Exploring undergraduate elder abuse education in nursing: a scoping review.

One in six adults aged 60 and older experiences abuse annually, revealing a prevalence rate of 15.7%. However, knowledge gaps persist regarding the integration of elder abuse education into nursing curricula. The purpose of this scoping review is to fill the gap in understanding how elder abuse is currently taught to undergraduate nursing students, what methods are employed, and what impact these methods have on students' preparedness. A search across CINAHL, Google Scholar, Medline, and PubMed identified 10 relevant studies (2013-present) in English. These studies, encompassing 3,207 undergraduate nursing students, utilized diverse methodologies, focusing on undergraduate nursing education and elder abuse. Limited understanding of elder abuse among undergraduate nursing students is evident, primarily due to inadequate curriculum integration. Various teaching methods, including simulations and participative approaches, show promise in addressing this gap. This scoping review emphasizes the urgent need for enhanced elder abuse education in undergraduate nursing programs. The identified knowledge gap underscores the importance of active teaching methods, especially through simulation integration. Further research is essential to establish a robust evidence base in this critical area.

Knowledge, attitudes, detection, and reporting practices of elder abuse among orthopedists.

PURPOSE: The purpose of the present study is to explore orthopedists' level of knowledge regarding laws and directives related to the detection and reporting of elder abuse, their attitudes towards the detection and reporting of elder abuse, detection and reporting practices, and the associations between these variables. METHODS: In this cross-sectional study, 145 orthopedists employed in various Israeli hospitals-senior orthopedists, orthopedic residents, and orthopedic interns-completed a questionnaire. RESULTS: The orthopedists had a medium level of knowledge and held positive attitudes on the detection and reporting of elder abuse, but the actual number of cases they detected and reported was low. Senior orthopedists had the highest level of knowledge and also the most positive attitudes, followed by orthopedic residents, and then orthopedic interns. Common reasons for unwillingness to report cases of elder abuse differed between levels of training. A minority of the orthopedists had received training on the detection and management of elder abuse. Higher knowledge and more positive attitudes were found associated with a higher number of detected and reported cases of elder abuse. CONCLUSIONS: The importance of training orthopedists on the detection and management of elder abuse cannot be overemphasized. It seems that orthopedists should receive such training early in their career. LEVEL OF EVIDENCE: IV.

Characteristics of Women Presenting at the Emergency Department Who Choose Not to Disclose Being Subjected to Intimate Partner Violence.

Literature suggests that some women refrain from disclosing being subjected to intimate partner violence (IPV) upon their contact with the health care system. Such disclosure becomes critical when the violence compels women to seek urgent medical care. The purpose of the present study was to compare characteristics of women who disclose and women who do not disclose being subjected to domestic violence, when presenting at the Emergency Department (ED). In this chart review study, characteristics of 56 randomly sampled women who disclosed and 50 who did not disclose being subjected to domestic violence, when presenting at the ED in a medical center located in central-northern Israel between 2015 and 2018, were compared. It was found that women who did not disclose were more likely to be pregnant, legally defined as helpless, and dependent on others to some extent. In addition, they were more likely to be hospitalized, which may indicate a more severe injury, and were more likely to have been subjected to psychological abuse or neglect alone. A trauma informed approach should guide specific interventions with a focus on women with these characteristics in the ED, in order to facilitate their disclosure of IPV.

Association Between Type of Face Mask and Visual Analog Scale Scores During Pain Assessment.

AIMS: To examine the association between the type of mask worn by health care professionals and assessment of pain intensity in patients after orthopedic surgery using the visual analog scale (VAS). DESIGN: A nonrandomized controlled trial conducted among 176 patients hospitalized in an orthopedic department of a hospital located in northern-central Israel from January to March 2021. METHODS: In the intervention group (n = 83), pain assessment using the VAS was performed by a health care professional wearing a transparent face mask, while in the control group (n = 93), pain assessment was performed by a health care professional wearing a standard nontransparent face mask. The initial assessment was performed by a nurse, and 15 minutes later, an additional assessment was performed by a physician. RESULTS: Health care professionals wearing a standard non-transparent mask obtained higher VAS scores than health care professionals wearing a transparent mask. In addition, nurses obtained lower VAS scores than physicians. The discrepancy in VAS scores between nurses and physicians was found in 50% of cases. This discrepancy was more prevalent among female patients, patients after knee replacement or spinal surgery, and when health care professionals were wearing a standard nontransparent mask. CONCLUSIONS: This study supports the use of transparent face masks by health care professionals in an orthopedic department, particularly by nurses. In addition, this study supports the assumption of problems involving the reliability of VAS.

The commitment of Israeli nursing preceptors to the role of preceptor.

BACKGROUND: Despite the professional importance of the preceptorship role and the rise in participation of nurses in training courses for the position, a significant number of nurses are not committed to this role. The reasons for this trend globally, and in Israel in particular, are not clear. OBJECTIVES: The aim of this study is to explore the connections between characteristics of preceptorship, supports, benefits and rewards, and commitment to the preceptor role in Israel. METHODS: The present study is a quantitative correlational study. A questionnaire survey was given to a convenience sample of 200 Israeli registered nurses working as preceptors in hospitals and community settings in the northern part of Israel. RESULTS: Respondents showed a moderate commitment to the role of preceptor. Support within nurses' employment framework, intrinsic benefits and rewards, and to a lesser degree, extrinsic benefits and rewards, were found to be related to nurses' level of commitment to the role of preceptor. No correlation was found between support received from outside the workplace and commitment to the role of preceptor. Additionally, no correlation was found between the characteristics of preceptorship (the number of preceptees during the last six months or the average number of preceptees per session), and commitment to the role of preceptor. The most important factor contributing to commitment was support within the nurses' employment framework CONCLUSIONS: The present study highlights the importance of support from within the nurses' employment framework, and also the role of intrinsic benefits and rewards, in relation to the level of commitment of Israeli preceptors to their role.

Knowledge and attitudes of nurses regarding domestic violence and their effect on the identification of battered women.

The exact prevalence of domestic violence in Israel is unknown because of problems with the identification of battered women. This study aimed to examine the effect of nurse knowledge, department routines, and attitudes on the identification of battered women. This is a descriptive, quantitative study employing a convenience sample consisting of 100 hospital- and community-based nurses. A positive correlation was found between nurses' attitude, knowledge, and departmental routines and patient screening for abuse. While nurses are aware of domestic violence and understand the significance of identification, this is often not manifested in practice.

Nurses' perception of the quality of care they provide to hospitalized drug addicts: testing the theory of reasoned action.

A correlational design was used to examine nursing staff attitudes and subjective norms manifested in intended and actual care of drug users based on the Theory of Reasoned Action. One hundred and thirty-five nursing staff from three central Israeli hospitals completed a questionnaire examining theory-based variables as well as sociodemographic and professional characteristics. Most respondents reported a high to very high level of actual or intended care of drug users. Nurses' stronger intentions to provide quality care to drug users were associated with more positive attitudes. Nursing staff members had moderately negative attitudes towards drug users. Nurses were found to hold negative stereotypes of drug addict patients and most considered the management of this group difficult. Positive attitudes towards drug users, perceived expectations of others and perceived correctness of the behaviour are important in their effect on the intention of nurses to provide high-quality care to hospitalized patients addicted to drugs.

Coordinating the roles of nursing home staff and families of elderly nursing home residents.

This study examines families' and nurses' perceptions of the functions that should be performed by families of elderly nursing home residents and whether there is congruency between nursing staff and families' perceptions. This was a quasi-experimental study and was based on questionnaires distributed among 85 nurses and 68 families of nursing home residents. The findings indicated that the staff believes that families must assume more roles than the families think they should. In contrast, families believe that they should be more informed of the physical care of residents.