Graduate school of social welfare in Doshisha University

Trial to “Redefinition of Elderly Abuse”:based on the recognition of Elderly Abuseof the nursing care staff

Lim Jeong-mi1

I. Background of research
1) Increasing number of elderly abuse and improper
cares in nursing home2) The different perception of people in understanding
the legal abuse of the Elder Abuse Prevention Law
2010 report by ministry of health,labour and welfare

・ counseling and report numberof elder abuse :506
・ determining number :95

Big difference between recognition ofabuse and the legallay determined elderly abuse

2

I. Background of research4) Confusion Caused by the uncertainty of elderly abuse definition
Oowada (2007)
Nisimoto et al (2007)
Mtusida et al (2009)

Ambiguity of the abuse definition based on Elder
Abuse Prevention Law
How do we define the range of elder abuse ?
It is difficult to determine if it’s elder abuse or notSome abuse is regarded as elderly abuse in some studies,but in other studies it’s notThat cause difficulties in comparing the results ofthe study and a confusion in recognition of carestaff when we want to solve the problem

3

I. Background of research5) The law hardly function as a prevention of abuse
6)

The original function of Elder Abuse Prevention Law is toprotect the dignity of elder people

We should review of definition of Elder Abuse : for example,
about behaviors violating human rights of the elder people
Because there are many behaviors that is regarded as elderly
abuse but it is not included in Elder Abuse Prevention Law
4

I. Background of research
According to some research, there’s a need to revise the definition of elderly abuse but based on evidence, there is no definition that came up yet5

“quasi-abuse” as practical definition
1. Behaviors which there isn’t elderly abuse
in Elder Abuse Prevention Law but it should be taken as same as Elderly abuse“quasiAbuse”
2. Behaviors violating human rights of theelders and giving stress or giving mentally or physically harm on elder people
6II. Purpose of Research
Based on the recognition of abuse from nursing care staff

To clarify the structures and features of quasi-abuse
for the " Redefinition of Elderly abuse"

1. Overcome difficulties in determining elder abuse: “that is elder abuse or not”,“How do we define the range of elder abuse ?”2. Improve the recognition about the elderly abuse toimprove the quality of life for the elder people
7III. Method
Participations and Method of Research・ Participations
5,000 nursing care staffs working at nursing homeregistered in WAMNET: Care insurance databaseacross the country
・Method of Research
Stratified two-stage random samplingex) extracted 1000 facilities based on equal spaces by prefectures out of 6567 elderly nursing facilities
・ Participations of Analysis
Collected 1389 responses (response rate 27.78%)→1143 responses (valid response rate 22.9%)8• IV. Result 1 Characteristic of subject
Characteristicof subject

1. Women : 64.2%
2. Average age : 38.3
3. Regular employee : 95.3%
4. Having diploma of care worker : 41.4%
5. No Having qualification of care worker : 5.9%
6. Average working experience : 9.2 years
7. Attending experience of seminar about abuse : 50.5 %9IV. Result 2 Features and factor structure of Quasi-abuse
Promax method by MLE for abuse recognition of 37 items (n=1143)▪ Factor structure of “quasi-abuse” is extracted
lack of Dignity, Role, Freedom, Interchange

Cronbach alpha of all the factors
have high numbers over 0.80
→Sufficient internal consistency

Factor 1. Dignity

Factor 2. Role

Factor 3. Freedom
Factor 4. Interchange
10IV. Result 3 Factors of Quasi-abuse
Rank of factors: Dignity> Interchange> Role> Freedom (n=1143)

FATOR 1 Dignity
FATOR 4 Interchange"FATOR 2 RoleFATOR 4 Freedom

MSD

3.14
3.03
2.66
2.54

0.66
0.80
0.61
0.61

The recognition of nursing carestaff about elderly abuse in realtion to Dignity and Interchange
is high

The recognition of nursing carestaff about elderly abuse in realtion to Role and Freedom is low▪ Association between elderly abuse recognition and training
An analysis on the correlation between score of elderly abuse recognitIon and experien-ce of elderly abuse training shows a significant association (p <0.01)
11

V. Conclusion 1 Features and factor structure of Quasi-abuse
Result 1. Four factorsof Dignity, Role, Freedom, Interchange

Structureof quasi abuse(４fator)

Quasi-abuse
is consisted of lack of Dignity, Role, Freedom, Interchange
involved with human rights
It's not considered as legal abuse but there are behaviors
violating human rights.
⇒The current law about elderly abuse can’t define
unmeasurable human right violation as the abuse

It should expand the definition of the elderly abuse

12V. Conclusion 2 Rank of factors
The recognition of the nursing care staff about elderly
abuse in relation to freedom and role is low
Structureof quasiabuse(４fator)

The staff need to improve their understanding about importance of life of the elder
people in relation to freedom and role13

V. Conclusion 3 Correlation between Training and Abuse recognition
The correlation between Experience of training
for abuse prevention and abuse recognition scoreshows a significant association (p <0.01)
Structureof quasi
abuse(４fator)

The abuse prevention training works toimprove the recognition of the nursing carestaff about elderly abuse.

14

Graduate school of Doshisha University

Thank you!

15