“Just because people are old, just because they're ill…” dignity matters in district nursing

Purpose This paper aims to explore the concept and practice, of dignity as understood and experienced by older adults and district nursing staff. The paper adds a new, nuanced, understanding of safeguarding possibilities in the context of district nursing care delivered in the home. Design/methodology/approach The research used an ethnographic methodology involving observations of care between community district nursing clinicians and patients (n = 62) and semi-structured interviews with nursing staff (n = 11) and older adult recipients of district nursing care (n = 11) in England. Findings Abuse is less likely to occur when clinicians are maintaining the dignity of their patients. The themes of time and space are used to demonstrate some fundamental ways in which dignity manifests. The absence of dignity offers opportunities for abuse and neglect to thrive; therefore, both time and space are essential safeguarding considerations. Dignity is influenced by time and how it is experienced temporally, but nurses are not allocated time to “do dignity”, an arguably essential component of the caregiving role, yet one that can become marginalised. The home-clinic exists as a clinical space requiring careful management to ensure it is also an environment of dignity that can safeguard older adults. Practical implications District nurses have both a proactive and reactive role in ensuring their patients remain safeguarded. By ensuring care is delivered with dignity and taking appropriate action if they suspect abuse or neglect, district nurses can safeguard their patients. Originality/value This paper begins to address an omission in existing empirical research regarding the role of district nursing teams in delivering dignified care and how this can safeguard older adults.

Unsafe at home: the increased trend of domestic violence during the COVID-19 pandemic in Bangladesh

Purpose The pandemic situation has increased the domestic violence rate against women and children significantly around the world. However, it is difficult to measure the accurate rate of increased domestic violence because of restrictions and limited mobility in accessing help and reporting. This paper aims to highlight the current situation of the novel coronavirus 2019 (COVID-19) pandemic and domestic violence in Bangladesh. It also states the challenges of the unprecedented situation and how to encounter increasing domestic violence cases. Design/methodology/approach This paper is a viewpoint of the COVID-19 pandemic and domestic violence situation in Bangladesh. Accordingly, this paper includes a comprehensive literature review that summarises related articles and newspapers on domestic violence. Findings Bangladesh is one of the most vulnerable countries to COVID-19 because of its most dense population. Currently, the COVID-19 virus is spreading rapidly in all parts of Bangladesh. In Bangladesh, the COVID-19 pandemic is increasing domestic violence for women and girls. Because of the lockdown, financial stress and livelihood scarcity, domestic violence rates show an increasing tendency that should not be overlooked to ensure the safety and security of women and girls in Bangladesh. Originality/value This paper delivers information about the current situation of COVID-19 in Bangladesh and the challenges of domestic violence that have risen. This paper will be helpful to policymakers, government and non-government officials for developing effective social safety net interventions.

Elder abuse and neglect in nursing homes as a reciprocal process: the view from the perspective of care workers

Purpose Reciprocal abuse inside care practices remain under-studied due to their invisibility and further research is required. The purpose of this paper is to explore different levels of conflicts inside organisations. Design/methodology/approach The paper is based on a self-administered questionnaire filled out by care workers (n = 150), in 16 Portuguese care homes. Findings Results indicated that, overall, 54.7% of care workers had observed abuse, in their daily practice, in the preceding 12 months: 48.7% psychological; 36.0% neglectful care practices; 14.0% physical and 3.3% financial abuse. The figures decreased significantly as regards abuse committed themselves, with 16.7% of those admitting to having committed at least one of these behaviours. The highest figures were also recorded for psychological abuse (13.3%) and neglect (6.7%). However, there is a statistically significant relationship between abuse committed by care workers and abuse committed by residents. Overall, 52.0% of care workers reported having been the target of at least one such behaviour by residents. Research limitations/implications This paper has its limitations as the sample consisted of only 16 nursing homes (12 not-for-profit and 4 for-profit nursing homes). The fact that only 4 of the 16 LTC homes were for-profit is a potential limitation both in general and in particular because research has shown that lower quality of care and elder abuse and neglect are more common in for-profit nursing homes at least in Portugal. The results were also based on self-reported measures. Practical implications A reactive behaviour, the risk of retaliation, after a complaint, the difficulty in dealing with dementia and the residents' aggressive behaviour, an absence of a training and support policy in an environment where difficult working conditions prevail, are factors enhancing a reciprocal process of abuse. The analysis followed by a discussion of potential implications to prevent institutional elder abuse and neglect, based on communication and social recognition, including better working conditions and training, and a cooperative work environment. Social implications Conflict is much more than reducing an interpersonal relationship problem between residents and staff (care workers, professional staff, managers) and extending to the whole organisation. Therefore, there are still uncertainties on how organisations, staff and residents interact between themselves, and affect care practises. Originality/value Reciprocal abuse in nursing homes is an important area of research and this paper enabled a discussion of potential implications concerning the quality of care, which required the identification of levels of conflict, in an organisational system, including interactions, the context where care is provided, difficult working conditions, lack of training and levels of support. All these factors are important when considering elder abuse and neglect and this calls for special attention by policymakers and researchers.

Social work expertise, best interests and the court of protection

Purpose The purpose of this paper is to consider the role of social work professional evidence in mental capacity law, specifically Court of Protection proceedings. The authors analyse how social workers perform as evidence givers in this domain and how social work as a profession is perceived alongside other professions within the context of adult social care decision-making in mental capacity law. Design/methodology/approach This paper draws on textual evidence from judgments and existing empirical data published elsewhere. The authors consider the contribution of social work professional expertise to best interests decision-making in formal legal proceedings which, in turn, reflects on how social work expertise is relevant in everyday practice. Findings The findings of this paper include that social workers are well placed to be experts on best interests decision-making in mental capacity law. However, the authors show that the Court of Protection has not always endorsed this form of social work expertise in its judgments, meaning that social workers can struggle to articulate an expert knowledge base. Originality/value Overall, the authors conclude that social work evidence is incredibly valuable as expertise about the person’s best interests, particularly in the domain of welfare cases and care planning.

Universal credit, gender and structural abuse

Purpose This paper aims to explore Joint couple payments under Universal Credit which tend to privilege male partners. This may entrap women in abusive relationships, foster poverty which are indicative of gendered structural abuse. Design/methodology/approach Through a critical review of the literature and qualitative interviews with third sector support workers, the authors explore the impacts that Universal Credit has on women, especially those in abusive partnerships. Findings Current welfare processes reinforce patriarchal assumptions and are indicative of the structural abuse of women. This has increased during the lockdowns imposed to tackle COVID-19. Practical implications Changes are needed in the ways in which welfare benefits are disbursed. Gendered structural abuses should be explicitly considered when working with women who experience domestic violence and abuse. Originality/value This paper argues that there needs to be a wider a recognition of gender power relations and the concept of structural abuse in policy formation and implementation.

Measuring social skills: cultural adaptation and validation of the SSI-Del Prette

Purpose Identifying and assessing social skills has been a powerful way of linking human behaviour and human interaction with their consequences at significant developmental levels. There are some data connecting social skills with interpersonal violence but not yet with elder abuse. The reason might be the scarcity of quick and easy-to-apply measures of social skills. This study aims to adapt and validate the social skills inventory (SSI) (Del Prette and Del Prette, 2001) to the Portuguese population. Design/methodology/approach The authors conducted two studies. In Study 1, the authors gathered the psychometric characteristics of the SSI-Del-Prette through exploratoryfactor analysis (EFA) and confirmatory factor analysis (CFA). In Study 2, the authors correlated the new measure with measures of depression and empathy to test for divergent and concurrent validity. Findings The obtained version of the SSI-Del-Prette showed a good model fit and internal consistency. This measure presented six factors: conversation and social confidence, easiness of self-exposure, self-expression of positive affect, coping assertively with risk, defending interests and opinions and giving and receiving praise. The indicators of convergent and divergent validity supported the integrity of the measure. Research limitations/implications The adaptation of this measure of social skills opens new possibilities for studying these skills. Originality/value This paper provides an adaptation of a measure of six social skills expanded to the older adult population.

Remote support to victims of violence against women and domestic violence during the COVID-19 pandemic

Purpose This paper aims to characterize the type of support provided to victims of violence against women and domestic violence (VAWDV) during the first lockdown, assessing the training of professionals to use remote support (RS). Design/methodology/approach This cross-sectional study involves a sample of 196 support professionals, mainly women (91.8%) and who integrate the Portuguese National Support Network for victims of domestic violence (NSNVDV) (Mean age = 36.49; SD = 10.52). Findings Telephone emerges as the main RS communication media used in the lockdown (43.9%) and the emergency state periods (57.1%). Participants reported to have never used any social applications (41.8% vs 41.8%) or videoconference (46.4% vs 58.2%), in both periods assessed, i.e. lockdown and emergency state, respectively, and 82.7% assumed to have no training with RS to assist VAWDV victims. However, support professionals recognized several advantages in using RS such as dealing with isolation, reducing inhibition, fear and shame and in promoting the victims’ empowerment. Research limitations/implications Given the exploratory nature of this study, only descriptive analyzes were conducted. Originality/value During the COVID-19 pandemic, little is known about effective RS given by professionals to victims of VAWDV in the Portuguese context. The paper aims to add knowledge to the studied field.

Theoretical approaches to elder abuse: a systematic review of the empirical evidence

Purpose The study of theoretical models explaining elder abuse has been one of the main gaps in the literature of the field. The extent of support of each theory is not clear. This study aims to conduct a systematic review to examine research supporting or opposing six theories of elder abuse: caregiver stress theory, social exchange theory, social learning theory, bidirectional theory, dyadic discord theory and the psychopathology of the caregiver. Design/methodology/approach This study conducts a systematic review of the literature. Seven databases were searched six times using different keywords about each theory. Findings This paper finds 26,229 references and then organised and analysed these references using pre-established criteria. In total, 89 papers were selected, which contained 117 results of interest; these papers were summarised and assessed for conceptual, methodological and evidence quality. The results showed evidence in favour of all the explored theories, except for social learning theory, whose results indicate multiple interpretations of the theory. This study finishes this paper by proposing that each of these theories might explain different facets of elder abuse and that more research is necessary to understand how the predictions of these different theories interact. Originality/value This paper presents an extensive review of the literature on theoretical explanations of elder abuse. The findings can be of value for selecting theories for prevention programmes or providing a summary of the evidence for researchers and practitioners interested in the theoretical explanation of elder abuse.