ArticleBMC health services research2021
Factors associated with staff-to-resident abuse in Norwegian nursing homes: a cross-sectional exploratory study.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 49 citations in OpenAlex.
- Stakeholders' perceptions on guidelines to prevent abuse of older people in Norway: a qualitative analysis.BMC geriatrics · 2026Article
- Routinized violence: examining long-term residential care workers' perspectives on involuntary treatment.The Gerontologist · 2026Article
- Certified nursing assistants' perceptions of and suggestions to prevent elder abuse in residential aged care facilities: a qualitative study in Hunan Province, China.BMC public health · 2025Article
- Article
- Relative-to-resident abuse in Norwegian nursing homes: a cross-sectional exploratory study.BMC geriatrics · 2024Article
- Decisional needs for older adults, home health care nurses and dental hygienists during team-based oral health assessments in ordinary home settings - a qualitative study.BMC geriatrics · 2024Article
- Abuse in Canadian long-term care homes: a mixed methods study.BMJ open quality · 2024Article
- Legitimizing neglect - a qualitative study among nursing home staff in Norway.BMC health services research · 2023Article
- Contextual Factors Associated with Abuse of Home-Dwelling Persons with Dementia: A Cross-Sectional Exploratory Study of Informal Caregivers.International journal of environmental research and public health · 2023Article
- Status and influencing factors of elder neglect by geriatric nursing assistants in Chinese nursing homes: a cross-sectional survey.Frontiers in medicine · 2023Article
- Theories for interventions to reduce physical and verbal abuse: A mixed methods review of the health and social care literature to inform future maternity care.PLOS global public health · 2023Review
- Development and psychometric properties of the hospitalized elder abuse questionnaire (HEAQ): a mixed methods study.BMC geriatrics · 2022Review
- Frequency of Neglect and Its Effect on Mortality in Long-Term Care before and during the COVID-19 Pandemic.Healthcare policy = Politiques de sante · 2022Article
- Factors associated with resident-to-resident elder mistreatment in nursing homes.Journal of the American Geriatrics Society · 2022Observational
- 'Ethics Between the Lines' - Nurses' Experiences of Ethical Challenges in Long-Term Care.Global qualitative nursing researchArticle
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Authors and funding
5 authors at 3 institutions in 2 countries.
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Abstract
backgroundElder abuse is a public health problem that is gaining attention due to its serious impacts on people's health and well-being, and it is predicted to increase along with the world's rapidly ageing population. Staff-to-resident abuse in nursing homes is a complex and multifaceted phenomenon associated with multiple factors on different levels of the ecological model. This study aimed to explore individual, relational, and institutional characteristics associated with perpetrated staff-to-resident abuse in nursing homes, using a multilevel hierarchical approach.
methodsThis was a cross-sectional exploratory study of 3693 nursing staff (response rate 60.1%) in 100 randomly selected nursing homes in Norway. We explored the characteristics of nursing staff, their relationship with residents, and institutional features associated with three types of abuse: psychological abuse, physical abuse, and neglect. These were modelled using multilevel mixed-effects logistic regression analyses.
resultsIndividual staff factors found to be associated with all three types of abuse were 1) being a registered nurse/social educator (OR 1.77-2.49) or licensed practical nurse (OR 1.64-1.92), 2) reporting symptoms of psychological distress (OR 1.44-1.46), 3) intention to leave the job (OR 1.35-1.40), and 4) reporting poor attitudes towards people with dementia (OR 1.02-1.15). Also, staff who reported poorer quality of childhood were more likely to perpetrate neglect (OR 1.14). Relational factors such as care-related conflicts (OR 1.97-2.33) and resident aggression (OR 1.36-2.09) were associated with all three types of abuse. Of institutional factors, lack of support from a manager was associated with perpetrating psychological abuse (OR 1.56).
conclusionsWe found several predictors of staff-to-resident abuse on different levels of the ecological model, which underlines the importance of using a multifaceted approach to identify risk factors of elder abuse in nursing homes. However, future studies should explore the underlying mechanism and causes with a prospective or qualitative design and target the multifaceted nature of risk factors when designing preventive interventions.
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