
@article{ref1,
title="Staff-reported strategies for prevention and management of resident-to-resident elder mistreatment in long-term care facilities",
journal="Journal of elder abuse and neglect",
year="2015",
author="Rosen, Tony E. and Lachs, Mark S. and Teresi, Jeanne and Eimicke, Joseph and Van Haitsma, Kimberly and Pillemer, Karl",
volume="28",
number="1",
pages="1-13",
abstract="BACKGROUND: Resident-to-resident elder mistreatment (R-REM) in nursing homes is frequent and leads to adverse outcomes. Nursing home staff responses may significantly mitigate R-REM's impact, but little is known about current practices. <br><br>OBJECTIVE: To identify common staff responses to R-REM. <br><br>METHODS: We interviewed 282 certified nursing assistants (CNAs) in 5 urban nursing homes on their responses during the previous 2 weeks to R-REM behaviors of residents under their care. <br><br>RESULTS: 97 CNAs (34.4%) reported actions responding to R-REM incidents involving 182 residents (10.8%), describing 22 different responses. Most common were: physically intervening/separating residents (51), talking calmly to settle residents down (50), no intervention (39), and verbally intervening to defuse the situation (38). Less common were notifying a nurse (13) or documenting in behavior log (4). <br><br>CONCLUSIONS: Nursing home staff report many varied responses to R-REM, a common and dangerous occurrence. CNAs seldom documented behaviors or reported them to nurses.<p /> <p>Language: en</p>",
language="en",
issn="0894-6566",
doi="10.1080/08946566.2015.1029659",
url="http://dx.doi.org/10.1080/08946566.2015.1029659"
}