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KMID : 0379220160360041037
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Journal of Korea Gerontological Society
2016 Volume.36 No. 4 p.1037 ~ p.1058
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An Exploratory Study on Female Caregivers Experiences of Aggression by Older Residents in Nursing Homes
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Yoo Seong-Ho
Kim Bo-Kyung
Moon Yu-Jin
Shim Il-Kwang
Cho Hee-Ju
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Abstract
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This study aims to investigate the female caregivers’experiences of aggression by nursing home residents, and to identify the policy strategies for violence prevention referred by the female caregivers. A total of 121 female caregivers with more than 6 months of working experiences had participated in this study. Of these, 56.2% had experienced verbal aggression, 51.2% physical aggression, and 27.3% sexual aggression, which reveals that client violence toward caregivers in nursing homes was at an alarming level. Although, physical and verbal violences were mostly caused unintentionally, about a half of the sexual aggression were caused deliberately. Aggression occurred the most when caregivers were providing the following services: changing the diapers or clothes, giving a bath, and serving meals. It was found that ‘hitting was the most common form of physical aggression and it was ‘swearing and ‘touching or physical contacting in the case of verbal and sexual aggression, respectively. Though there was a difference depending on the type of aggression, the most frequent reactions against client violence were to start a conversation or calm down the nursing home residents, and to leave the scene or ignore the incident. This means that the caregivers are coping very passively through resolving the aggressions by themselves, or overlooking the situation. The most frequently recommended strategy to prevent resident aggression was to provide educational programs on violence prevention to nursing home residents and caregivers(42.7%). Compared to the previous studies, this study indicates some differentiated strategies to prevent violence in nursing homes, which include hiring male caregivers, assuring directors to pay closer attention toward caregivers, using refined language between caregivers and residents, and keeping caregivers to wear appropriate clothes. Based on the study results, some policy recommendations on the prevention of client violence in nursing homes were suggested.
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KEYWORD
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nursing homes , client violence , caregiver , violence protection policy
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