Lev Sagit, Dolberg Pnina, Lang Barbara
School of Social Work, Bar-Ilan University, Israel.
Department of Social Work, Ruppin Academic Center, Israel.
Geriatr Nurs. 2022 Nov-Dec;48:24-31. doi: 10.1016/j.gerinurse.2022.08.005. Epub 2022 Sep 10.
The aim of this article was to examine how Ministry of Health auditing teams experience quality of care, mistreatment, abuse, and neglect in nursing homes in Israel. The research included four in-depth focus groups consisting of 19 multidisciplinary auditors. The qualitative analysis was encoded in stages with repeated comparisons between individual participants and within groups and led to three main themes: (1) Failure in addressing basic, personal, and social needs of residents in nursing homes; (2) Mistreatment manifested in violation of residents' privacy and human dignity, neglect, and physical harm; (3) Abuse, including psychological, financial, and physical abuse. The findings can be explained by the characteristics of nursing homes as total institutions, as well as perceptions of ageism and de-humanization of the residents. In addition, the findings highlight the importance of the auditing role in monitoring the nursing homes' quality of care and the safety of the residents.
本文旨在探讨以色列卫生部审计团队如何看待养老院中的护理质量、虐待、侵害及忽视问题。该研究包括由19名多学科审计员组成的四个深度焦点小组。定性分析分阶段进行，对个体参与者之间以及小组内部进行反复比较，得出三个主要主题：（1）未能满足养老院居民的基本、个人和社会需求；（2）表现为侵犯居民隐私和人格尊严、忽视及身体伤害的虐待行为；（3）包括心理、经济和身体虐待在内的侵害行为。这些发现可以通过养老院作为完全机构的特点以及对居民的年龄歧视和非人性化观念来解释。此外，研究结果凸显了审计工作在监督养老院护理质量和居民安全方面的重要性。
