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Stakeholder perceptions on resident-to-resident aggression: implications for prevention.

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Resident-to-resident aggression (RRA) in nursing homes is a significant concern. Understanding stakeholder perceptions is key to developing effective prevention strategies for this complex issue.

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Area of Science:

  • Gerontology
  • Nursing Home Care
  • Healthcare Management

Background:

  • Resident-to-resident aggression (RRA) is a prevalent issue in nursing homes with serious implications.
  • Despite its impact, RRA remains under-researched and under-recognised in Australia.
  • Existing research lacks comprehensive understanding of stakeholder knowledge and perceptions of RRA.

Purpose of the Study:

  • To explore key stakeholders' knowledge and perceptions of resident-to-resident aggression (RRA) in Australian nursing homes.
  • To identify the nature, causes, attitudes, and responses related to RRA.
  • To inform the development of prevention and mitigation strategies for RRA.

Main Methods:

  • Qualitative cross-sectional study design.
  • Semistructured telephone interviews with 15 senior management and policy stakeholders.
  • Thematic analysis of interview data using a directed content approach.

Main Results:

  • All participants were familiar with RRA; 53.3% had witnessed an incident.
  • Identified causes include maladaptation, pre-existing issues, environmental factors, and staffing.
  • RRA perceived as dangerous/unpredictable or expected; person-centred care favoured for management.

Conclusions:

  • Understanding stakeholder perceptions of RRA is critical for identifying its scope and developing prevention strategies.
  • A person-centred care approach is recommended for managing and responding to RRA.
  • A cultural shift is needed to recognise RRA as a manageable and preventable healthcare and safeguarding issue.