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dc.contributor.authorMyhre, Janne
dc.contributor.authorSaga, Susan
dc.contributor.authorMalmedal, Wenche Karin
dc.contributor.authorOstaszkiewicz, Joan
dc.contributor.authorNakrem, Sigrid
dc.identifier.citationBMC Health Services Research. 2020, 20 (199), 1-14.nb_NO
dc.description.abstractBackground:The definition and understanding of elder abuse and neglect in nursing homes can vary in differentjurisdictions as well as among health care staff, researchers, family members and residents themselves. Differentunderstandings of what constitutes abuse and its severity make it difficult to compare findings in the literature onelder abuse in nursing homes and complicate identification, reporting, and managing the problem. Knowledgeabout nursing home leaders’perceptions of elder abuse and neglect is of particular interest since theirunderstanding of the phenomenon will affect what they signal to staff as important to report and how theyinvestigate adverse events to ensure residents’safety. The aim of the study was to explore nursing home leaders’perceptions of elder abuse and neglect.Methods:A qualitative exploratory study with six focus group interviews with 28 nursing home leaders in the roleof care managers was conducted. Nursing home leaders’perceptions of different types of abuse within differentsituations were explored. The constant comparative method was used to analyse the data.Results:The results of this study indicate that elder abuse and neglect are an overlooked patient safety issue. Threeanalytical categories emerged from the analyses: 1) Abuse from co-residents:‘A normal part of nursing home life’;resident-to-resident aggression appeared to be so commonplace that care leaders perceived it as normal and hadno strategy for handling it; 2) Abuse from relatives:‘A private affair’; relatives with abusive behaviour visiting nursinghomes residents was described as difficult and something that should be kept between the resident and therelatives; 3) Abuse from direct-care staff:‘An unthinkable event’; staff-to-resident abuse was considered to bedifficult to talk about and viewed as not being in accordance with the leaders’trust in their employees.nb_NO
dc.rightsNavngivelse 4.0 Internasjonal*
dc.titleElder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders’ perceptions of elder abuse and neglectnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.source.journalBMC Health Services Researchnb_NO
dc.description.localcode© The Author(s). 2020Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License,which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you giveappropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate ifchanges were made. The images or other third party material in this article are included in the article's Creative Commonslicence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commonslicence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtainpermission directly from the copyright holder. To view a copy of this licence, visit Creative Commons Public Domain Dedication waiver ( applies to thedata made available in this article, unless otherwise stated in a credit line to the data.nb_NO
cristin.unitnameInstitutt for samfunnsmedisin og sykepleie

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