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Negative prompts aimed at maintaining eating independence
Alvisa Palese1, Silvia Gonella2, Tea Kasa
1University of Udine, Italy.
Nursing Ethics
|December 29, 2018
Summary
Negative verbal prompts used during mealtimes in nursing homes can constitute psychological abuse, leading to intimidation, anxiety, and ethical violations. These harmful prompts must be avoided to protect residents
Area of Science:
- Gerontology
- Healthcare Ethics
- Psychological Abuse
Background:
- Psychological abuse of older adults, particularly nursing home residents, is often subtle and difficult to detect.
- Negative verbal prompts during mealtimes are used by healthcare professionals to encourage eating independence but their implications are under-researched.
Purpose of the Study:
- To critically analyze negative verbal prompts during mealtimes as a form of psychological abuse.
- To examine how these prompts violate ethical principles in elder care.
Main Methods:
- Secondary analysis of three cases from a larger descriptive study involving focus groups.
- Involved 13 healthcare professionals across 3 nursing homes with residents experiencing moderate to severe functional dependence.
Main Results:
- Negative verbal prompts, intended to maintain self-feeding independence, can cause intimidation, depression, and anxiety.
- These prompts violate ethical principles of autonomy, beneficence, non-maleficence, and justice.
- Abuse and ethical violations can damage trust in healthcare professional-resident relationships.
Conclusions:
- Negative verbal prompting during mealtimes constitutes psychological abuse and violates ethical standards.
- Such practices negatively impact residents' dignity and well-being.
- Eliminating negative verbal prompting is essential for ethical elder care.
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