Resident-to-Resident Aggression in Long-Term Care: Analysis of Structured and Unstructured Data From the National Violent Death Reporting System, 2003-2016
Resident-to-Resident Aggression in Long-Term Care: Analysis of Structured and Unstructured Data From the National Violent Death Reporting System, 2003-2016
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DOI：
10.1177/0733464819863926
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发表时间：
2019-07-18
影响因子：
3
通讯作者：
Chatfield, Sheryl L.
中科院分区：
文献类型：
--
作者：
DeBois, Kristen A.;Evans, Shelly D.;Chatfield, Sheryl L.
老年人面临多种类型的虐待风险，包括情感虐待，性虐待或身体虐待。在专业护理或辅助生活设施中的成年人可能特别容易受到伤害，包括居民对居民攻击（RRA）事件造成的致命伤害。这项研究的目的是报告2003年至2016年期间与致命RRA事件有关的多州国家暴力死亡报告系统（NVDRS）的调查结果。我们分析了65岁以上人群中101例确定的致命RRA事件的结构化分类数据和非结构化叙述数据。调查结果包括，受害者平均比参展商大16岁，大多数情况下都有痴呆症诊断。定性分析显示，事件被描述为意外和可预防的。通过培训提高长期护理人员对RRA事件的识别和报告，可能会改善预防工作，并提供更准确的趋势数据。NVDRS数据提供了一个有用的来源，以跟踪未来致命RRA的趋势。
Aging adults are at risk for multiple types of abuse including emotional, sexual, or physical abuse. Adults in skilled nursing or assisted living facilities might be particularly vulnerable to injury, including fatal injury resulting from incidents of resident-to-resident aggression (RRA). The purpose of this research is to report findings from the multistate National Violent Death Reporting System (NVDRS) related to fatal RRA incidents between years 2003 and 2016. We analyzed structured categorical data and unstructured narrative data on 101 identified fatal RRA incidents among individuals aged 65+. Findings included that victims average 16 years older than exhibitors and dementia diagnoses are present in most cases. Qualitative analysis revealed that events are described as both unexpected and preventable. Training to improve long-term care staff recognition and reporting of RRA events may potentially improve prevention and provide more accurate trend data. NVDRS data provide a useful source to follow trends in fatal RRA going forward.