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van Houten ME, Vloet LCM, Rikkert MGMO, van de Kerkhof-van Bon B, de Rooij A, Verhoeven M, Bil WME, Lucke JA, Schoon Y, Berben SAA. ERASE: a feasible early warning tool for elder abuse, developed for use in the Dutch emergency department. BMC Emerg Med 2024; 24:52. [PMID: 38570746 PMCID: PMC10988976 DOI: 10.1186/s12873-024-00971-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Accepted: 03/20/2024] [Indexed: 04/05/2024] Open
Abstract
BACKGROUND Elder abuse is a worldwide problem with serious consequences for individuals and society. To effectively deal with elder abuse, a timely identification of signals as well as a systematic approach towards (suspected) elder abuse is necessary. This study aimed to develop and test the acceptability and appropriateness of ERASE (EldeR AbuSE) in the emergency department (ED) setting. ERASE is an early warning tool for elder abuse self-administered by the healthcare professional in patients ≥ 70 years. METHODS A systematic literature review was previously conducted to identify potential available instruments on elder abuse for use in the ED. Furthermore, a field consultation in Dutch hospitals was performed to identify practice tools and potential questions on the recognition of elder abuse that were available in clinical practice. Based on this input, in three subsequent rounds the ERASE tool was developed. The ERASE tool was tested in a pilot feasibility study in healthcare professionals (n = 28) working in the ED in three Dutch hospitals. A semi-structured online questionnaire was used to determine acceptability and appropriateness of the ERASE tool. RESULTS The systematic literature review revealed seven screening instruments developed for use in the hospital and/or ED setting. In total n = 32 (44%) hospitals responded to the field search. No suitable and validated instruments for the detection of elder abuse in the ED were identified. The ERASE tool was developed, with a gut feeling awareness question, that encompassed all forms of elder abuse as starting question. Subsequently six signalling questions were developed to collect information on observed signs and symptoms of elder abuse and neglect. The pilot study showed that the ERASE tool raised the recognition of healthcare professionals for elder abuse. The tool was evaluated acceptable and appropriate for use in the ED setting. CONCLUSIONS ERASE as early warning tool is guided by an initial gut feeling awareness question and six signalling questions. The ERASE tool raised the recognition of healthcare professionals for elder abuse, and was feasible to use in the ED setting. The next step will be to investigate the reliability and validity of the ERASE early warning tool.
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Grants
- PRJ 00697 the Dutch Ministry of Health, Welfare and Sport
- PRJ 00697 the Dutch Ministry of Health, Welfare and Sport
- PRJ 00697 the Dutch Ministry of Health, Welfare and Sport
- PRJ 00697 the Dutch Ministry of Health, Welfare and Sport
- PRJ 00697 the Dutch Ministry of Health, Welfare and Sport
- PRJ 00697 the Dutch Ministry of Health, Welfare and Sport
- PRJ 00697 the Dutch Ministry of Health, Welfare and Sport
- PRJ 00697 the Dutch Ministry of Health, Welfare and Sport
- PRJ 00697 the Dutch Ministry of Health, Welfare and Sport
- PRJ 00697 the Dutch Ministry of Health, Welfare and Sport
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Affiliation(s)
- Miriam E van Houten
- Department of Geriatric Medicine, Radboud University Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
- Research Department of Emergency and Critical Care, School of Health Studies, Knowledge Centre of Sustainable Healthcare, HAN University of Applied Sciences, PO Box 6960, 6503 GL, Nijmegen, The Netherlands.
- Trompetter & Partners Social Medical Expertise, Utrechtseweg 75, 3702 AA, Zeist, The Netherlands.
| | - Lilian C M Vloet
- Research Department of Emergency and Critical Care, School of Health Studies, Knowledge Centre of Sustainable Healthcare, HAN University of Applied Sciences, PO Box 6960, 6503 GL, Nijmegen, The Netherlands
- Radboud University Medical Centre, Radboud Institute for Health Sciences IQ Healthcare, P.O. Box 9101, 114, 6500 HB, Nijmegen, the Netherlands
| | - Marcel G M Olde Rikkert
- Radboudumc Alzheimer Centre, Donders Insititute of Medical Neuroscience, Department of Geriatrics, PO Box 9101, 6500 HB, Nijmegen, The Netherlands
| | | | | | | | | | | | - Yvonne Schoon
- Department of Geriatrics, Radboud Institute for Health Sciences, Radboud University Medical Center, PO Box 9101, 114, 6500 HB, Nijmegen, The Netherlands
| | - Sivera A A Berben
- Research Department of Emergency and Critical Care, School of Health Studies, Knowledge Centre of Sustainable Healthcare, HAN University of Applied Sciences, PO Box 6960, 6503 GL, Nijmegen, The Netherlands.
- Radboud University Medical Centre, Radboud Institute for Health Sciences IQ Healthcare, P.O. Box 9101, 114, 6500 HB, Nijmegen, the Netherlands.
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Karaman S, Özer Z, Bahçecioğlu Turan G, Yilmaz Karabulutlu E. The effect of health empowerment on elder abuse in older adults. Psychogeriatrics 2024; 24:80-86. [PMID: 37985007 DOI: 10.1111/psyg.13043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 10/10/2023] [Accepted: 10/23/2023] [Indexed: 11/22/2023]
Abstract
BACKGROUND Understanding elder abuse requires an assessment of variables that may limit older adults' capacities to handle their everyday lives, to live independently, and to defend themselves. This study was conducted to examine the effect of health empowerment on elder abuse in older adults. METHODS This cross-sectional and correlational study was conducted with 250 elderly individuals who applied to the internal medicine clinics of a university hospital in Elazig, eastern Turkey. Data were collected using the Descriptive Information Form, Elders Health Empowerment Scale (EHES) and the Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST). RESULTS The average EHES total score of participants was 25.52 ± 6.58. The H-S/EAST total score was 4.22 ± 3.49. Among subscales, the score of "Characteristics of the elder that make him or her vulnerable to abuse" subscale was 1.04 ± 0.83, the score of 'Overt violation of personal rights and direct abuse' subscale was 1.55 ± 1.30, and the score of 'Characteristics of potentially abusive situations' subscale was 1.62 ± 1.94. It was determined that the EHES (β = -0.163, P < 0.01) variable had a negative and significant effect on H-S/EAST. It was found that a one-unit decrease in the EHES variable increased the level of H-S/EAST 0.849 times. CONCLUSION It was determined that the level of empowerment of the participants was moderate. Elderly individuals were found to have a moderate risk of elder abuse. It was found that the risk of elder abuse decreased as older individuals became stronger.
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Affiliation(s)
- Seda Karaman
- Faculty of Nursing, Ataturk University, Erzurum, Turkey
| | - Zülfünaz Özer
- Department of Nursing, Faculty of Health Sciences, Istanbul Sabahattin Zaim University, Istanbul, Turkey
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Mohd Mydin FH, Othman S, Choo WY, Mohd Hairi NN, Mohd Hairi F, Ali Z, Abdul Aziz S. Primary care nurses' challenges, opportunities, and facilitators of elder abuse intervention in Malaysia. Public Health Nurs 2021; 39:3-14. [PMID: 34386986 DOI: 10.1111/phn.12961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 08/02/2021] [Accepted: 08/03/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To explore the views of nurses on challenges, perceived roles and improvement strategies concerning elder abuse intervention in Malaysia. DESIGN AND SAMPLE Eleven focus group discussions were conducted using a semi-structured interview based on the socio-ecological framework. The data were analyzed using a multistep process of thematic analysis. RESULTS Three themes emerged from the data analysis: (1) The predicament: being unwilling or not able to intervene (2) Bridging the older people and health system gap (3) Getting to grips with the barriers. There are multifactorial contributors identified at the individual, interpersonal, organizational, community and policy levels in each theme. These factors interact across the levels to influence nurses' capability to intervene in elder abuse. CONCLUSION A framework is needed to articulate Malaysian nurses' role in elder abuse intervention in terms of personal and professional development through culturally sensitive education and the establishment of clinical guidelines in the primary care setting. Strengthening organizational support and the institution of national policy and permissive reporting laws of elder abuse will empower the primary care nurses to address elder abuse in primary care settings and communities.
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Affiliation(s)
- Fadzilah Hanum Mohd Mydin
- Department of Primary Care Medicine, University Malaya Primary Care Research Group, University of Malaya, Kuala Lumpur, Malaysia
| | - Sajaratulnisah Othman
- Department of Primary Care Medicine, University Malaya Primary Care Research Group, University of Malaya, Kuala Lumpur, Malaysia
| | - Wan Yuen Choo
- Department of Social Preventive Medicine, Centre for Evidence-Based Practice, University of Malaya, Kuala Lumpur, Malaysia
| | - Noran Naqiah Mohd Hairi
- Department of Social Preventive Medicine, Centre for Evidence-Based Practice, University of Malaya, Kuala Lumpur, Malaysia
| | - Farizah Mohd Hairi
- Department of Social Preventive Medicine, Centre for Evidence-Based Practice, University of Malaya, Kuala Lumpur, Malaysia
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