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Updated: Apr 16, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
A national cross-sectional study of community nurses and social workers knowledge of self-neglect
Mary Rose Day1, Geraldine McCarthy1
1School of Nursing and Midwifery, University College Cork, Brookfield Health Science Complex, Cork, Ireland.
Background:
self-neglect (SN) is a global health and social problem affecting societies, which is largely hidden, under-reported and underresearched. Community nurses (CNs) and social workers (SWs) need to be knowledgeable about SN.
Objective:
to determine CNs and SWs sources and level of SN knowledge.
Methods:
quantitative, descriptive and cross-sectional.
Subjects:
CNs and SWs working in the community with older people at risk of SN.
Settings:
participants were recruited from four Health Service Executive (HSE) areas in Ireland.
Instrument:
a questionnaire was developed to elicit levels and sources of SN knowledge. A postal survey was used.
Results:
of the 566 questionnaires posted, 339 responded (Nurses (N) N = 305; SWs N = 34), a 60% response. SWs had statistically higher knowledge scores (P = 0.002), and difference in average scores between CNs and SWs was statistically significant (P = 0.037). There was a statistically significant difference between practice and personal experience (P = 0.44), and use of literature/books (P = 0.037) between CNs and SWs, with SWs using both sources more. Higher knowledge scores were significantly associated with number of SN cases, higher education and gender.
Conclusion:
there is a need for interdisciplinary training on SN.
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