Perceptions and implications of violence from care home residents with dementia: a review and commentary

A Scott, A. Ryan, I James, Liz Mitchell

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Aims and objectives. This paper presents a critical review of the literature related to the violence staff in care homes experience from people with dementia. It attempts to identify the psychological consequences abuse has on care workers and the implications this has for practice.Background. Abuse in the form of violence or aggression against healthcare professionals is not new. However, when this is from residents with dementia in care homes it is considered to be part of the job. Consequently it is largely underreported and ignored which masks its true extent.Conclusion. The magnitude of violence in care homes crosses cultural boundaries. Fear of being blamed, job insecurity and resignation that abuse should be accepted as part of the job is unique to this care setting. The cumulative effect of psychological abuse leads to emotional exhaustion and depersonalisation which results in care workers emotionally and physically withdrawing from residents. Being subjected to abuse, feeling undervalued, unsupported and lacking essential skills may compromise a workforces’ ability to provide person-centred care. A rising ageing population and prevalence of dementia will place demands on commissioners and providers to deliver high quality care. Consistent recording and reporting procedures, dementia specific training and infrastructures to support staff is therefore crucial.
LanguageEnglish
Pages110-122
JournalInternational Journal of Older People
Volume6
Issue number2
DOIs
Publication statusPublished - 8 Jun 2011

Fingerprint

Home Care Services
Violence
Dementia
Psychology
Depersonalization
Aptitude
Quality of Health Care
Masks
Aggression
Fear
Emotions
Delivery of Health Care
Population

Keywords

  • abuse
  • care homes
  • challenging behaviour
  • dementia
  • literature review
  • long term care
  • psychological trauma
  • violence in the workplace
  • workforce issues
  • workplace aggression

Cite this

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title = "Perceptions and implications of violence from care home residents with dementia: a review and commentary",
abstract = "Aims and objectives. This paper presents a critical review of the literature related to the violence staff in care homes experience from people with dementia. It attempts to identify the psychological consequences abuse has on care workers and the implications this has for practice.Background. Abuse in the form of violence or aggression against healthcare professionals is not new. However, when this is from residents with dementia in care homes it is considered to be part of the job. Consequently it is largely underreported and ignored which masks its true extent.Conclusion. The magnitude of violence in care homes crosses cultural boundaries. Fear of being blamed, job insecurity and resignation that abuse should be accepted as part of the job is unique to this care setting. The cumulative effect of psychological abuse leads to emotional exhaustion and depersonalisation which results in care workers emotionally and physically withdrawing from residents. Being subjected to abuse, feeling undervalued, unsupported and lacking essential skills may compromise a workforces’ ability to provide person-centred care. A rising ageing population and prevalence of dementia will place demands on commissioners and providers to deliver high quality care. Consistent recording and reporting procedures, dementia specific training and infrastructures to support staff is therefore crucial.",
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Perceptions and implications of violence from care home residents with dementia: a review and commentary. / Scott, A; Ryan, A.; James, I; Mitchell, Liz.

In: International Journal of Older People, Vol. 6, No. 2, 08.06.2011, p. 110-122.

Research output: Contribution to journalArticle

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