Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Aile Sağlığı Merkezlerinde Çalışan Sağlık Profesyonellerinin Yaşlı İstismarı ile Karşılama Durumları ve İlişkili Faktörler: Kesitsel Bir Çalışma
The Experiences of Health Professionals Working in Family Health Centers with the Abuse of Older Adults and Related Factors: A Cross-Sectional Study
Melike YALÇIN GÜRSOYa, Gülbu TANRIVERDİa, Hediye Elif YILMAZb
aÇanakkale Onsekiz Mart Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Halk Sağlığı Hemşireliği ABD, Çanakkale, Türkiye
bÇanakkale Onsekiz Mart Üniversitesi Lisansüstü Eğitim Enstitüsü, Hemşirelik ABD, Çanakkale, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(4):1120-6
doi: 10.5336/healthsci.2022-90223
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, aile sağlığı merkezlerinde çalışan sağlık profesyonellerinin yaşlı istismarı ile karşılaşma durumlarını ve ilişkili faktörleri belirlenmek amacıyla yapılmıştır. Gereç ve Yöntemler: Kesitsel türde olan araştırma, Çanakkale ilinde yer alan aile sağlığı merkezlerinde çalışan 122 sağlık profesyoneli ile gerçekleştirilmiştir. Veriler, literatür doğrultusunda oluşturulan anket formu aracılığıyla Kasım 2020-Kasım 2021 tarihleri arasında, çevrim içi ve yüz yüze görüşme yöntemleriyle toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistiksel yöntemler ve ki-kare analizi kullanılmıştır. Bulgular: Sağlık profesyonellerinin %23'ünün (n=28) yaşlı istismarı olgusuyla karşılaştığı, en sık istismarla karşılaşan meslek grubunun aile hekimleri olduğu (%53,6; n=15), karşılaşılan istismar vakalarının yalnızca %15,2'sinin (n=5) kolluk kuvvetlere bildirildiği belirlenmiştir. Ayrıca çalışmaya katılanların %25,4'ünün (n=31) yaşlı istismarı vakasından şüphelendiği, %36,4'ünün (n=16) yaşlının bakımsız olması nedeniyle şüphelendiği, %9,5'inin (n=4) kolluk kuvvetlere bildirimde bulunduğu saptanmıştır. Yaşlı istismarı ile karşılaşma durumu ile yaş, mesleki deneyim, meslek ve yaşlının istismar yönünden değerlendirilmesi gerektiğini düşünme arasında istatistiksel olarak anlamlı bir ilişki olduğu belirlenmiştir (p<0,05). Sonuç: Bu çalışmanın sonuçlarında yaklaşık her dört sağlık çalışanından birinin yaşlı istismarı olgusuyla karşılaştığı, ancak bunların çok azının bildiriminin yapıldığı görülmüştür. Bu nedenle 1. basamakta çalışan sağlık profesyonellerine yönelik yaşlı istismarı konusu ile ilgili hizmet içi eğitimler düzenlenmesi, yaşlıların aile sağlığı merkezlerinde veya evlerinde belirli aralıklarla istismar yönünden değerlendirilmesi, sağlık profesyonellerine eğitim müdahalesinin etkisini gösteren araştırmalar yapılması önerilebilir.

Anahtar Kelimeler: Yaşlı; istismar; yaşlı istismarı; sağlık çalışanı; aile sağlığı merkezi
ABSTRACT
 Objective: This study was carried out to determine the experiences of health professionals working in family health centers with the abuse of older adults and related factors. Material and Methods: The cross-sectional study was conducted with 122 health professionals working in family health centers in Çanakkale. The data were collected by online and face-to-face interview methods between November 2020-November 2021 through a questionnaire created in line with the literature. Descriptive statistical methods and chi-square analysis were used to evaluate the data. Results: 23% of health professionals (n=28) encountered abuse of older adults, the most frequently abused occupational group was family physicians (53.6%; n=15), and only 15.2% (n=5) of abuse cases has been reported to law enforcement. In addition, 25.4% (n=31) of the participants in the study suspected abuse of the older people, 36.4% (n=16) suspected the older people due to lack of care, 9.5% (n=4) reported to law enforcement. In addition, it was determined that there was a statistically significant relationship between the situation of encountering abuse of the older people and age, professional experience, occupation and thinking that the older people should be evaluated in terms of abuse (p<0.05). Conclusion: In the results of this study, it was seen that approximately one out of every 4 healthcare workers faced the phenomenon of the abuse of older adults, but very few of them were reported. For this reason, it can be recommended to organize in-service trainings on the abuse of older adults for health professionals working in primary care, to evaluate the older people in terms of abuse at regular intervals in family health centers or at home, and to conduct research showing the effect of educational intervention on health professionals.

Keywords: Older; abuse; abuse of older adults; healthcare professional; family health center
REFERENCES:
  1. United Nations, Department of Economic and Social Affairs, Population Division. World Population Ageing 2019: Highlights (ST/ESA/SER.A/430). New York: United Nations; 2019. [Link] 
  2. WHO [Internet]. © 2021 WHO [Cited: January 18, 2021]. Abuse of older people. 2021. Available from: [Link] 
  3. Yunus RM, Hairi NN, Choo WY. Consequences of elder abuse and neglect: a systematic review of observational studies. Trauma Violence Abuse. 2019;20(2):197-213. [Crossref]  [PubMed] 
  4. Yon Y, Mikton CR, Gassoumis ZD, Wilber KH. Elder abuse prevalence in community settings: a systematic review and meta-analysis. Lancet Glob Health. 2017;5(2):e147-e56. [Crossref]  [PubMed] 
  5. Yan E. Elder abuse: a public health issue. The Gerontologist. 2019;59(3):598-9. [Crossref] 
  6. Yalçın Gürsoy M, Tanriverdi G. Elder abuse prevalance and related risk factors in Turkey: a systematic review. Ageing International. 2022 [Crossref] 
  7. WHO. Elder abuse. The Health Sector Role in Prevention and Response, 2016. Available from: [Link] 
  8. Mohd Mydin FH, Wan Yuen C, Othman S, Mohd Hairi NN, Mohd Hairi F, Ali Z, et al. Evaluating the effectiveness of I-NEED program: improving nurses' detection and management of elder abuse and neglect-a 6-month prospective study. J Interpers Violence. 2022;37(1-2):NP719-NP741. [Crossref]  [PubMed] 
  9. Patel K, Bunachita S, Chiu H, Suresh P, Patel UK. Elder abuse: a comprehensive overview and physician-associated challenges. Cureus. 2021;13(4):e14375. [Crossref]  [PubMed]  [PMC] 
  10. Ferreira M, dos Santos CL, Vieira DN. Detection and intervention strategies by primary health care professionals in suspected elder abuse. Acta Med Port. 2015;28(6):687-94. [Crossref]  [PubMed] 
  11. Almogue A, Weiss A, Marcus EL, Beloosesky Y. Attitudes and knowledge of medical and nursing staff toward elder abuse. Arch Gerontol Geriatr. 2010;51(1):86-91. [Crossref]  [PubMed] 
  12. Corbi G, Grattagliano I, Sabbà C, Fiore G, Spina S, Ferrara N, et al. Elder abuse: perception and knowledge of the phenomenon by healthcare workers from two Italian hospitals. Intern Emerg Med. 2019;14(4):549-55. [Crossref]  [PubMed] 
  13. Mandiracioglu A, Govsa F, Celikli S, Yildirim GO. Emergency health care personnel's knowledge and experience of elder abuse in Izmir. Arch Gerontol Geriatr. 2006;43(2):267-76. [Crossref]  [PubMed] 
  14. Ko C, Koh CK. Factors related to korean nurses' willingness to report suspected elder abuse. Asian Nurs Res (Korean Soc Nurs Sci). 2012;6(3):115-9. [Crossref]  [PubMed] 
  15. Ahmed A, Choo WY, Othman S, Hairi NN, Hairi FM, Mohd Mydin FH, et al. Understanding of elder abuse and neglect among health care professionals in Malaysia: An exploratory survey. J Elder Abuse Negl. 2016;28(3):163-77. [Crossref]  [PubMed] 
  16. Cooper C, Selwood A, Livingston G. Knowledge, detection, and reporting of abuse by health and social care professionals: a systematic review. Am J Geriatr Psychiatry. 2009;17(10):826-38. [Crossref]  [PubMed] 
  17. Gökçe Tan S, Soysal P. Sağlık çalışanlarının yaşlı istismarı konusundaki algısı ve farkındalığının araştırılması [Investigation of health workers' perception and awareness toward elderly abuse]. Geriatrik Bilimler Dergisi. 2020;3(3):132-7. [Link] 
  18. Schmeidel AN, Daly JM, Rosenbaum ME, Schmuch GA, Jogerst GJ. Health care professionals' perspectives on barriers to elder abuse detection and reporting in primary care settings. J Elder Abuse Negl. 2012;24(1):17-36. [Crossref]  [PubMed]  [PMC] 
  19. Wagenaar DB, Rosenbaum R, Page C, Herman S. Primary care physicians and elder abuse: current attitudes and practices. J Am Osteopath Assoc. 2010;110(12):703-11. [PubMed] 
  20. Alt KL, Nguyen AL, Meurer LN. The effectiveness of educational programs to improve recognition and reporting of elder abuse and neglect: a systematic review of the literature. J Elder Abuse Negl. 2011;23(3):213-33. [Crossref]  [PubMed]  [PMC] 
  21. Touza Garma C. Influence of health personnel's attitudes and knowledge in the detection and reporting of elder abuse: An exploratory systematic review. Psychosocial Intervention. 2017;26(2):73-91. [Crossref] 
  22. Gallione C, Dal Molin A, Cristina FVB, Ferns H, Mattioli M, Suardi B. Screening tools for identification of elder abuse: a systematic review. J Clin Nurs. 2017;26(15-16):2154-76. [Crossref]  [PubMed] 
  23. Burnett J, Achenbaum WA, Murphy KP. Prevention and early identification of elder abuse. Clin Geriatr Med. 2014;30(4):743-59. [Crossref]  [PubMed] 
  24. Beach SR, Carpenter CR, Rosen T, Sharps P, Gelles R. Screening and detection of elder abuse: Research opportunities and lessons learned from emergency geriatric care, intimate partner violence, and child abuse. J Elder Abuse Negl. 2016;28(4-5):185-216. [Crossref]  [PubMed]  [PMC] 
  25. O'Brien JG, Riain AN, Collins C, Long V, O'Neill D. Elder abuse and neglect: a survey of Irish general practitioners. J Elder Abuse Negl. 2014;26(3):291-9. [Crossref]  [PubMed] 
  26. Mazzotti MC, Scarcella E, D'Antone E, Fersini F, Salsi G, Ingravallo F, et al. Italian healthcare professionals' attitude and barriers to mandatory reporting of elder abuse: An exploratory study. J Forensic Leg Med. 2019;63:26-30. [Crossref]  [PubMed] 
  27. Hoover RM, Polson M. Detecting elder abuse and neglect: assessment and intervention. Am Fam Physician. 2014;89(6):453-60. [PubMed] 
  28. Meeks-Sjostrom DJ. Clinical decision making of nurses regarding elder abuse. J Elder Abuse Negl. 2013;25(2):149-61. [Crossref]  [PubMed] 
  29. Caciula I, Livingston G, Caciula R, Cooper C. Recognition of elder abuse by home care workers and older people in Romania. Int Psychogeriatr. 2010;22(3):403-8. [Crossref]  [PubMed] 

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