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Professional decision making on elder abuse: systematic narrative review.

Campbell Killick1, Brian J Taylor

  • 1South Eastern Health and Social Care Trust, Social Services Training Department, The Clock Tower-Downshire Hospital, Downpatrick, Northern Ireland. campbell.killick@setrust.hschi.net

Journal of Elder Abuse & Neglect
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Summary

Social workers and healthcare professionals struggle with decision-making regarding elder abuse due to unclear definitions and complex factors. Research highlights the need for better guidance on identifying vulnerability and navigating ethical dilemmas in elder abuse cases.

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Area of Science:

  • Gerontology
  • Social Work
  • Public Health

Background:

  • Growing recognition of elder abuse necessitates improved professional responses.
  • Existing policies lack clear definitions, hindering effective decision-making for practitioners.
  • Literature indicates a deficit in practical guidance for professionals addressing elder abuse.

Purpose of the Study:

  • To synthesize research on professional decision-making processes in cases of elder abuse.
  • To identify key factors influencing practitioners' decisions to intervene in suspected elder abuse.

Main Methods:

  • Systematic search of nine bibliographic databases for relevant studies.
  • Quality appraisal of retrieved articles using explicit criteria.
  • Structured narrative synthesis of findings from 19 included studies.

Main Results:

  • Identified themes include abuse factors, situational influences, and contextual elements.
  • Client vulnerability (age, gender, health) and perceived intervention effectiveness were crucial.
  • Professionals faced ethical challenges, particularly with victim non-consent, and difficulties in objective judgment due to complex factors.

Conclusions:

  • A structured synthesis provides a summary of practice issues and research gaps in elder abuse decision-making.
  • Enhanced understanding of abuse, situational, and contextual factors is needed for practice.
  • Further research is required to develop clearer guidance for professionals on elder abuse interventions.