年人相关的因素。
