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dc.contributorWoolford, Martaen_US
dc.contributorStacpoole, Susanen_US
dc.contributorClinnick, Lisaen_US
dc.description.abstractObjectives Resident-to-resident elder mistreatment (R-REM) between residents living in residential aged care (RAC) services is a challenging issue in relation to the care of older people. Evidence suggests that R-REM, such as verbal, physical, and sexual conflict between residents, is a common and pervasive issue. This review examines the frequency with which R-REM occurs in RAC services; identifies the types of R-REM that occur; and provides an overview of the reported characteristics of both the victim and perpetrator involved in the R-REM event. Design A systematic review was conducted. We searched MEDLINE, EMBASE, CINAHL, PsycINFO, Ageline, and Cochrane Library to identify qualitative and quantitative studies published in the English language. Setting and Participants Residents living in RAC services. Measures Data on frequency and characteristics were collated, and aggregate proportions were calculated where possible. Results Twenty-six studies were identified; most (n = 20) were published in the United States. The overall proportion of residents engaged in R-REM was provided by 7 quantitative studies with the estimated frequency reported to be 12% to 23%. For qualitative studies, the number of care staff reporting to have observed R-REM ranged from 18.7% to 98.0%. Physical and verbal abuse were the most commonly reported types of mistreatment. Characteristics of the perpetrator of R-REM were reported in 12 (46.2%) studies. Overall, the mean age of perpetrators was 80.93 years, most were men (83.2%), and 64.4% had dementia and/or Alzheimer diagnosis. Characteristics of the victim and the history of R-REM were largely omitted from the published studies. Conclusion and Implications The findings from the review broaden understanding on the extent of R-REM; the individual and event characteristics and ultimately support care planning, policy, and direction for future research. To improve understanding, quality of care, and RAC residents’ well-being, further studies are recommended to address the identified gaps in knowledge.en_US
dc.description.provenanceSubmitted by Gemma Siemensma ( on 2021-11-10T04:03:51Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma ( on 2021-11-30T23:46:27Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2021-11-30T23:46:27Z (GMT). No. of bitstreams: 0 Previous issue date: 2021en
dc.titleResident-to-resident elder mistreatment in residential aged care services: a systematic review of event frequency, type, resident characteristics, and history.en_US
dc.typeJournal Articleen_US
dc.bibliographicCitation.titleJournal of the American Medical Directors Associationen_US
dc.subject.healththesaurusRESIDENT-TO-RESIDENT AGGRESSIONen_US
dc.subject.healththesaurusNURSING HOMEen_US
Appears in Collections:Research Output

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