Strategies to build more effective interventions for elder abuse: a focus group study of nursing and social work professionals in Hong Kong

Abstract Background One in six older adults living in communities experience abuse and neglect. Elder abuse has serious consequences for individuals, families, and society, including mortality, physical and psychological morbidities, and increased care requirements. Timely and effective intervention...

Full description

Bibliographic Details
Main Authors: Elsie Yan, Louis To, Debby Wan, Xiaojing Xie, Frances Wong, David Shum
Format: Article
Language:English
Published: BMC 2022-12-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-022-03682-4
_version_ 1797977300840480768
author Elsie Yan
Louis To
Debby Wan
Xiaojing Xie
Frances Wong
David Shum
author_facet Elsie Yan
Louis To
Debby Wan
Xiaojing Xie
Frances Wong
David Shum
author_sort Elsie Yan
collection DOAJ
description Abstract Background One in six older adults living in communities experience abuse and neglect. Elder abuse has serious consequences for individuals, families, and society, including mortality, physical and psychological morbidities, and increased care requirements. Timely and effective interventions for elder abuse should therefore be a priority. This study used a qualitative focus group approach to address the following questions: What are the essential elements of elder abuse interventions? What can be done to improve current interventions? Method The 32 participants in this focus group study included social workers, medical social workers, and nurses from seven organizations who shared their knowledge and insights. All sessions were conducted online, audio-recorded, and transcribed verbatim. Three researchers with backgrounds in social work and psychology independently coded the transcripts and agreed on the themes emerging from the focus groups. Results Based on the experiences of frontline helping professionals in Hong Kong, we highlighted the key factors for effective elder abuse intervention: 1) identification and assessment; 2) essential skills and attitudes; 3) elements of effective interventions; 4) collaborative efforts across disciplines and agencies; and 5) raising awareness among professionals and the public. Conclusions Training can equip frontline professionals with the necessary skills to identify elder abuse cases and to assess the risk of abuse. Effective interventions should not only address clients’ safety and need for tangible support but also respect their autonomy and privacy. A client-centered, strength-based approach that involves supportive peers and addresses the complex family relationships involved can be useful. Interventions should also involve cross-discipline and cross-agency collaboration.
first_indexed 2024-04-11T05:04:42Z
format Article
id doaj.art-dfdc794cfe604fe289d5e18c1d6baaad
institution Directory Open Access Journal
issn 1471-2318
language English
last_indexed 2024-04-11T05:04:42Z
publishDate 2022-12-01
publisher BMC
record_format Article
series BMC Geriatrics
spelling doaj.art-dfdc794cfe604fe289d5e18c1d6baaad2022-12-25T12:28:41ZengBMCBMC Geriatrics1471-23182022-12-0122111210.1186/s12877-022-03682-4Strategies to build more effective interventions for elder abuse: a focus group study of nursing and social work professionals in Hong KongElsie Yan0Louis To1Debby Wan2Xiaojing Xie3Frances Wong4David Shum5Department of Applied Social Sciences, The Hong Kong Polytechnic UniversityDepartment of Applied Social Sciences, The Hong Kong Polytechnic UniversityDepartment of Applied Social Sciences, The Hong Kong Polytechnic UniversityDepartment of Applied Social Sciences, The Hong Kong Polytechnic UniversitySchool of Nursing, The Hong Kong Polytechnic UniversityFaculty of Health and Social Sciences, The Hong Kong Polytechnic UniversityAbstract Background One in six older adults living in communities experience abuse and neglect. Elder abuse has serious consequences for individuals, families, and society, including mortality, physical and psychological morbidities, and increased care requirements. Timely and effective interventions for elder abuse should therefore be a priority. This study used a qualitative focus group approach to address the following questions: What are the essential elements of elder abuse interventions? What can be done to improve current interventions? Method The 32 participants in this focus group study included social workers, medical social workers, and nurses from seven organizations who shared their knowledge and insights. All sessions were conducted online, audio-recorded, and transcribed verbatim. Three researchers with backgrounds in social work and psychology independently coded the transcripts and agreed on the themes emerging from the focus groups. Results Based on the experiences of frontline helping professionals in Hong Kong, we highlighted the key factors for effective elder abuse intervention: 1) identification and assessment; 2) essential skills and attitudes; 3) elements of effective interventions; 4) collaborative efforts across disciplines and agencies; and 5) raising awareness among professionals and the public. Conclusions Training can equip frontline professionals with the necessary skills to identify elder abuse cases and to assess the risk of abuse. Effective interventions should not only address clients’ safety and need for tangible support but also respect their autonomy and privacy. A client-centered, strength-based approach that involves supportive peers and addresses the complex family relationships involved can be useful. Interventions should also involve cross-discipline and cross-agency collaboration.https://doi.org/10.1186/s12877-022-03682-4Elder abuseInterventionFocus groupPractice
spellingShingle Elsie Yan
Louis To
Debby Wan
Xiaojing Xie
Frances Wong
David Shum
Strategies to build more effective interventions for elder abuse: a focus group study of nursing and social work professionals in Hong Kong
BMC Geriatrics
Elder abuse
Intervention
Focus group
Practice
title Strategies to build more effective interventions for elder abuse: a focus group study of nursing and social work professionals in Hong Kong
title_full Strategies to build more effective interventions for elder abuse: a focus group study of nursing and social work professionals in Hong Kong
title_fullStr Strategies to build more effective interventions for elder abuse: a focus group study of nursing and social work professionals in Hong Kong
title_full_unstemmed Strategies to build more effective interventions for elder abuse: a focus group study of nursing and social work professionals in Hong Kong
title_short Strategies to build more effective interventions for elder abuse: a focus group study of nursing and social work professionals in Hong Kong
title_sort strategies to build more effective interventions for elder abuse a focus group study of nursing and social work professionals in hong kong
topic Elder abuse
Intervention
Focus group
Practice
url https://doi.org/10.1186/s12877-022-03682-4
work_keys_str_mv AT elsieyan strategiestobuildmoreeffectiveinterventionsforelderabuseafocusgroupstudyofnursingandsocialworkprofessionalsinhongkong
AT louisto strategiestobuildmoreeffectiveinterventionsforelderabuseafocusgroupstudyofnursingandsocialworkprofessionalsinhongkong
AT debbywan strategiestobuildmoreeffectiveinterventionsforelderabuseafocusgroupstudyofnursingandsocialworkprofessionalsinhongkong
AT xiaojingxie strategiestobuildmoreeffectiveinterventionsforelderabuseafocusgroupstudyofnursingandsocialworkprofessionalsinhongkong
AT franceswong strategiestobuildmoreeffectiveinterventionsforelderabuseafocusgroupstudyofnursingandsocialworkprofessionalsinhongkong
AT davidshum strategiestobuildmoreeffectiveinterventionsforelderabuseafocusgroupstudyofnursingandsocialworkprofessionalsinhongkong