Breaking Point: Violence Against Long-Term Care Staff

Source avec lien : NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy, Prépublication, 3/25/2019. 10.1177/1048291118824872

Les soins directs prodigués aux résidents dans les établissements de soins de longue durée sont principalement assurés par des préposés aux services de soutien à la personne et des infirmières auxiliaires autorisées, dont la majorité sont des femmes. Ils subissent régulièrement des violences physiques, verbales et sexuelles de la part de leurs résidents. Pour explorer ce problème généralisé, cinquante-six employés de sept communautés en Ontario, au Canada, ont été consultés.

Direct resident care in long-term care facilities is carried out predominantly by personal support workers and registered practical nurses, the majority of whom are women. They experience physical, verbal, and sexual violence from residents on a regular basis. To explore this widespread problem, fifty-six staff in seven communities in Ontario, Canada, were consulted. They identified such immediate causes of violence as resident fear, confusion, and agitation and such underlying causes as task-driven organization of work, understaffing, inappropriate resident placement, and inadequate time for relational care. They saw violence as symptomatic of an institution that undervalues both its staff and residents. They described how violence affects their own health and well-being—causing injuries, unaddressed emotional trauma, job dissatisfaction, and burnout. They outlined barriers to preventing violence, such as insufficient training and resources, systemic underfunding, lack of recognition of the severity and ubiquity of the phenomenon, and limited public awareness.

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