Emergency assistance in situations of abuse, neglect, and self-neglect: exploring the complexity and challenges

IF 1.6 2区心理学 Q3 GERONTOLOGY

Journal of Elder Abuse & Neglect Pub Date : 2022-03-15 DOI:10.1080/08946566.2022.2070317

S. Yip, D. O’connor, Farimah Shakeri Shemirani, Amanda Brown, Jenny Hyman

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引用次数: 0

Abstract

ABSTRACT Health and social care professionals are often called upon to provide emergency intervention without the adult’s consent in situations of abuse, neglect, and self-neglect. Little is known about this process despite implications related to health care costs and individual rights. In this qualitative study, 17 health care professionals with experience enacting emergency legislation in BC were interviewed to better understand what leads to an emergency response and how these professionals carry out their role. Five components emerged in the provision of emergency assistance: assessing intolerable risks, assessing incapability, balancing ethical values, exploring resources, and consulting/collaborating. Attention is drawn to the significance of social location, including age, socio-economic, and Indigenous background for influencing the process, sometimes in unintended ways. The challenges in providing emergency interventions may result in social inequities and delay in providing care at times. The importance of bringing a reflexive and intersectional lens to providing interventions is highlighted.

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在虐待、忽视和自我忽视情况下的紧急援助:探索其复杂性和挑战

摘要：在虐待、忽视和自我忽视的情况下，卫生和社会护理专业人员经常被要求在未经成年人同意的情况下提供紧急干预。尽管这一过程涉及医疗保健成本和个人权利，但人们对这一过程知之甚少。在这项定性研究中，采访了17名在不列颠哥伦比亚省有制定紧急立法经验的医疗保健专业人员，以更好地了解是什么导致了紧急响应，以及这些专业人员如何发挥他们的作用。在提供紧急援助方面出现了五个组成部分：评估无法容忍的风险、评估无力能力、平衡道德价值观、探索资源以及咨询/合作。人们注意到社会位置的重要性，包括年龄、社会经济和土著背景对这一过程的影响，有时是以意想不到的方式。提供紧急干预措施方面的挑战可能会导致社会不平等，有时会延迟提供护理。强调了在提供干预措施时采用反射性和交叉性视角的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Elder Abuse & Neglect GERONTOLOGY-

CiteScore

3.30

自引率

15.80%

发文量

期刊介绍： The Journal of Elder Abuse & Neglect is the peer-reviewed quarterly journal that explores the advances in research, policy and practice, and clinical and ethical issues surrounding the abuse and neglect of older people. This unique forum provides state-of-the-art research and practice that is both international and multidisciplinary in scope. The journal"s broad, comprehensive approach is only one of its strengths—it presents training issues, research findings, case studies, practice and policy issues, book and media reviews, commentary, and historical background on a wide range of topics. Readers get tools and techniques needed for better detecting and responding to actual or potential elder abuse and neglect.