TABLE 14-2 Results of Surveys of CNAs about Committing or Witnessing Abuse and Neglect of Residents

 

Rates of Self-Reported Behaviorsa

Abusive Behaviors

Pillemer and Moore (percentage)

Pillemer and Hudson (percentage)

Yelled at a resident in anger

23

51

Insulted or swore at a resident

10

23

Threatened to hit or throw something at a resident

2

8

Pushed, grabbed, or shoved

3

17

Slapped or hit a resident

3

2

Thrown something at a resident

1

1

Excessive use of physical restraints

4

Not reported

 

Rates of Behaviors Witnessed by CNAs Not Asked

Yelling at a resident

70

 

Insulting or swearing at a resident

50

 

Excessive use of physical restraints

21

 

Pushing, grabbing, shoving, or pinching

17

 

Slapping or hitting a resident

13

 

Throwing something at a resident

3

 

Kicking or hitting a resident

2

 

aPillemer and Moore (1989) surveyed 577 staff (nurses and CNAs) about incidents over a 12-month period. Pillemer and Hudson (1993) interviewed 211 staff about incidents during the preceding 1-month period.

(Pillemer and Moore, 1989). Interviews with more than 200 staff members who subsequently participated in an abuse-prevention training program also indicated substantial levels of abusive behaviors by staff caregivers in nursing homes.

Focus groups with CNAs also provided quantitative and qualitative data that supported the findings reported by Pillemer and Moore. For example, North Shore Elder Services in Danvers, Massachusetts, conducted a recent project on reducing abuse and neglect in nursing homes (MacDonald, 2000). In this project, 77 CNAs from 31 nursing facilities received training. As part of this project, CNAs were surveyed about whether they had witnessed any incidents of abuse or neglect. Verbal abuse was reported as fairly common: 58 percent of the CNAs said they had seen a staff member yell at a resident in anger; 36 percent had seen staff insult or swear at a resident; 11 percent had witnessed staff threatening to hit or throw something at a resident (MacDonald, 2000).



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