Research Review: Addressing Abuse Under-Reporting in Care Settings

This report provides a comprehensive review of three research papers addressing the critical issue of abuse in care homes and healthcare settings. The first paper examines the under-reporting of abuse in care homes for the elderly in England, highlighting the prevalence of psychological and physical mistreatment and the lack of appropriate action taken when abuse is reported. The second paper explores the perspectives of mental health service users on targeted violence and abuse, emphasizing the experiences of women and the role of mental health employees as abusers. The third paper investigates interventions for preventing abuse in the elderly, analyzing various databases and studies to identify effective strategies. The report underscores the importance of adult safeguarding practices, raising awareness, and implementing policies to protect vulnerable individuals from abuse and mistreatment within health and social care organizations. Desklib offers this assignment as a resource for students studying healthcare and social care, along with a wealth of other solved assignments and study materials.

SH4051 ASSESSMENT
COMPONENT 001

TABLE OF CONTENTS
RESEARCH PAPER 1: The sound of silence: evidence of the continuing under reporting of
abuse in care homes.........................................................................................................................3
Main findings:..............................................................................................................................3
Approach which have used by author:.........................................................................................3
Key implication of the approach:.................................................................................................3
Use of research for the health and social care practice:...............................................................4
RESEARCH PAPER 2: Keeping control: Exploring mental health service user perspectives on
targeted violence and abuse in the context of adult safeguardi ng..................................................4
Main findings:..............................................................................................................................4
Approach which have used by author:.........................................................................................5
Key implication of the approach:.................................................................................................5
Use of research for the health and social care practice:...............................................................6
RESEARCH PAPER 3: Interventions for preventing abuse in the elderly.....................................6
Main findings:..............................................................................................................................6
Approach which have used by author:.........................................................................................7
Key implication of the approach:.................................................................................................7
Use of research for the health and social care practice:...............................................................7
REFERENCES................................................................................................................................8

RESEARCH PAPER 1: The sound of silence: evidence of the continuing
under reporting of abuse in care homes.
Reference: Moore, S., 2019. The sound of silence: evidence of the continuing under reporting of
abuse in care homes. The Journal of Adult Protection.
Main findings:
This research paper has been written by the Steve Moore who is independent researcher
and consultant in Dudley, United Kingdom. Key purpose of the paper is to define the research
paper that entails the revelation of the active secrecy of abuse in mainly private region, that are
care home for the aged people in England (Moore, 2019). Key words for the paper are older
people, abuse, safeguard standards and care homes. Author stated that significant proportion of
the participants defines the exemplar of largely psychological and physical mistreat. As
respondents define their awareness of abusive act in care home which are not reported. They also
said that there are some instances which defines that occurrence of the abuse had been reported
but no actions are taken against such things, and also authorities have shown their careless
behaviour towards the abusive cases. Majority of the 72.9 percent of all participants who have
share their views in anonymous questionnaire states that they have witnessed the abuse, thus the
data for this is relevant and covered in during the 2015-2019 period.
Approach which have used by author:
In order to complete the research study author, select the questionnaire method for collecting the
data. In this anonymous questionnaire were utilised among the newly hired candidates in 11 new
opening care homes which bring out the quantitative as well as qualitative data regarding report
of the abuse case occurrence within the care homes (Shabot and Korem, 2018). In this research
the data is collected between 2011 to 2013 year where the data is obtained from the care staff of
the five new open care homes and the same method is done again but this time data is collected
from the 11 care home of aged people in year 2015 to 2019. As confirmation by the literature
and from the personal experience of the author, it is said the misuse of the vulnerable aged
people in care homes.
Key implication of the approach:
This research paper has mainly focused on primary data as to lay out the questionnaire, but this
method is quite expensive. As questionnaire method is conducted for almost three times in which
data is collected from different respondents, thus which consumes more time as well as nit costs
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more. Also report suggests that only 285 respondents are able to provide the data but there are
many proportion of abuse are unreported. In this author also required to use the secondary data
method which is cost efficient and with this author can be able to produce the report in timely
manner (Christou and et.al 2019).
Use of research for the health and social care practice:
This research paper will help the health and social care organisation to proceed with specific
strategies. With this older people will be able to understand their rights, and this paper will aware
them, thus old people can easily differentiate between the abuse or fair treatment that has been
given to them at care homes (Backhouse and et.al 2020). With the help of the data which is
gather from the response of different participants helps the people to notice everything and if
they found that certain behaviour is not good then they can easily proceed to report such things.
Thus also with this information health and social care can easily encounters the new knowledge
so that they can proceed to implement in their treatment. With this they can easily treat the old
people in care home and aware them about such abuse or misuse thing.
RESEARCH PAPER 2: Keeping control: Exploring mental health service
user perspectives on targeted violence and abuse in the context of adult
safeguardi ng
Reference: Carr, S. and et.al 2019. Keeping Control: Exploring Mental Health Service User
Perspectives on Targeted Violence and Hostility in the Context of Adult Safeguarding.
Main findings:
Dr. sarah carr, Dr Alison Faulkner, professor trish hafford letchfield, Claudia megele, Dorothy
gould, Christine khisa, dr Rachel cohen, dr Jessica holley are the author research team of this
paper. In this research paper mostly women service users are interviewed, thus this paper I
mainly based on the women’s reported experiences. In this data revolve around the abuse and
violence feeling that are experienced by the females. In which the abusers are mostly mental
health employees. It is found that adult safeguarding in mental health issues are majorly
concentrates on practitioner opinion. As poor accommodation and housing structure promotes
the crimes in locality, which mainly impacts the mental health of the people from being
discriminated at workplace, in society (Carr and et.al 2019). Avoided by the mental health
providers are experienced by the targeted abusers. It involves the ward workers who present their

careless behaviour towards their patients. Also patients are in fear that they can be assault or
theft by the staff.
Approach which have used by author:
This research paper has focused on qualitative exploration which entails the data about the
service user experiences and also targeted victims. In this primary and secondary method have
been chosen by the authors. As for the secondary data following research paper has cover the
literature review as the study mainly led the mental health services, over half of the team are
found as survivors. It is co published by the two practitioner research analyst. It is found that
nearly most of the respondents who experienced mental related violence has a lifetime history for
run into the abuse (Ivany and et.al 2018). Many of the survivors have experienced the vulnerable
situation as isolation, deterioration and low confidence but majority of the participants also
proceed with the positive strategies in order to cope o with all these negative factors. As
respondents stated that they often search out for the positive and negative aspect to overcome the
unavailability of adequate responses.
Key implication of the approach:
In this research approach it is found that mental health service avail are more likely to suffer, as
they have faced the vulnerable risk situations, as safeguarding is essential for them in order to
protect from further abuse or worst situations. Thus it is important to introduce the adult
safeguarding in order to restricts all crimes (Lindgren and et.al 2019). It has been found that
histories of trauma which suggests that many people suffered from the loneliness, abuse the lived
in fear also face mental health problems must required to be addresses in adult safeguarding
practices. As complicated situations which people have faced does not required the response in a
fragmented manner though adult safeguard. In such staff at the mental health also said that they
mostly encountered disempowered feeling to raise their voice for the individuals in such
administration. Thus lacking in information regarding adult safeguarding leads to many cases in
which the victims have faced critical situation. Thus it is necessary to introduce all the adult
safeguard practices and to aware the service users and carers about this safeguarding standards in
order to decrease the chances for the crime. There must be more concern over the user led
prevention with the security process which are agreed by the service user.
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Use of research for the health and social care practice:
As for the health and social care this report will help in creating awareness for the adult
safeguarding. There are many people who mostly live with the mental trauma, they often
depressed over everything and they are more likely to experience the abuse and violence. As
most of the adult safeguarding practices concentrates on practitioner perspective. With this many
health and social care organisation can proceed to follow all polices of adult safeguarding, thus it
will help them in reducing the chances for any crimes (Hamid, Scior and de Williams, 2020). It
prevents from harassment, bullying, abuse or any other harm, also with this people should be
aware of such situation and with this information they are more likely to report such situation if
they are facing any abuse or misuse behaviour from others. Thus adult safeguarding must need to
be accessible in order to drive rapid response for the report which have been made by the service
user, it will close the mental health environments which can be cooperated housing.
RESEARCH PAPER 3: Interventions for preventing abuse in the elderly
Reference: Baker, P.R. and et.al 2016. Interventions for preventing abuse in the
elderly. Cochrane Database of Systematic Reviews. (8).
Main findings:
Authors for this research paper are Philip RA baker, Daniel p francis, noran N hairi,
sajaratulnisah Othman and wan yuen choo. In this the patients are orderly person and almost 19
databases have been searched by the researchers which are ageline, CINAHL, MEDLINE, Social
services abstracts and so on. Which are uses on 12 platforms that involves the multidisciplinary
covering clinical and other factors. Author also traversed the organisational websites and also
used the relevant and published articles of other authors. In this the selection criteria made by the
author is to involve the randomised controlled trials(RCT) and other group randomised trials.
Searching and selection criteria produces the seven studies which shows the total 1974 elder
participants who are further categorised in seven categories. summary of the findings states that
abusive behaviour are generally lower or fewer in trained caregivers, intervention group are more
likely reported more incidents.

Approach which have used by author:
In this the research methodology has been chosen by the author is both qualitative and
quantitative data (Pramesona and Taneepanichskul, 2018). other author in order to complete the
study, they have identifies the articles through database searching and other websites, In such
intervention for restricting abuse and study design have been completely met. It is also found that
there is persisting difference in perceptions has been seen thus author SO and DF view the
research paper to reach the census among various authors. After the selection of full text author
DF and PB proceed to lay out the re screening of usual 10% of excluded title for ensuring that
there should be no miss out of suitable titles. As for the data extraction it is based on the
assessment form of Cocharne public health group (Lino and et.al 2019). Two authors have
completed the data extraction from every study and accounts the all necessary requirements of
the paper review.
Key implication of the approach:
It is found that there is inadequacy in relevant or trust worthy evidences to analyse the impact of
elder abuse interventions redeveloped of the abuse. Also in this study there have been use of
many databases that can also cause the ambiguity for the authors. Although there are some
evidences also available which suggest that it might change the collective measure of the
anxieties and depression feeling of the caregivers (Atinga and et.al 2018). And study also find
there must need to provide the trials of high qualities which also involve from the low and
moderate economy countries. With the use of efficient statistical power can be utilised to find the
specific intervention activities and to determine the main key element of the programmes. These
are essential in order to decreasing the abuse episodes between the elder people. It is still
uncertain that the utilisation of the educational interventions can enhance the knowledge and
behaviour of the caregivers, and also whether these programs can reduce the chances for
occurrence of such abuse. Therefore, the future research study is warranted.
Use of research for the health and social care practice:
Maltreatment of the older people also termed as global problem, that are affecting millions of the
older people across the world. Thus with this data care organisation can proceed to create the
awareness, and to educate the people about such things, so that If there is any abuse situation
found for the people they can easily begin to report such things (Oliveira and et.al 2018). Study
will help in creating awareness which aims to reduce the chances for the crime.
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REFERENCES
Books and journals
Atinga, A. and et.al 2018. Trauma in the elderly patient. The British journal of
radiology. 91(1087). p.20170739.
Backhouse, T. and et.al 2020. Strategies and interventions to reduce or manage refusals in
personal care in dementia: A systematic review. International Journal of Nursing
Studies. 109. p.103640.
Christou, A. and et.al 2019. How community and healthcare provider perceptions, practices and
experiences influence reporting, disclosure and data collection on stillbirth: findings of a
qualitative study in Afghanistan. Social Science & Medicine. 236. p.112413.
Hamid, A., Scior, K. and de C Williams, A.C., 2020. Qualitative accounts from Syrian mental
health professionals: shared realities in the context of conflict and forced
displacement. BMJ open. 10(5). p.e034291.
Ivany, A.S. and et.al 2018. Living in fear and prioritizing safety: Exploring women’s lives after
traumatic brain injury from intimate partner violence. Qualitative health
research. 28(11). pp.1708-1718.
Lindgren, B.M., and et.al 2019. Patients’ experiences of isolation in psychiatric inpatient care:
Insights from a meta‐ethnographic study. International Journal of Mental Health
Nursing. 28(1). pp.7-21.
Lino, V.T.S. and et.al 2019. Prevalence and factors associated with caregiver abuse of elderly
dependents: The hidden face of family violence. Ciencia & saude coletiva. 24. pp.87-96.
Oliveira, K.S.M. and et.al 2018. Violence against the elderly: the conceptions of nursing
professionals regarding detection and prevention. Revista gaúcha de enfermagem. 39.
Pramesona, B.A. and Taneepanichskul, S., 2018. The effect of religious intervention on
depressive symptoms and quality of life among Indonesian elderly in nursing homes: A
quasi-experimental study. Clinical Interventions in Aging. 13. p.473.
Shabot, S.C. and Korem, K., 2018. Domesticating bodies: the role of shame in obstetric
violence. Hypatia. 33(3). pp.384-401.