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ORIGINAL ARTICLE
Psycho-emotional Consequences of Hospitalized Elder Abuse from Older Patients’ Perspective
1
Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IRAN
2
Department of Nursing, Sirjan School of Medical Sciences, Sirjan, IRAN
3
Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IRAN
4
Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, IRAN
5
Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, IRAN
Online publication date: 2020-02-15
Publication date: 2020-02-15
Electron J Gen Med 2020;17(2):em194
KEYWORDS
ABSTRACT
Introduction and Objective:
The present study aimed to identify and describe psycho-emotional consequences of hospitalized elder abuse from older patients’ views.
Methods:
An inductive qualitative content analysis research was conducted at various wards of six educational hospitals affiliated to Shiraz University of Medical Sciences. A total of 16 elderly patients aged 60 years and older were selected using purposive sampling and data gathering was done using semi-structured, individual interviews. The data were analyzed using the qualitative content analysis method proposed by Elo and Kyngas (2008).
Results:
The Psycho-emotional consequences of hospitalized elder abuse were reflected in three main categories, namely feeling of insecurity, aggression, and learned helplessness.
Conclusion:
Hospitalized elder abuse could be accompanied with immediate Psycho-emotional consequences, such as feeling of insecurity and aggression, as well as persistent and long-term consequences, such as helplessness. Thus, monitoring and training the healthcare staff and raising their awareness regarding consequences of hospitalized elder abuse are necessary to prevent this phenomenon.
The present study aimed to identify and describe psycho-emotional consequences of hospitalized elder abuse from older patients’ views.
Methods:
An inductive qualitative content analysis research was conducted at various wards of six educational hospitals affiliated to Shiraz University of Medical Sciences. A total of 16 elderly patients aged 60 years and older were selected using purposive sampling and data gathering was done using semi-structured, individual interviews. The data were analyzed using the qualitative content analysis method proposed by Elo and Kyngas (2008).
Results:
The Psycho-emotional consequences of hospitalized elder abuse were reflected in three main categories, namely feeling of insecurity, aggression, and learned helplessness.
Conclusion:
Hospitalized elder abuse could be accompanied with immediate Psycho-emotional consequences, such as feeling of insecurity and aggression, as well as persistent and long-term consequences, such as helplessness. Thus, monitoring and training the healthcare staff and raising their awareness regarding consequences of hospitalized elder abuse are necessary to prevent this phenomenon.
REFERENCES (37)
1.
Yon Y, Ramiro-Gonzalez M, Mikton CR, et al. The prevalence of elder abuse in institutional settings: a systematic review and meta-analysis. Eur J Public Health 2018:1-10. https://doi.org/10.1093/eurpub... PMid:29878101 PMCid:PMC6359898.
2.
Perel-Levin S. Discussing screening for elder abuse at primary health care level. World Health Organization 2008.
3.
Ziminski CE and Phillips LR. The Nursing Role in Reporting Elder Abuse: Specific Examples and Interventions. Journal of gerontological nursing 2011;37:19-23. https://doi.org/10.3928/009891... PMid:22007618.
4.
Pillemer K, Burnes D, Riffin C, et al. Elder abuse: global situation, risk factors, and prevention strategies. The Gerontologist 2016;56:194-205. https://doi.org/10.1093/geront... PMid:26994260 PMCid:PMC5291158.
5.
Glendenning F. Elder abuse and neglect in residential settings: the need for inclusiveness in elder abuse research. Journal of Elder Abuse & Neglect 1999;10:1-11. https://doi.org/10.1300/J084v1....
6.
Wijma B, Zbikowski A Brüggemann AJ. Silence, shame and abuse in health care: theoretical development on basis of an intervention project among staff. BMC medical education 2016;16:75. https://doi.org/10.1186/s12909... PMid:26922381 PMCid:PMC4769844.
7.
Rytterström P, Arman M, Unosson M. Aspects of care culture in municipal care for elderly people: a hermeneutic documentary analysis of reports of abuse. Scandinavian journal of caring sciences 2013;27:354-62. https://doi.org/10.1111/j.1471... PMid:22846105.
8.
Lothian K, Philp I. Care of older people: Maintaining the dignity and autonomy of older people in the healthcare setting. BMJ: British Medical Journal 2001;322:668. https://doi.org/10.1136/bmj.32... PMid:11250856 PMCid:PMC1119851.
9.
Khalili Z, Taghadosi M, Gilasi H, Sadrollahi A. The prevalence of elder abuse and associated factors among the elderly in Kashan city, Iran. Journal of Basic Research in Medical Sciences 2016;3:26-34. https://doi.org/10.18869/acadp....
10.
Krug EG, Dahlberg LL, Mercy JA, et al. The world report on violence and health. Geneva, World Health Organization 2002. https://doi.org/10.1016/S0140-....
11.
Swahnberg K, Wijma B. Staff’s perception of abuse in healthcare: a Swedish qualitative study. BMJ open 2012;2:e001111. https://doi.org/10.1136/bmjope... PMid:23015598 PMCid:PMC3467650.
12.
Berglund M, Westin L, Svanström R, et al. Suffering caused by care-Patients’ experiences from hospital settings. International journal of qualitative studies on health and well-being 2012;7. https://doi.org/10.3402/qhw.v7... PMid:22943888 PMCid:PMC3430007.
13.
Brüggemann AJ, Wijma B, Swahnberg K. Abuse in health care: a concept analysis. Scandinavian journal of caring sciences 2012;26:123-32. https://doi.org/10.1111/j.1471... PMid:21883345.
14.
Brüggemann AJ, Wijma B, Swahnberg K. Patients’ silence following healthcare staff’s ethical transgressions. Nursing ethics 2012;19:750-63. https://doi.org/10.1177/096973... PMid:22547488.
15.
Elo S, Kyngäs H. The qualitative content analysis process. Journal of advanced nursing 2008;62:107-15. https://doi.org/10.1111/j.1365... PMid:18352969.
16.
Fagerström L, Gustafson Y, Jakobsson G, et al. Sense of security among people aged 65 and 75: external and inner sources of security. Journal of advanced nursing 2011;67:1305-16. https://doi.org/10.1111/j.1365... PMid:21231954.
17.
Hung L, Phinney A, Chaudhury H, et al. “Little things matter!” Exploring the perspectives of patients with dementia about the hospital environment. International journal of older people nursing 2017;12:e12153. https://doi.org/10.1111/opn.12... PMid:28418180 PMCid:PMC5574000.
18.
Rostami F, Nadi A, Abedi G, et al. Relationship between the patients’ sense of security and the gap in the quality of services in hospitals of Sari city, Iran. Cukurova Med J 2018;43(4):958-66. https://doi.org/10.17826/cumj.....
19.
Tomsik PE, Smith S, Mason MJ, et al. Understanding and Measuring Health Care Insecurity. Journal of health care for the poor and underserved 2014;25:1821. https://doi.org/10.1353/hpu.20... PMid:25418245 PMCid:PMC4492521.
20.
Krevers B, Milberg A. The instrument ‘Sense of Security in Care–Patients’ Evaluation’: its development and presentation. Psycho‐Oncology 2014;23:914-20. https://doi.org/10.1002/pon.35... PMid:24677414.
21.
Hupcey JE. Feeling safe: the psychosocial needs of ICU patients. Journal of Nursing Scholarship 2000;32:361-7. https://doi.org/10.1111/j.1547... PMid:11140200.
22.
Wills-Herrera E, Orozco LE, Forero-Pineda C, et al. The relationship between perceptions of insecurity, social capital and subjective well-being: Empirical evidences from areas of rural conflict in Colombia. The Journal of Socio-Economics 2011;40:88-96. https://doi.org/10.1016/j.soce....
23.
Bar‐Tal D, Jacobson D. A psychological perspective on security. Applied Psychology 1998;47:59-71. https://doi.org/10.1111/j.1464....
24.
Alegre A. Emotional Security and its relationship with emotional intelligence. Virginia Polytechnic Institute and State University, 2008.
25.
Berkowitz L, Harmon-Jones E. Toward an understanding of the determinants of anger. Emotion 2004;4:107. https://doi.org/10.1037/1528-3... PMid:15222847.
26.
Bo S, Abu-Akel A, Kongerslev M. Metacognition as a Framework to Understanding the Occurrence of Aggression and Violence in Patients with Schizophrenia. Social cognition and metacognition in schizophrenia: Psychopathology and treatment approaches, Chapter: 8, Publisher: Academic Press, Editors: Paul H. Lysaker, Martin Brune, Giancarlo Dimaggio, 2014:137-45. https://doi.org/10.1016/B978-0... PMid:24838067 PMCid:PMC4411345.
27.
Barratt ES. Agonistic Behavior. International Encyclopedia of the Social & Behavioral Sciences 2001. https://doi.org/10.1016/B0-08-....
28.
Harwood R. How to deal with violent and aggressive patients in acute medical settings. The journal of the Royal College of Physicians of Edinburgh 2017;47:94-101. https://doi.org/10.4997/JRCPE.... PMid:28675195.
29.
Leibenluft E, Stoddard J. The developmental psychopathology of irritability. Development and psychopathology 2013;25:1473-87. https://doi.org/10.1017/S09545... PMid:24342851 PMCid:PMC4476313.
30.
Jackson JL, Mallory R. Aggression and violence among elderly patients, a growing health problem. Journal of General Internal Medicine 2009;24:1167. https://doi.org/10.1007/s11606... PMid:19730956 PMCid:PMC2745572.
31.
Flannery RB Jr. Treating learned helplessness in the elderly dementia patient: preliminary inquiry. American Journal of Alzheimer’s Disease & Other Dementias 2002;17:345-9. https://doi.org/10.1177/153331... PMid:12501481.
32.
Smallheer BA. Learned helplessness and depressive symptoms in patients following acute myocardial infarction. Doctoral Dissertation, Faculty of the Graduate School of Vanderbilt Univ., Nashville, Tennessee, 2011.
33.
Nuvvula S. Learned helplessness. Contemporary clinical dentistry 2016;7:426. https://doi.org/10.4103/0976-2... PMid:27994405 PMCid:PMC5141652.
34.
National Research Council. Elder mistreatment: Abuse, neglect, and exploitation in an aging America. National Academies Press (NAP); 2003 Feb 6.
35.
James I, Ardeman-Merten R and Kihlgren A. Ontological security in nursing homes for older persons–person-centred care is the power of balance. The open nursing journal 2014;8:79. https://doi.org/10.2174/187443... PMid:25852785 PMCid:PMC4382558.
36.
Solomon K. Learned helplessness in the elderly: Theoretic and clinical considerations. Occupational Therapy in Mental Health 1990;10:31-51. https://doi.org/10.1300/J004v1....
37.
Priddy JM, Teitelman JL, Kivlighan DM, et al. Overcoming learned helplessness in elderly clients: Skills training for service providers. Educational Gerontology: An International Quarterly 1982;8:507-18. https://doi.org/10.1080/036012....
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