title: Elder abuse and mistreatment in residential settings.
abstract: Older people living in a residential setting have the right to respectful care based on professional ethics. The aim of this study was to describe employees' and clients' lived experiences of elder abuse. A qualitative phenomenological method was used with 26 employees and 20 residents from four homes for elderly people in the town of Ostrava, Czech Republic, and two managers from outside these institutions. All complaints about elder abuse (n 5 11) received by Ostrava Municipal Authority during the period 2003 to 2007 were examined. Two main dimensions of the examined phenomenon were identified: forms of elder abuse and causes of elder abuse. Established forms of elder abuse were summarized as rights violation, financial abuse, psychological abuse, physical abuse and neglect. Causes of elder abuse included institution, employee and client characteristics. It is necessary in residential settings to create preventive policies that will focus on supervision regarding elderly people's rights violation and psychological and physical abuse, as well as on building organizational cultures that will respect ethical principles.
authors.affiliation: Department of Nursing and Midwifery, Medical Social Faculty, Ostrava University, Ostrava-Zábreh, Czech Republic. radka.buzgova@osu.cz
authors.forename: Radka
authors.initials: R
authors.lastname: Buzgová
authors.forename: Katerina
authors.initials: K
authors.lastname: Ivanová
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002055:Burnout, Professional; D018153:Czech Republic; D004552:Elder Abuse / Q000517:prevention & control*; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D009740:Nursing Staff / Q000458:organization & administration; D028701:Patient Rights