Implementation of long-term care for older adults: A Systematic Review

J Pak Med Assoc. 2023 Feb;73(Suppl 2)(2):S175-S181. doi: 10.47391/JPMA.Ind-S2-39.

Abstract

Objectives: To explore the abuse and neglect phenomenon in long-term care facilities for the elderly population.

Method: The systematic review comprised search on PubMed, CINAHL, MEDLINE and ScienceDirect databases following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The key words used were older people care, long-term care, older people and older adults. Articles published in the last 5 years between 2017 to 2021 in recognised English-language journals and whose full text was available on the websites were included. Details of the selected studies were noted and analysed.

Results: Of the 336 studies initially identified, 15(4.46%) were reviewed in detail. Of them, 3(20%) had been done in North America, 6(40%) in Europe and 6(40%) in Asia. The prevalence of abuse and neglect in long-term care facilities for the elderly was generally high, with nursing home staff mostly involved due to burnout syndrome or related to personal factors, such as childhood adversity and work-related stress.

Conclusions: Better understanding is critical for improving the quality of care in long-term care facilities to prevent abuse and neglect with the elderly.

Keywords: Aged, Caregivers, Healthcare quality and services, Long-term care..

Publication types

  • Systematic Review

MeSH terms

  • Aged
  • Asia
  • Child
  • Homes for the Aged
  • Humans
  • Long-Term Care*
  • Nursing Homes*