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Q: ELDER ABUSE IN NURSING HOMES ( Answered,   0 Comments )
Question  
Subject: ELDER ABUSE IN NURSING HOMES
Category: Reference, Education and News > Teaching and Research
Asked by: kunnath-ga
List Price: $5.00
Posted: 13 Sep 2002 11:29 PDT
Expires: 13 Oct 2002 11:29 PDT
Question ID: 64719
Could you find reliable and published research tools to conduct
research on "ELDER ABUSE IN NURSING HOMES BY CARE GIVERS"

Request for Question Clarification by slawek-ga on 13 Sep 2002 11:51 PDT
Good Day,

Are you looking for resources with information about the topic, or
tools to help you assemble new data?

Thank You.
Slawek Borkowski

Clarification of Question by kunnath-ga on 13 Sep 2002 11:58 PDT
Thanks.
I am looking for research report which should definitly include the
research too used to conduct the study

Clarification of Question by kunnath-ga on 13 Sep 2002 12:06 PDT
In fact, the purpose of the search is to get the tool to gather data
and to conduct research. Thanks
Answer  
Subject: Re: ELDER ABUSE IN NURSING HOMES
Answered By: nellie_bly-ga on 13 Sep 2002 20:37 PDT
 
The National Elder Abuse Incidence Study; Final Report
September 1998 is available at 
http://www.aoa.gov/abuse/report/default.htm
This is the benchmark study in the field.

For data collection instruments you'll want get the appendices.
To obtain the Appendices to this report, contact the National Aging
Information Center (naic@aoa.gov) 330 Independence Avenue, SW - Room
4656 - Washington, DC 20201; Telephone: (202) 619 7501; Fax: (202)
401-7620; TTY: (202) 401-7575

Request for Answer Clarification by kunnath-ga on 13 Sep 2002 21:19 PDT
Thank you for the attempt.
The answer you have given is on the basis of a research study
conducted in domestic abuse. I have requested for studies based on
"ABUSE IN NURSING HOMES BY CARE GIVERS". Please provide a relevent
study report with a copy of the resarch tools used. Thanks
kunnath-ga

Clarification of Answer by nellie_bly-ga on 13 Sep 2002 23:11 PDT
Kunnath-

I apologize, I'm afraid I failed to read your question properly.

The National Center on Elder Abuse 
http://www.elderabusecenter.org/research/nhabuse.html
has a special section reviewing the research on elder abuse in nursing
homes. It throughly reviews the relatively few studies that have been
conducted and includes a full bibliography.

AT http://www.elderabusecenter.org/research/agenda.html
you will find a comprehensive "research agenda" that may be of
interest.

The Committee on Government Reform makes available in PDF format the
2001 Congressional Study on nursing home abuse and neglect. Includes
proposed legislation on the subject.
http://www.house.gov/reform/min/pdfs/pdf_inves/pdf_nursing_abuse_rep.pdf

The following are citations that may be useful:

Karl A. Pillemer & David W. Moore, Abuse of Patients in Nursing Homes:
Findings from a Survey of Staff, 29 Gerontologist 314-320 (1989).
Focuses on the incidence of abuse in intermediate care facilities and
skilled nursing facilities through a survey of 577 nursing home staff
at 31 nursing homes. Staff members reported recurrent abusive behavior
and some admitted to acting in a physically or psychologically abusive
manner towards residents. Suggests that abuse may be a common part of
institutional life and that abuse is often underreported. Slightly
generalized from the data.

Anne Hegland, Nip Patient Abuse in the Bud: Aides Tackle Conflict
Resolution, Contemporary Longterm Care, Sept. 1990, at 64, 113.
Describes training program implemented for nursing aides by the
Coalition of Advocates for the Rights of the Infirm Elderly in
Philadelphia, PA. Study found that most prevalent forms of abuse
include physical, verbal, emotional neglect and verbal and emotional
abuse; and nursing aides and orderlies were most common abusers. Two
factors identified in contributing to abuse and neglect: job burnout
and conflict with residents.

Janny Scott, Study Warns of Drugging in Nursing Homes, L.A. Times,
Nov. 25, 1988, at Metro3.
Explains study which indicated that mind-altering drugs, or "chemical
restraint," are regularly used in nursing homes to control behavior.
Often constituted abuse when strong drugs used where less powerful
drugs would have been sufficient.

Timothy W. Silva, Reporting Elder Abuse: Should it be Mandatory or
Voluntary?, HealthSpan, April 1992, at 13-15.
Summarizes the findings of the U.S. General Accounting Office's study
of the effectiveness of mandatory and voluntary reporting laws for
elder abuse. Identifies three main problems with comparing data: (1)
differences in state definition of elder abuse and neglect, (2)
differences in data collection practices, and (3) other factors,
including public awareness, reporting procedures, and reputations of
agencies for resolving reported cases. Considers what are the most
effective measures for prevention and treatment of elder abuse.

None of these, I'm afraid, promise to include data collection
instruments.
My guess is that you will have to develop your own based on the
domestic elder abuse study and using the information from the research
review.  This is a relatively lightly studied field despite the
obvious need.

I hope you find useful leads in the materials I have been able to
find.

Data collection instrument design is an art, and you may wish to
enlist the assistance of a survey professional if that is not your
area of expertise.
There are also, of course, a myriad of complications and challenges in
a study of elder abuse in an institutional setting.

You have taken on a challenge, but a needed and useful one.
I wish you the best.

Nellie Bly

Request for Answer Clarification by kunnath-ga on 15 Sep 2002 06:31 PDT
Dear Nellie,
I appreciate your time and effort. Unfortunately I am not able to get
the correct answer I am looking for. None of the sites you mentioned
gives the tool for data collection. In fact, I had visited these sites
earlier. Still searching for those tools. Please continue the search
for tools. Thanks
kunnath

Clarification of Answer by nellie_bly-ga on 15 Sep 2002 08:31 PDT
kunnuth--

I'm afraid what you seek does not exist on the Internet or through a
publications search, certainly not within the range of a $5 query.
Actually, I come to believe that no such intruments exist at all.

A clear indication of this is that "no prevalence or incidence data on
elder abuse in institutional settings are available even though a vast
literature exists on quality-of-care issues. However, abuses have been
well documented in reports of governmental inquiries, ethnographic
studies, personal histories, and ombudsman projects." (See: THE NATURE
AND SCOPE OF ELDER ABUSE ,  By: Wolf, Rosalie S., Generations,
07387806, Summer2000, Vol. 24, Issue 2)

As I mentioned before, this is a relatively new field of formalized
research and few studies have been conducted. Most research has been
based on chart review e.g., PREVALENCE AND CORRELATES OF ELDER ABUSE
AND NEGLECT IN A GERIATRIC PSYCHIATRY SERVICE ,  By: Vida, Stephen,
Monks, Richard C., Des Rosiers, Pascale, Canadian Journal of
Psychiatry, 07067437, Jun2002, Vol. 47, Issue 5   or on legal
complaints registered as in the General Accounting Office report,
1999.

I have spent several hours on this question and have shared with you
those sources that might be useful. That evaluation, by the way, is
based on 25 years of experince in social science reasearch.

So, it would seem that you have a fine opportunity to lead the field.
Obviously, there is a need for study in this important area.

Good luck on your project.
Nellie Bly
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