title: A cross-cultural study of nursing aides' attitudes to elder abuse in nursing homes.
abstract: BACKGROUND
  Nursing aides' attitudes to elder abuse may serve as predictors of a proclivity to it, and may be influenced by cultural and situational context such as immigration. The purpose of the current study was to examine attitudes to elder abuse in three groups of Israeli nursing aides, namely veteran Israeli Jews, Israeli Arabs, and new immigrants, and their associations to demographic and work-related factors.
  
  
  METHODS
  188 nursing aides (31 veteran Israeli Jews, 38 Israeli Arabs, 119 new immigrants) at 18 nursing homes in Israel completed questionnaires on work stressors, attitudes to elder abuse, sociodemographic and work-related characteristics, and the Maslach Burnout Inventory.
  
  
  RESULTS
  New immigrant nursing aides reported a higher tendency to condone abusive behaviors than did veteran Jewish and Arab nursing aides. Some 23% of the variance in attitudes was explained by group, demographics, work stressors and burnout. Greater condoning of elder abuse was associated with belonging to the new immigrant group, being unmarried and reporting higher work stressors. There was an interaction effect of work stressors × group, indicating that higher work stressors were related to a stronger tendency to condone elder abuse in the new immigrant group than in the veteran Jewish and Arab groups. Burnout was correlated with greater condoning of elder abuse; this association was not significant when the other variables were controlled for in the regression analysis.
  
  
  CONCLUSIONS
  Attitudes condoning elder abuse are related to work stressors, and may be accelerated by the additional stressors on new immigrant nursing aides. Careful planning of the professional guidance and support given to new immigrant nursing aides is important.
authors.affiliation: School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, Mount Carmel, Israel. cohenm@research.haifa.ac.il
authors.forename: Miri
authors.initials: M
authors.lastname: Cohen
authors.forename: Shiri
authors.initials: S
authors.lastname: Shinan-Altman
mesh_terms: D000328:Adult; D000368:Aged; D018912:Arabs / Q000523:psychology; D001291:Attitude of Health Personnel / Q000208:ethnology*; D002055:Burnout, Professional / Q000523:psychology; D003431:Cross-Cultural Comparison; D004552:Elder Abuse / Q000523:psychology*; D054242:Emigrants and Immigrants / Q000523:psychology; D005260:Female; D006801:Humans; D007557:Israel; D007585:Jews / Q000523:psychology; D008297:Male; D009728:Nursing Assistants / Q000523:psychology*; D011795:Surveys and Questionnaires