Codesigning training for health providers to improve detection and response to elder abuse.

Autor:	Brijnath B; Social Gerontology Division, National Ageing Research Institute, Parkville, Victoria, Australia.; School of Humanities and Social Sciences, La Trobe University, Bundoora, Victoria, Australia., Cavuoto MG; Social Gerontology Division, National Ageing Research Institute, Parkville, Victoria, Australia.; Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia., Feldman P; Social Gerontology Division, National Ageing Research Institute, Parkville, Victoria, Australia., Dow B; Social Gerontology Division, National Ageing Research Institute, Parkville, Victoria, Australia.; School of Nursing and Midwifery, Deakin University, Waurn Ponds, Victoria, Australia., Antoniades J; Social Gerontology Division, National Ageing Research Institute, Parkville, Victoria, Australia.; School of Humanities and Social Sciences, La Trobe University, Bundoora, Victoria, Australia., Ostaszkiewicz J; Social Gerontology Division, National Ageing Research Institute, Parkville, Victoria, Australia.; Health Innovation and Transformation Centre, Federation University, Ballarat, Victoria, Australia., Nakrem S; Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway., Stevens C; School of Arts and Humanities, Edith Cowan University, Mount Lawley, Western Australia, Australia., Reyes P; Geriatric Medicine Department, St. Vincent's Health Sydney, Darlinghurst, New South Wales, Australia.; Medical Services, Uniting War Memorial Hospital, Waverley, New South Wales, Australia., Renshaw G; Social Work Department, Sir Charles Gairdner Osborne Park Health Care Group, Stirling Western Australia, Australia and Nedlands Western Australia, Australia., Peters MDJ; Rosemary Bryant AO Research Centre, University of South Australia, Adelaide, South Australia, Australia.; Australian Nursing and Midwifery Federation, Melbourne, Victoria, Australia., Gilbert A; Social Gerontology Division, National Ageing Research Institute, Parkville, Victoria, Australia.; School of Humanities and Social Sciences, La Trobe University, Bundoora, Victoria, Australia., Manias E; Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia.; School of Nursing and Midwifery, Deakin University, Waurn Ponds, Victoria, Australia., Mortimer D; Faculty of Business and Economics, Monash University, Clayton, Victoria, Australia., Enticott J; Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia., Cooper C; Wolfson Institute of Population Health, Queen Mary University of London, London, United Kingdom.; East London NHS Foundation Trust, London, United Kingdom., Durston C; Consumer Representative, Warrnambool, Victoria, Australia., Appleton B; Consumer Representative, Melbourne, Victoria, Australia., O'Brien M; Peninsula Health, Frankston, Victoria, Australia., Eckert M; Rosemary Bryant AO Research Centre, University of South Australia, Adelaide, South Australia, Australia., Markusevska S; Social Gerontology Division, National Ageing Research Institute, Parkville, Victoria, Australia.
Jazyk:	angličtina
Zdroj:	The Gerontologist [Gerontologist] 2024 Oct 30. Date of Electronic Publication: 2024 Oct 30.
DOI:	10.1093/geront/gnae153
Abstrakt:	Background and Objectives: Screening for elder abuse can improve detection, but many health providers lack the necessary skills and confidence. To address this, training for health providers on elder abuse screening was co-designed as part of a trial aimed at improving elder abuse detection and response. Research Design and Methods: Between March and April 2023, 7 health providers and 10 older people and family carers participated in two national Australian online codesign workshops. Using the World Café method, discussions focused on what knowledge and skills health providers needed for screening; clinical and social issues affecting screening and referral; and support older people needed throughout the process. Data were thematically analyzed. Results: Participants said health providers should take a trauma-informed, person-centered approach to screening, and explain the limits of confidentiality to older people. Clinical, social, and systemic issues such as dementia, ethnic diversity, and housing availability complicated screening and referrals. To facilitate disclosure, participants said health providers needed to reflect on whether they held ageist views. There were differing opinions on the length of the training and if all health providers or only social workers should screen for abuse. Discussion and Implications: Participants' feedback on trauma-informed care, consent, and cognitive impairment concorded with evidence on best practice responses to elder abuse and were integrated in the training. Given operational constraints in health services, feedback from health providers about the training length and the inclusion of all health providers in screening were prioritized. The training is being evaluated in a national trial. (© The Author(s) 2024. Published by Oxford University Press on behalf of The Gerontological Society of America.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu