Themes from a grounded theory analysis of elder neglect assessment by experts.

Themes from a grounded theory analysis of elder neglect assessment by experts.
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专家对老年人忽视评估的扎根理论分析的主题。

DOI:
10.1093/geront/43.5.745
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发表时间:
2003
期刊:
The Gerontologist
影响因子:
--
通讯作者:
Paris,Barbara
Paris,Barbara
中科院分区:
--
文献类型:
--
作者:
Fulmer,Terry;Firpo,Adolfo;Guadagno,Lisa;Easter,TaraM;Kahan,Fay;Paris,Barbara

文献摘要

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目的:本文介绍了一个程序,已制定了一个筛选程序,评估老年人虐待,特别关注老年人忽视。其目的是了解专家忽视评估小组如何处理和诊断复杂的老年人案件涉嫌忽视老年人。为了确定是否应怀疑和确认疏忽,必须了解哪些关键主题?设计与方法:采用扎根理论分析法对忽视评估小组会议的录音记录进行分析。这些主题是了解老年人和照顾者的基本健康状况,了解社会经济和生活情况的二分体,可信度的数据收集他人,和后果的评估outcome.Implications:这些研究结果提供了深入了解未来的临床筛查和评估程序的发展,用于诊断老年人忽视,以及指导方针,管理忽视评估。不仅要了解高风险的迹象和症状,还要了解忽视的背景和后果,这一点至关重要。在制定今后的筛选和评估程序时应考虑到这些数据。
Purpose:This paper describes one program that has developed a screening procedure for assessing elder mistreatment, with a special focus on elder neglect. The aim is to understand how expert neglect assessment teams process and diagnose complex geriatric cases referred for suspected elder neglect. What are the key themes that must be understood in order to determine if neglect should be suspected and confirmed?Design and Methods:Transcripts of audiorecordings of neglect assessment team meetings were analyzed by using grounded theory analysis.Results:Four major themes emerged from the analysis of the transcripts. These themes were understanding the underlying health status of the elder and caregiver, understanding the socioeconomic and life circumstances of the dyad, credibility of data collected by others, and the consequences of the assessment outcome.Implications:These findings offer insight into the development of future clinical screening and assessment procedures used to make diagnoses about elder neglect, as well as the guidelines that govern neglect assessment. Understanding not only the high-risk signs and symptoms but also the context and consequences of neglect is critical. Future screening and assessment procedures should be developed with these data in mind.