Wierucka D, Goodridge D
Can J Nurs Adm. 1996 Sep-Oct;9(3):82-104.
Elder abuse in institutions is a slippery concept. Besides inherent difficulties in operationalizing definitions of elder abuse, it is well-recognized that under-reporting and methodological problems in research studies have created a knowledge base that is far from definitive. There is, however, much that can be gleaned from the literature and translated into clinical practice. Environmental factors, including both interpersonal and institutional dimensions, may contribute significantly to risk for elder abuse. A number of client characteristics such as physical impairment, social isolation, cognitive status, and aggression also appear to increase the potential for elder abuse. While professional caregivers have not yet been extensively studied in terms of their role in elder abuse, burnout, lack of training, excessive workload demands, and other stressors may be implicated as factors contributing to abusive behaviour.
机构内的老年人虐待是一个难以捉摸的概念。除了在实施老年人虐待定义方面存在固有困难外，人们普遍认识到，研究中的报告不足和方法问题导致了一个远非确定的知识库。然而，从文献中可以收集到很多信息并转化为临床实践。环境因素，包括人际和机构层面，可能对老年人虐待风险有重大影响。一些服务对象特征，如身体损伤、社会孤立、认知状态和攻击性，似乎也会增加老年人受虐待的可能性。虽然专业护理人员在老年人虐待中所起的作用尚未得到广泛研究，但职业倦怠、缺乏培训、过高的工作量要求和其他压力源可能被认为是导致虐待行为的因素。
