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Conflict and Aggression as Stressors in the Work Environment of Nursing Assistants: Implications for Institutional Elder Abuse

NCJ Number
164413
Journal
Journal of Elder Abuse and Neglect Volume: 8 Issue: 1 Dated: (1996) Pages: 49-67
Author(s)
D M Goodridge; P Johnston; M Thomson
Date Published
1996
Length
19 pages
Annotation
This paper describes the results of a Canadian study that examined conflict, aggression, and burn-out in one group of nursing assistants who worked with elderly patients.
Abstract
A total of 126 nursing assistants employed at a 320-bed, long-term care facility anonymously completed a questionnaire that related to nursing assistant-resident conflict, aggression toward nursing assistants by residents, and burn-out prior to participating in a staff education program related to client abuse prevention. Findings show that nursing assistant burn-out scores were similar to scores reported for other health-care workers. Subjects reported that conflict with residents most commonly related to the resident wanting to go outside the facility or personal hygiene. An analysis of incident reports indicated that less than 0.3 percent of the physical and verbal aggression nursing assistants endure from residents is formally acknowledged. On average, a nursing assistant in the selected facility may expect to be physically assaulted by residents 9.3 times per month and verbally assaulted 11.3 times per month. Findings show a slight correlation between burn-out and conflict and also between burn-out and reported aggression from residents. A statistically significant relationship was noted between conflict with residents and aggression from residents. 4 tables and 37 references