Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Department of Nursing Science, Helsinki University Hospital, University of Eastern Finland, Kuopio, Finland.
J Adv Nurs. 2023 Oct;79(10):3800-3808. doi: 10.1111/jan.15713. Epub 2023 May 22.
The aim of the study was to describe the alleged abuse of social care clients committed by nurses and other social services employees and actions as well as sanctions that followed the alleged abuse.
A retrospective study using a descriptive qualitative analysis.
The data comprised mandatory reports made by social service employees under the Social Welfare Act. This study focused on the reported abuses of clients (n = 75) by social services employees from 11 October 2016 to 31 December 2020 in Finland. The data were analysed using inductive content analysis and quantification.
The majority of the reports were submitted practical nurses and other nursing personnel and by registered nurses. The severity of the abuse was most often mild or moderate. The most common abusers were nurses. The types of alleged abuse committed by professionals were as follows: (1) neglect of care, (2) physical violence/strong-arm treatments, (3) neglect of hygiene, (4) inappropriate or threatening behaviour and (5) sexual abuse. The actions and sanctions that followed the alleged abuse were: (1) discussing the situation together, requesting an explanation, initiating hearing or defining developmental measures, (2) initiating disciplinary actions and providing verbal or written warnings, (3) dismissing or terminating the employee and (4) initiating a police investigation.
Nurses are an important group working in social services and might also be involved in cases of abuse.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: It is important that risks, wrongdoings and abuses are reported. Transparent reporting indicates strong professional ethics.
Knowledge about abuse in social services from the viewpoint of nursing is important for ensuring the quality and safety of services.
The Standards for Reporting Qualitative Research guideline was followed.
No patient or public contribution.
本研究旨在描述护士和其他社会服务人员对社会照顾客户的所谓虐待行为，以及对虐待行为的举报、所采取的行动和制裁措施。
回顾性研究，采用描述性定性分析。
数据来源于《社会福利法》规定的社会服务人员强制性报告。本研究关注的是 2016 年 10 月 11 日至 2020 年 12 月 31 日期间，芬兰社会服务人员对客户（n=75）的举报的虐待行为。数据采用归纳内容分析法和量化法进行分析。
大多数报告来自实习护士和其他护理人员，以及注册护士。虐待的严重程度通常为轻度或中度。最常见的施虐者是护士。专业人员涉嫌的虐待类型如下：（1）忽视护理，（2）身体暴力/强力治疗，（3）忽视卫生，（4）不当或威胁行为，（5）性虐待。虐待行为发生后采取的措施和制裁包括：（1）共同讨论情况，要求解释，启动听证或制定发展措施，（2）启动纪律处分程序，并给予口头或书面警告，（3）解雇或终止员工，（4）启动警方调查。
护士是社会服务中的一个重要群体，也可能涉及虐待案件。
对专业人员和/或患者护理的意义：举报风险、不当行为和虐待行为很重要。透明的报告表明了强烈的职业道德。
从护理角度了解社会服务中的虐待行为，对于确保服务的质量和安全至关重要。
本研究遵循了定性研究报告标准指南。
无患者或公众参与。
