Ethical issues in geriatric Abuse

Rough Draft Qualitative Research Critique and Ethical Considerations

Introduction and Background of study

You need to separate the introduction from the background. The introduction and background should stand alone.

Elder abuse is a single or repeated act or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person (WHO,2020). Abuse in the elderly is a serious problem within the healthcare system. The elderly is a vulnerable population, and this puts them at risk for abuse. Elderly abuse is classified as a public health problem. Elderly abuse consists of brutality of human rights and includes physical, sexual, psychological, and emotional abuse; financial and material abuse; abandonment; neglect; and serious loss of dignity and respect (WHO,2020). Elderly abuse occurs by the patient caregiver, children, spouse, and at an institution, nursing home or any health care facility. In nursing today, there are many tools available that is used to detect abuse in the elderly. The problem today in nursing, some abuse is not detected until its too late for the patients. How effective are the tools used to detect abuse in the elderly? The most important strategy toward preventing elderly abuse is recognizing that no one should be subjected to any of the previously mentioned types of abuse regardless of the situation or stress involved. (Marshall & Hale, 2018). There are also many protocols in place for nurses to follow in the incident that they suspect abuse, and if those protocols are not followed it will be a problem for the nurse. Healthcare professionals need to report abuse because they may risk professional disciplinary action, including losing professional licenses if they do not. Globally, the number of cases of elder abuse is projected to increase as many countries have rapidly ageing populations whose needs may not be fully met due to resource constraints (WHO,2020). The problem of elderly abuse is that it causes serious adverse effects on health or well-being of elderly people, namely, traumatic pain and injury, increase in the risk of hospitalization and death, decrease in life satisfaction, loneliness, decrease in self-esteem, shame, anxiety, and depression (Yesilot et al., 2018, p. xx). The literature is now projecting that elderly abuse is an important public health problem that should be evaluated from all aspects.  It is important to consider this issue comprehensively to identify the current situation of elderly abuse, determine the factors responsible for it, prevent the abuse, and put forward concrete applications for dealing with such cases (Yesilot et al., 2018, p. xx). It is the responsibility of nurses to maintain and improve the health and well-being of elderly people in health care settings. The two articles can be used to answer PICOT questions by giving specific time frames to interventions and management of the abuse as the descriptive study was carried out to evaluate the level of emotional abuse perceived by the elderly people living in nursing homes. The study universe consisted of all elderly people living in the Nursing Home Elderly Care and Rehabilitation Center affiliated to the Adana Provincial Directorate of the Ministry of Family and Social Policy in Adana, Turkey (Yesilot et al., 2018, p. xx). A total of 280 elderly individuals live in this nursing home. However, 80 elderly individuals in the private care unit of the nursing home were unable to fill the scale and forms. The research data were collected using a personal information form and the perceived emotional abuse scale for adults (PEASA). The data were collected by the researchers in a face-to-face interview in the participants’ room. Individuals have been interviewed in their own chambers to ensure privacy. Researchers are not institutional employees, and the purpose of the research is described and announced to be withdrawn when requested. The personal information form prepared by the researchers after examining the related literature consisted of a total of 14 questions, including 12 questions about the participants’ sociodemographic characteristics (age, gender, marital status, education status, occupation, etc.) and 2 questions about the characteristics of their diseases. Caregivers and family members under stress and demonstrating signs of distress should be referred to counseling to help with coping and alleviating the stress and potential for abuse (Marshall & Hale,2018).

Cultural and ethnic beliefs play a role in shaping and understanding the ethical basis of decision making and conclude therefore that clinicians should attempt to learn about variations in belief systems that potentially underlie decision making in the clinical setting and to understand how their own beliefs and background influence their ethical stance (Marshall & Hale,2018). Nursing homes are group settings providing care to vulnerable people, often under difficult circumstances. Important ethical principles that are violated in abuse are autonomy, beneficence, non-maleficence, and justice. This phenomenon not only involves elderly people, but also other vulnerable classes of the society such as women, children, people with disabilities, and people who suffer from mental disorders. Intervention in case of abuse is accompanied by ambiguity and ethical challenges because lack of professional principles leads to personal, legal, and ethical concerns. Are there any comprehensive ethical principles and regulations? Is it illegal to share the information and secrets of patients with the care team to reach a diagnosis or choose the appropriate intervention? Which ethical principle is violated in elder abuse? When is respect for autonomy not consistent with ethical principles?

In the case of an elderly abuse, there are many ethical principles that is compromised. Some of them are Autonomy, Beneficence, and non-maleficence. According to the American Nurses Association (ANA) autonomy not only means respect for patients’ decision-making, but also for the decision-making method, and patients have the right to participate in making decisions related to themselves. In cases where the patient lacks competency, what ethical considerations should be considered by the nurse or the care team? Patients with Alzheimer’s and dementia are at risk for abuse because of their mental capacity.

Elderly abuse is an increasingly intangible phenomenon that has created numerous ethical issues for care teams and caregivers. This issue is an ongoing situation that needs the attention of healthcare provider. Nurses are advocate for these patients; therefore, we should continuously follow the ANA code of ethical guidelines when caring for our patients.

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You did a lot of work for this paper, but it is very difficult to identify if you addressed each element from the rubric.

Your paper should look like this:

Introduction: this is a discussion of what your paper will be about. What is the practice problem that you are discussing.

Background: you need to address very specific information. You need to describe the research problem, the significance to nursing, the purpose of the research, the objective and the research question and this should be for both articles.

Significance of article to PICOT: discuss how the articles support the PICOT question you developed.

Method: describe the method. How is the data collected? What data is collected? Who participated and how many?

Results: with qualitative research you need to describe the results using the themes that were discovered.

Ethical considerations: This is what the researchers did with ethical considerations.

Format, with APA you must have headings for each of these sections and not put everything together.

References

Elder abuse. (2020, June 15). WHO | World Health Organization. https://www.who.int/news-room/fact-sheets/detail/elder-abuse

Ethical issues in geriatric Abuse. (2014).

Marshall, K., & Hale, D. (2018). Elder Abuse. http://ovidsp.dc2.ovid.com.chamberlainuniversity.idm.oclc.org/10.1097/NHH.0000000000000648/

Yesilot, S., Manav, A., & Gozuyesil, E. (2018). Evaluation of emotional abuse perceived by the elderly living in nursing homes. https://doi.org/10.4103/jgmh.jgmh_8_18/https://www-proquest-com.chamberlainuniversity.idm.oclc.org/docview/2187579135?accountid=147674