Psychosocial Intervention Psychosocial Intervention
Psychosocial Intervention 26 (2017) 73-91 - Vol. 26 No.2 DOI: 10.1016/j.psi.2016.11.001
Influence of health personnel's attitudes and knowledge in the detection and reporting of elder abuse: An exploratory systematic review
La influencia de las actitudes y de los conocimientos de los profesionales de la salud en la detección y notificación de los malos tratos a las personas mayores. Una revisión sistemática exploratoria
Carmen Touza Garma
Departamento de Pedagogía y Didácticas Específicas, Universidad de las Islas Baleares, Spain
Received 02 June 2016, Accepted 05 November 2016
Abstract

This article reviews the main results and conclusions of published studies concerning the influence of the knowledge and attitudes of health professionals in detecting and reporting elder abuse. Fifty-seven articles published in English or Spanish between 2000 and 2014 were analysed. The main findings and conclusions are presented around four themes: (1) the influence of definitions used by professionals in the detection and reporting of abuse; (2) the ability of knowledge and attitudes of professionals to act as barriers or facilitators of abuse detection and reporting; (3) the influence of the knowledge and attitudes of professionals in strategies for action taken in response to suspected abuse; and (4) training as a means to improve the competence of professionals to detect and report abuse. Results show the influence of knowledge and attitudes, but testing the theoretical models that integrate the relationship of these variables to other factors that affect decision processes and actions of health professionals is needed. Findings from such tests will facilitate the design of intervention strategies to increase the likelihood that health professionals will detect and report abuse.

Keywords
  • Elder abuse
  • Health professionals
  • Detection
  • Reporting
  • Exploratory systematic review
Resumen

Este artículo presenta una revisión de los principales resultados y conclusiones de los estudios sobre la influencia de los conocimientos y las actitudes de los profesionales de la salud en la detección y la notificación del maltrato a las personas mayores. Se analizaron 57 artículos publicados en inglés o en español entre los años 2000 y 2014. Los principales resultados y conclusiones encontrados se exponen en torno a 4 líneas temáticas: 1) la influencia de las definiciones utilizadas por los profesionales en la detección y la notificación; 2) el papel de los conocimientos y las actitudes de los profesionales como barreras o facilitadores de la detección y la notificación; 3) la influencia de los conocimientos y las actitudes de los profesionales en las estrategias de actuación ante la sospecha de maltrato, y 4) la formación como medio para mejorar la competencia de los profesionales para detectar y notificar. Los resultados de las investigaciones muestran la influencia de los conocimientos y las actitudes, pero sería necesario probar modelos teóricos que integrasen la relación de estas variables con otras que han demostrado influir en el proceso de decisión y en las actuaciones de los profesionales. Sus resultados facilitarían el diseño de estrategias de intervención para aumentar el número de casos detectados y notificados por los profesionales.

Keywords
  • Malos tratos a personas mayores
  • Profesionales de la salud
  • Detección
  • Notificación
  • Revisión sistemática exploratoria
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References
Ahern and McDonald, 2002
K. Ahern,S. McDonald
The beliefs of nurses who were involved in a whistleblowing event
Journal of Advanced Nursing, 38 (2002), pp. 303-309
All, 1994
A. All
A literature review: Assessment and intervention in elder abuse
Journal of Gerontological Nursing, 20 (1994), pp. 25-32
Almogue et al., 2010
A. Almogue,A. Weiss,E.-L. Marcus,Y. Beloosesky
Attitudes and knowledge of medical and nursing staff toward elder abuse
Archives of Gerontology and Geriatrics, 51 (2010), pp. 86-91 http://dx.doi.org/10.1016/j.archger.2009.08.005
American Psychological Association, 2012
American Psychological Association
Elder abuse and neglect: In search of solutions
Author, (2012)
Available from: http://www.apa.org/pi/aging/resources/guides/elder-abuse.pdf
Arksey and O’Malley, 2005
H. Arksey,L. O’Malley
Scoping studies: Towards a methodological framework
International Journal of Social Research Methodology, 8 (2005), pp. 19-32
Retrieved from http://eprints.whiterose.ac.uk/1618/1/Scopingstudies.pdf
Armstrong et al., 2011
R. Armstrong,B.J. Hall,J. Doyle,E. Waters
Cochrane update. ‘Scoping the scope’ of a Cochrane review
Journal of Public Health, 33 (2011), pp. 147-150 http://dx.doi.org/10.1093/pubmed/fdr015
Bomba, 2006
P.A. Bomba
Use of a single page elder abuse assessment and management tool
Journal of Gerontological Social Work, 46 (2006), pp. 103-122 http://dx.doi.org/10.1300/J083v46n03_06
Bond, 2004
C. Bond
Education and a multi-agency approach are key to addressing elder abuse
Professional Nurse, 20 (2004), pp. 39-41
Bover et al., 2003
A. Bover,M.L. Moreno,S. Mota,J.M. Taltavull
El maltrato a los ancianos en el domicilio. Situación actual y posibles estrategias de intervención
Atención Primaria, 32 (2003), pp. 1-14
Bužgová and Ivanová, 2009
R. Bužgová,K. Ivanová
Elder abuse and mistreatment in residential settings
Nursing Ethics, 16 (2009), pp. 110-126 http://dx.doi.org/10.1177/0969733008097996
Caciula et al., 2010
I. Caciula,G. Livingston,R. Caciula,C. Cooper
Recognition of elder abuse by home care workers and older people in Romania
International Psychogeriatrics, 22 (2010), pp. 403-408 http://dx.doi.org/10.1017/S104161020999161X
Clark-Daniels et al., 1990
C.L. Clark-Daniels,R.S. Daniels,L.A. Baumhover
Physicians’ and nurses’ responses to abuse of the elderly: A comparative study of two surveys in Alabama
Journal of Elder Abuse & Neglect, 1 (1990), pp. 57-72 http://dx.doi.org/10.2147/CIA.S103359
Cohen and Shinan-Altman, 2011
M. Cohen,S. Shinan-Altman
A cross-cultural study of nursing aides’ attitudes to elder abuse in nursing homes
International Psychogeriatrics, 23 (2011), pp. 1213-1221 http://dx.doi.org/10.1017/S1041610211000391
Coma et al., 2007
M. Coma,J. Muñoz,P. Postigo,M. Ayuso,C. Sierra,T. Sayrol
Visión del maltrato al anciano desde atención primaria
Gaceta Sanitaria, 21 (2007), pp. 235-241
Conry, 2009
M. Conry
Identifying, preventing, and reporting elder abuse
Consultant Pharmacist, 24 (2009), pp. 306-315
Cooper et al., 2013
C. Cooper,B. Dow,S. Hay,D. Livingston,G. Livingston
Care workers’ abusive behavior to residents in care homes: A qualitative study of types of abuse, barriers, and facilitators to good care and development of an instrument for reporting of abuse anonymously
International Psychogeriatrics, 25 (2013), pp. 733-741 http://dx.doi.org/10.1017/S104161021200227X
Cooper et al., 2012
C. Cooper,L. Huzzey,G. Livingston
The effect of an educational intervention on junior doctors’ knowledge and practice in detecting and managing elder abuse
International Psychogeriatrics, 24 (2012), pp. 1447-1453 http://dx.doi.org/10.1017/S1041610212000403
Cooper et al., 2009
C. Cooper,A. Selwood,G. Livingston
Knowledge, detection, and reporting of abuse by health and social care professionals: A systematic review
American Journal of Geriatric Psychiatry, 17 (2009), pp. 826-838
Daly and Coffey, 2010
J. Daly,A. Coffey
Staff perceptions of elder abuse
Nursing Older People, 22 (2010), pp. 33-37 http://dx.doi.org/10.7748/nop2010.12.22.10.33.c8116
Daly and Jogerst, 2005
J. Daly,G. Jogerst
Definitions and indicators of elder abuse: A Delphi survey of APS caseworkers
Journal of Elder Abuse & Neglect, 17 (2005), pp. 1-19 http://dx.doi.org/10.2147/CIA.S103359
Daly et al., 2012
J.M. Daly,A.N. Schmeidel,G.J. Jogerst
Critical care nurses’ perspectives on elder abuse
Nursing in Critical Care, 17 (2012), pp. 172-179 http://dx.doi.org/10.1111/j.1478-5153.2012.00511.x
Davis and Konishi, 2007
A.J. Davis,E. Konishi
Whistleblowing in Japan
Nursing Ethics, 14 (2007), pp. 194-202 http://dx.doi.org/10.1177/0969733007073703
Dong, 2015
X.Q. Dong
Elder abuse: Systematic review and implications for practice
Journal of the American Geriatrics Society, 63 (2015), pp. 1214-1238 http://dx.doi.org/10.1111/jgs.13454
Dow et al., 2013
B. Dow,C. Hempton,E.N. Cortes-Simonet,K.A. Ellis,S.H. Koch,D. Logiudice
Health professionals’ and students’ perceptions of elder abuse
Australasian Journal on Ageing, 32 (2013), pp. 48-51 http://dx.doi.org/10.1111/j.1741-6612.2012.00643.x
Dyer et al., 2005
C. Dyer,C. Toronjo,M. Cunningham,N. Festa,V. Pavlik,D. Hyman
The key elements of elder neglect: A survey of Adult Protective Service workers
Journal of Elder Abuse & Neglect, 17 (2005), pp. 1-10 http://dx.doi.org/10.2147/CIA.S103359
Ellis et al., 2014
J. Ellis,J.A. Teresi,M. Ramirez,S. Silver,G. Boratgis,J. Kong
Managing resident to resident elder mistreatment (R-REM) in nursing homes: The SEARCH approach
Journal of Continuing Education in Nursing, 45 (2014), pp. 112-123 http://dx.doi.org/10.3928/00220124-20140223-01
Erlingsson et al., 2012
C. Erlingsson,M. Ono,A. Sasaki,B. Saveman
An international collaborative study comparing Swedish and Japanese nurses’ reactions to elder abuse
Journal of Advanced Nursing, 68 (2012), pp. 56-68 http://dx.doi.org/10.1111/j.1365-2648.2011.05712.x
Gironda et al., 2010
M.W. Gironda,K. Lefever,L. Delagrammatikas,L. Nerenberg,R. Roth,E.A. Chen
Education and training of mandated reporters: Innovative models, overcoming challenges, and lessons learned
Journal of Elder Abuse & Neglect, 22 (2010), pp. 340-364 http://dx.doi.org/10.2147/CIA.S103359
Granville, 2001
K. Granville
Perceptions of intentional wrongdoing and peer reporting behavior among registered nurses
Journal of Business Ethics, 34 (2001), pp. 1-13
Halphen et al., 2009
J.M. Halphen,G.M. Varas,J.M. Sadowsky
Recognizing and reporting elder abuse and neglect
Geriatrics, 64 (2009), pp. 13-18
Hempton et al., 2010
C. Hempton,B. Dow,E. Cortes-Simonet,K. Ellis,S. Koch,D. LoGiudice
Contrasting perceptions of health professionals and older people in Australia: What constitutes elder abuse?
International Journal of Geriatric Psychiatry, 26 (2010), pp. 466-472 http://dx.doi.org/10.1002/gps.2549
Hirst, 2002
S.P. Hirst
Defining resident abuse within the culture of long-term care institutions
Clinical Nursing Research, 11 (2002), pp. 267-284 http://dx.doi.org/10.1177/10573802011003004
Joubert and Posenelli, 2009
J.L. Joubert,S. Posenelli
Responding to a window of opportunity: The detection and management of aged abuse in an acute and subacute health care setting
Social Work in Health Care, 48 (2009), pp. 702-714 http://dx.doi.org/10.1080/00981380902922367
Jones et al., 1997
J.S. Jones,T.R. Veenstra,J.P. Seamon,J. Krohmer
Elder mistreatment: National survey of emergency physicians
Annals of Emergency Medicine, 30 (1997), pp. 473-479
Kennedy, 2005
R.D. Kennedy
Elder abuse and neglect: The experience, knowledge, and attitudes of primary care physicians
Family Medicine, 37 (2005), pp. 481-485
Kennelly et al., 2007
S. Kennelly,N. Sweeney,D. O’Neill
Elder abuse: Knowledge, skills, and attitudes of healthcare workers
Irish Medical Journal, 100 (2007), pp. 326
Killick and Taylor, 2009
C. Killick,B. Taylor
Professional decision making on elder abuse: Systematic narrative review
Journal of Elder Abuse & Neglect, 21 (2009), pp. 211-238 http://dx.doi.org/10.2147/CIA.S103359
Ko and Koh, 2012
C. Ko,C.K. Koh
Factors related to Korean nurses’ willingness to report suspected elder abuse
Asian Nursing Research, 6 (2012), pp. 115-119 http://dx.doi.org/10.1016/j.anr.2012.08.002
Lachs and Pillemer, 2015
M.S. Lachs,K.A. Pillemer
Elder abuse
New England Journal of Medicine, 373 (2015), pp. 1947-1956 http://dx.doi.org/10.1056/NEJMra1404688
Levac et al., 2010
D. Levac,H. Colquhoun,K.K. O’Brien
Scoping studies: Advancing the methodology
Implementation Science, 5 (2010), http://dx.doi.org/10.1186/1748-5908-5-86
Retrieved from http://www.implementationscience.com/content/pdf/1748-5908-5-69.pdf
Leddy et al., 2014
M.A. Leddy,V.A. Farrow,J. Schulkin
Obstetrician-gynecologists’ knowledge, attitudes, and practice regarding elder abuse screening
Womens Health Issues, 24 (2014), pp. 455-464
Liao et al., 2009
S. Liao,K. Jayawardena,E. Bufalini,A. Wiglesworth
Elder mistreatment reporting: Differences in the threshold of reporting between hospice and palliative care professionals and adult protective service
Journal of Palliative Medicine, 12 (2009), pp. 64-69 http://dx.doi.org/10.1089/jpm.2008.0173
Malmedal et al., 2009
W. Malmedal,R. Hammervold,S. Britt-Inger
To report or not report? Attitudes held by Norwegian nursing home staff on reporting inadequate care carried out by colleagues
Scandinavian Journal of Public Health, 37 (2009), pp. 744-750 http://dx.doi.org/10.1177/1403494809340485
Mandiracioglu et al., 2006
A. Mandiracioglu,F. Govsa,S. Celikli,G.O. Yildirim
Emergency health care personnel's knowledge and experience of elder abuse in Izmir
Archives of Gerontology and Geriatrics, 43 (2006), pp. 261-267
McCool et al., 2009
J.J. McCool,G.J. Jogerst,J.M. Daly,Y. Xu
Multidisciplinary reports of nursing home mistreatment
Journal of the American Medical Directors Association, 10 (2009), pp. 174-180 http://dx.doi.org/10.1016/j.jamda.2008.09.005
McCreadie et al., 2000
C. McCreadie,G. Bennett,M.S. Gilthorpe,G. Houghton,A. Tinker
Elder abuse: Do general practitioners know or care?
Journal of the Royal Society of Medicine, 93 (2000), pp. 67-71 http://dx.doi.org/10.1177/014107680009300205
Meeks-Sjostrom, 2013
D.J. Meeks-Sjostrom
Clinical decision making of nurses regarding elder abuse
Journal of Elder Abuse & Neglect, 25 (2013), pp. 149-161 http://dx.doi.org/10.2147/CIA.S103359
Pillemer et al., 2011
K. Pillemer,R. Breckman,C. Sweeney,P. Brownell,T. Fulmer,J. Beman
Practitioners’ views on elder mistreatment research priorities: Recommendations from a research-to-practice consensus conference
Journal of Elder Abuse & Neglect, 23 (2011), pp. 115-126 http://dx.doi.org/10.2147/CIA.S103359
Richardson et al., 2002
B. Richardson,G. Kitchen,G. Livingston
The effect of education on knowledge and management of elder abuse: A randomized controlled trial
Age and Ageing, 3 (2002), pp. 335-341
Rinker, 2009
A.G. Rinker
Recognition and perception of elder abuse by prehospital and hospital-based care providers
Archives of Gerontology and Geriatrics, 48 (2009), pp. 110-115 http://dx.doi.org/10.1016/j.archger.2007.11.002
Rodriguez et al., 2006
M.A. Rodriguez,S.P. Wallace,N.H. Woolf,C.M. Mangione
Mandatory reporting of elder abuse: Between a rock and a hard place
Annals of Family Medicine, 4 (2006), pp. 403-409 http://dx.doi.org/10.1370/afm.575
Sandmoe and Kirkevold, 2013
A. Sandmoe,M. Kirkevold
Identifying and handling abused older clients in community care: The perspectives of nurse managers
International Journal of Older People Nursing, 8 (2013), pp. 83-92 http://dx.doi.org/10.1111/j.1748-3743.2011.00279.x
Sandmoe et al., 2011
A. Sandmoe,M. Kirkevold,A. Ballantyne
Challenges in handling elder abuse in community care: An exploratory study among nurses and care coordinators in Norway and Australia
Journal of Clinical Nursing, 20 (2011), pp. 3351-3363 http://dx.doi.org/10.1111/j.1365-2702.2011.03863.x
Schmeidel et al., 2012
A. Schmeidel,J. Daly,M. Rosenbaum,G. Schmuch,G. Jogerst
Health care professionals’ perspectives on barriers to elder abuse detection and reporting in primary care settings
Journal of Elder Abuse & Neglect, 24 (2012), pp. 17-36 http://dx.doi.org/10.2147/CIA.S103359
Shefet et al., 2007
D. Shefet,H. Dascal-Weichhendler,O. Rubin,N. Pessach,D. Itzik,S. Benita
Domestic violence: A national simulation-based educational program to improve physicians’ knowledge, skills and detection rates
Medical Teacher, 29 (2007), pp. 133-138
Shinan-Altman and Cohen, 2009
S. Shinan-Altman,M. Cohen
Nursing aides’ attitudes to elder abuse in nursing homes: The effect of work stressors and burnout
Gerontologist, 49 (2009), pp. 674-684 http://dx.doi.org/10.1093/geront/gnp093
Sociedad Española de Geriatría y Gerontología, 2004
Sociedad Española de Geriatría y Gerontología
La percepción de los profesionales sobre negligencia, abuso y maltrato a las personas mayors
Revista Española de Geriatría y Gerontología, 39 (2004), pp. 240-254
Starr, 2010
L. Starr
Preparing those caring for older adults to report elder abuse
Journal of Continuing Education in Nursing, 41 (2010), pp. 231-235 http://dx.doi.org/10.3928/00220124-20100423-06
Strümpel and Hackl, 2011
C. Strümpel,L. Hackl
The Breaking the Taboo projects – Raising awareness of, and training staff in, community health and care services on violence against older women within families
Journal of Adult Protection, 13 (2011), pp. 323-335
Sugita and Garrett, 2012
J. Sugita,M. Garrett
Elder abuse and oral health care providers: An intervention to increase knowledge and self-perceived likelihood to report
Journal of Elder Abuse & Neglect, 24 (2012), pp. 50-64 http://dx.doi.org/10.2147/CIA.S103359
Taylor et al., 2006
D.K. Taylor,G. Bachuwa,J. Evans,V. Jackson-Johnson
Assessing barriers to the identification of elder abuse and neglect: A communitywide survey of primary care physicians
Journal of the National Medical Association, 98 (2006), pp. 403-404
Teresi et al., 2013
J.A. Teresi,M. Ramirez,J. Ellis,S. Silver,G. Boratgis,J. Kong
A staff intervention targeting resident-to-resident elder mistreatment (R-REM) in long-term care increased staff knowledge, recognition and reporting: Results from a cluster randomized trial
International Journal of Nursing Studies, 50 (2013), pp. 644-656 http://dx.doi.org/10.1016/j.ijnurstu.2012.10.010
World Health Organization, 2002
World Health Organization
The Toronto declaration on the global prevention of elder abuse
World Health Organization, (2002)
Retrieved from http://www.who.int/ageing/projects/elder_abuse/alc_toronto_declaration_en.pdf
World Health Organization, 2011
World Health Organization
European report on preventing elder maltreatment
World Health Organization, (2011)
Retrieved from http://www.euro.who.int/__data/assets/pdf_file/0010/144676/e95110.pdf
Yaffe et al., 2007
M. Yaffe,D. Weiss,C. Wolfson,M. Lithwick
Detection and prevalence of abuse of older males: Perspectives from family practice
Journal of Elder Abuse & Neglect, 19 (2007), pp. 47-60 http://dx.doi.org/10.2147/CIA.S103359
Yaffe et al., 2009
M. Yaffe,C. Wolfson,M. Lithwick
Professions show different enquiry strategies for elder abuse detection: Implications for training and interprofessional care
Journal of Interprofessional Care, 23 (2009), pp. 646-654 http://dx.doi.org/10.3109/13561820902886279
Zanza et al., 2004
M.J. Zanza,A. Toronjo,M.J. Rojas,O. Díaz,C.A. Elsden,J.J. Soldevilla
Uso de restricciones físicas en las instituciones gerontogeriátricas
Gerokomos. Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica, 15 (2004), pp. 217-227
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Psychosocial Intervention 26 (2017) 73-91 - Vol. 26 No.2 DOI: 10.1016/j.psi.2016.11.001