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KMID : 1023720210760010071
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Journal of Welfare for the Aged
2021 Volume.76 No. 1 p.71 ~ p.115
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Resident-to-resident abuse in nursing facilities: A literature review on studies in Western countries
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Lee Joon-Yup
Lee Mi-Jin
Yang Ho-Jung
Moon Eun-Ha
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Abstract
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This study reviews studies on RRA in nursing facilities published in Western countries to provide knowledge base for RRA. PubMed, Web of Science and Google Scholar were searched for studies published from Jan. 2000 to Sep. 2020. A total of 26 studies were reviewed. The definitions of RRA were inconsistent across the included studies. Types of RRA generally included physical, verbal, and sexual abuse. In terms of theoretical frameworks, one-third of the studies were conducted based on specific theories or models including standard paradigm, person-centered paradigm, need-driven dementia-compromised behavior model, socio-ecological model, and social learning theory. Also, to measure RRA, some studies used standardized measurement tools, but their validity and reliability were inadequate. The rate of observing RRA was higher than the prevalence rate. Factors that influence RRA were categorized into initiator, victim, facility, and situational characteristics. Results suggest the need for policy and intervention to prevent RRA as follows: conducting surveys of RRA, educating nursing home workers how to deal with RRA, applying related theories or models to interventions, making physical environmental changes in facilities, and establishing a protection and prevention system for high-risk groups.
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KEYWORD
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resident-to-resident abuse, resident-to-resident aggression, abuse in nursing facilities, literature review
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