Recognition of elder abuse by home care workers and older people in Romania.
BACKGROUND
No previous studies have considered elder abuse in Eastern Europe. We aimed to determine the proportion of home care workers and older people receiving care in a Romanian home care service who correctly identified elder abuse in a vignette, and who had detected elder abuse at work.


METHODS
In 2009, care workers and clients of a non-government home care organization serving four areas in Romania completed the Caregiver Scenario Questionnaire to measure ability to identify abuse. We asked the professionals whether they had detected a case of abuse.


RESULTS
35 (100%) professionals and 79 (65.8%) older people took part. Four (11.4%) professionals had encountered a case of elder abuse, two (5.7%) in the last year. No staff and only one older person correctly identified all four abusive strategies in a vignette. Staff with more professional caregiving experience recognized fewer abusive strategies (r = -0.46, p = 0.007).


CONCLUSIONS
Rates of identification were worryingly low among all professionals, and this was more marked if they had worked longer, suggesting their experiences may have reduced their ability to detect it. Mandatory abuse training for care professionals, and strategies to support reporters of suspected abuse, could help improve the management of elder abuse in all countries.
Caciula
Ioana
I
Equilibre Humanitarian Association, Bucharest, Romania. ioanacaciula@yahoo.com
Livingston
Gill
G
Caciula
Rodica
R
Cooper
Claudia
C
D000368:Aged / Q000523:psychology*; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology; D004552:Elder Abuse / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D006699:Home Care Services; D006801:Humans; D007600:Judgment; D008297:Male; D008875:Middle Aged; D012383:Romania; D011795:Surveys and Questionnaires; D000078329:Workforce; D016526:Workload