TY - JOUR
T1 - Resident-to-resident aggression in nursing homes
T2 - Results from a qualitative event reconstruction study
AU - Pillemer, Karl
AU - Chen, Emily K.
AU - Van Haitsma, Kimberly S.
AU - Teresi, Jeanne
AU - Ramirez, Mildred
AU - Silver, Stephanie
AU - Sukha, Gail
AU - Lachs, Mark S.
N1 - Funding Information:
Primary support for this work is from National Institute on Aging grant R01 AG014299 (Co-PIs, M. Lachs and K. Pillemer) and the National Institute of Justice Grant Number 2009-IJ-CX-0001 (PI, M. Lachs). Additional support was provided by an Edward R. Roybal Center Grant (1 P30 AG022845; Co-PIs, M. C. Reid and K. Pillemer) from the National Institute on Aging. Dr. Lachs is the recipient of a Mentoring Award in Patient-Oriented Research from the National Institute on Aging K24 AG022399.
PY - 2012/2
Y1 - 2012/2
N2 - Purpose: Despite its prevalence and negative consequences, research on elder abuse has rarely considered resident-to-resident aggression (RRA) in nursing homes. This study employed a qualitative event reconstruction methodology to identify the major forms of RRA that occur in nursing homes. Design and Methods: Events of RRA were identified within a 2-week period in all units (n = 53) in nursing homes located in New York City. Narrative reconstructions were created for each event based on information from residents and staff who were involved as well as other sources. The event reconstructions were analyzed using qualitative methods to identify common features of RRA events. Results: Analysis of the 122 event reconstructions identified 13 major forms of RRA, grouped under five themes. The resulting framework demonstrated the heterogeneity of types of RRA, the importance of considering personal, environmental, and triggering factors, and the potential emotional and physical harm to residents. Implications: These results suggest the need for person-centered and environmental interventions to reduce RRA, as well as for further research on the topic.
AB - Purpose: Despite its prevalence and negative consequences, research on elder abuse has rarely considered resident-to-resident aggression (RRA) in nursing homes. This study employed a qualitative event reconstruction methodology to identify the major forms of RRA that occur in nursing homes. Design and Methods: Events of RRA were identified within a 2-week period in all units (n = 53) in nursing homes located in New York City. Narrative reconstructions were created for each event based on information from residents and staff who were involved as well as other sources. The event reconstructions were analyzed using qualitative methods to identify common features of RRA events. Results: Analysis of the 122 event reconstructions identified 13 major forms of RRA, grouped under five themes. The resulting framework demonstrated the heterogeneity of types of RRA, the importance of considering personal, environmental, and triggering factors, and the potential emotional and physical harm to residents. Implications: These results suggest the need for person-centered and environmental interventions to reduce RRA, as well as for further research on the topic.
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U2 - 10.1093/geront/gnr107
DO - 10.1093/geront/gnr107
M3 - Article
C2 - 22048811
AN - SCOPUS:84856416724
SN - 0016-9013
VL - 52
SP - 24
EP - 33
JO - Gerontologist
JF - Gerontologist
IS - 1
ER -