title: Resident-to-resident aggression in nursing homes: results from a qualitative event reconstruction study.
abstract: OBJECTIVE
  Despite its prevalence and negative consequences, research on elder abuse has rarely considered resident-to-resident aggression (RRA) in nursing homes. This study employed a qualitative event reconstruction methodology to identify the major forms of RRA that occur in nursing homes.
  
  
  METHODS
  Events of RRA were identified within a 2-week period in all units (n = 53) in nursing homes located in New York City. Narrative reconstructions were created for each event based on information from residents and staff who were involved as well as other sources. The event reconstructions were analyzed using qualitative methods to identify common features of RRA events.
  
  
  RESULTS
  Analysis of the 122 event reconstructions identified 13 major forms of RRA, grouped under five themes. The resulting framework demonstrated the heterogeneity of types of RRA, the importance of considering personal, environmental, and triggering factors, and the potential emotional and physical harm to residents.
  
  
  CONCLUSIONS
  These results suggest the need for person-centered and environmental interventions to reduce RRA, as well as for further research on the topic.
authors: Department of Human Development, Cornell University, MVR Hall, Ithaca, NY 14853, USA. kap6@cornell.edu
authors: Karl
authors: K
authors: Pillemer
authors: Emily K
authors: EK
authors: Chen
authors: Kimberly S
authors: KS
authors: Van Haitsma
authors: Jeanne
authors: J
authors: Teresi
authors: Mildred
authors: M
authors: Ramirez
authors: Stephanie
authors: S
authors: Silver
authors: Gail
authors: G
authors: Sukha
authors: Mark S
authors: MS
authors: Lachs
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000374:Aggression / Q000523:psychology*; D000786:Anger; D004552:Elder Abuse / Q000523:psychology; D006707:Homes for the Aged; D006801:Humans; D007398:Interpersonal Relations; D009519:New York City; D009735:Nursing Homes; D010362:Patients' Rooms; D012931:Social Environment; D011795:Surveys and Questionnaires