Evidence map›Paper›PMID 36879261›Full record

ArticleBMC health services research2023

Legitimizing neglect - a qualitative study among nursing home staff in Norway.

Stine Borgen Lund, John-Arne Skolbekken, Laura Mosqueda, Wenche K Malmedal

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Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Finding the Extraordinary in the Ordinary: Understanding the Role of Everyday Life in Coping With Health Challenges.Nursing philosophy : an international journal for healthcare professionals · 2025
    Article
  4. "I feel like a caged pig in here": Language, Race, and Ethnic Identity in a Case Study Hmong Nursing Home Resident Quality of Life.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Stine Borgen LundDepartment of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), PO Box 8905, Trondheim, 7491, Norway. stine.b.lund@ntnu.no.
John-Arne SkolbekkenDepartment of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), PO Box 8905, Trondheim, 7491, Norway.
Laura MosquedaKeck School of Medicine, University of Southern California, Los Angeles, USA.
Wenche K MalmedalDepartment of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), PO Box 8905, Trondheim, 7491, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionResidents in nursing homes do not always get qualitatively good nursing care, and research shows that residents' basic care needs are sometimes neglected. Neglect in nursing homes is a challenging and complex issue, yet a preventable one. Nursing home staff are at the frontline of detecting and preventing neglect but may also be the ones causing it. It is essential to understand why and how neglect happens in order to recognize, expose, and prevent its occurrence. Our aim was to generate new knowledge on the processes leading to and allowing neglect to continue in Norwegian nursing homes, by studying how nursing home staff perceive and reflect on when nursing home residents are neglected in their daily practice.

methodsA qualitative exploratory design was used. The study was based on five focus group discussions (20 participants, total) and ten individual interviews with nursing home staff from 17 different nursing homes in Norway. The interviews were analysed according to Charmaz constructivist grounded theory.

resultsIn order to make neglect an acceptable practice, nursing home staff apply different strategies. These strategies were identified as when the staff legitimize neglect by neglecting neglect, when the staff are not recognizing their own behaviour as neglectful, as expressed in their actions and language, and normalizing missed care when resources are lacking and nursing staff are rationing care.

conclusionsThe gradual shift between judging actions as neglectful or not are made possible when nursing home staff legitimize neglect by not recognizing their practice as neglective, thus neglecting neglect or when they are normalizing missed care. Increased awareness and reflections on these processes may be a way of reducing the risk of and preventing neglect in nursing homes.

Indexed as

Nursing HomesNursing StaffHumansNorwayQualitative ResearchSkilled Nursing FacilitiesConstructivist grounded theoryElder abuseElder neglectLong term careMissed careNeglectNursing homeNursing staff`s perceptionsQualitativeRationing of careResidential care

Identifiers

PMID36879261
PMCPMC9990246

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.