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Legitimizing neglect - a qualitative study among nursing home staff in Norway

Overview of attention for article published in BMC Health Services Research, March 2023
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Title
Legitimizing neglect - a qualitative study among nursing home staff in Norway
Published in
BMC Health Services Research, March 2023
DOI 10.1186/s12913-023-09185-1
Pubmed ID
Authors

Stine Borgen Lund, John-Arne Skolbekken, Laura Mosqueda, Wenche K. Malmedal

Abstract

Residents in nursing homes do not always get qualitatively good nursing care, and research shows that residents' basic care needs are sometimes neglected. Neglect in nursing homes is a challenging and complex issue, yet a preventable one. Nursing home staff are at the frontline of detecting and preventing neglect but may also be the ones causing it. It is essential to understand why and how neglect happens in order to recognize, expose, and prevent its occurrence. Our aim was to generate new knowledge on the processes leading to and allowing neglect to continue in Norwegian nursing homes, by studying how nursing home staff perceive and reflect on when nursing home residents are neglected in their daily practice. A qualitative exploratory design was used. The study was based on five focus group discussions (20 participants, total) and ten individual interviews with nursing home staff from 17 different nursing homes in Norway. The interviews were analysed according to Charmaz constructivist grounded theory. In order to make neglect an acceptable practice, nursing home staff apply different strategies. These strategies were identified as when the staff legitimize neglect by neglecting neglect, when the staff are not recognizing their own behaviour as neglectful, as expressed in their actions and language, and normalizing missed care when resources are lacking and nursing staff are rationing care. The gradual shift between judging actions as neglectful or not are made possible when nursing home staff legitimize neglect by not recognizing their practice as neglective, thus neglecting neglect or when they are normalizing missed care. Increased awareness and reflections on these processes may be a way of reducing the risk of and preventing neglect in nursing homes.

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Mendeley readers

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Geographical breakdown

Country Count As %
Unknown 10 100%

Demographic breakdown

Readers by professional status Count As %
Unknown 10 100%
Readers by discipline Count As %
Computer Science 1 10%
Unknown 9 90%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 March 2023.
All research outputs
#19,857,948
of 24,404,997 outputs
Outputs from BMC Health Services Research
#7,043
of 8,238 outputs
Outputs of similar age
#301,896
of 408,612 outputs
Outputs of similar age from BMC Health Services Research
#159
of 190 outputs
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