TY - JOUR PY - 2015// TI - Staff-reported strategies for prevention and management of resident-to-resident elder mistreatment in long-term care facilities JO - Journal of elder abuse and neglect A1 - Rosen, Tony E. A1 - Lachs, Mark S. A1 - Teresi, Jeanne A1 - Eimicke, Joseph A1 - Van Haitsma, Kimberly A1 - Pillemer, Karl SP - 1 EP - 13 VL - 28 IS - 1 N2 - 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.

OBJECTIVE: To identify common staff responses to R-REM.

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.

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).

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.

Language: en

LA - en SN - 0894-6566 UR - http://dx.doi.org/10.1080/08946566.2015.1029659 ID - ref1 ER -