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Background Elder abuse is a growing public health concern in aging Chinese populations, yet timely intervention by healthcare professionals is often hindered by cultural factors. This study aimed to explore hospital-based healthcare professionals’ perceptions of elder abuse interventions across personal, behavioral, and environmental dimensions, to inform future training program design. Methods This qualitative study explored perceptions of elder abuse interventions through semi-structured interviews with 24 participants (12 medical doctors and 12 nurses) from two tertiary hospitals in Yichang, China. Data were analyzed using directed content analysis based on Social Cognitive Theory (SCT) to examine cultural influences and professional differences. Results Perceptions regarding elder abuse interventions were dynamically influenced by the interaction of personal factors (knowledge and skills, outcome expectancies, self-efficacy, and role cognition), behavioral factors (direct and indirect intervention), and environmental factors (family, hospital, and government levels). A distinct cultural theme—family boundary concerns—significantly influenced intervention willingness. Nurses highlighted empathy, life care, and public support, whereas medical doctors emphasized professional responsibility and institutional coordination. Conclusions Findings support the SCT triadic reciprocal determinism: personal factors influence and are influenced by behavioral and environmental elements. Consequently, a multilevel strategy aligned with SCT, such as enhancing personal capacity, strengthening institutional support, and optimizing systemic safeguards, is essential to empower hospital-based healthcare professionals to intervene in elder abuse.

Background Staff-to-resident abuse in institutional settings demands political attention and evidence-based interventions. Certified nursing assistants (CNAs) views and suggestions on preventing elder abuse can offer practical and policy-relevant insights. This study explores CNAs’ perceptions and strategies to address elder abuse in institutional care. Methods Sixteen CNAs from residential aged care facilities (RACFs) in Hunan Province, China, were purposively sampled. Semi-structured qualitative interviews were conducted, and transcripts were analysed using content analysis. Results CNAs demonstrated a surface-level understanding of elder abuse, including its types, causes, and interventions. However, they provided detailed suggestions through an ecological-systems lens. At the microsystem level, strengthening staff professionalism and empathy was noted as critical, while the mesosystem involved enhancing institutional management. At the macrosystem level, suggested strategies included boosting social support, such as developing the senior care sector, increasing senior benefits, and strengthening legal safeguards. Conclusion This study highlights CNAs’ limited understanding of elder abuse and presents actionable recommendations for policy and practice. The gap between their perceptions and the ability to ensure abuse-free care underlines the need for evidence-based training and standardised reporting systems. Strengthening staffing quality, institutional leadership, and community support within an ecological-systems framework is essential to reduce elder abuse and promote safe, respectful care environments for older adults.

It is generally agreed that healthcare workers are ideally positioned to recognize and diagnose cases of elder abuse. However, little is known about their knowledge and understanding of this issue. The objective of this study was to assess and compare the perceptions of different groups of healthcare workers toward elder abuse in Japan, using the Knowledge-Attitude-Behavior (KAB) model. Home-visit nurses, medical doctors, care managers, care workers, public health nurses, and social workers, with experience of dealing with elder abuse received self-administered questionnaire surveys that inquired regarding demographics, knowledge, attitudes, and behaviors regarding elder abuse. A total of 311 healthcare workers participated in this survey. To compare the differences among the groups, a one-way analysis of variance with a post-hoc Tukey's test, and a Kruskal-Wallis with post-hoc Steel-Dwass tests were used in accordance with data normality. Multiple linear regression analysis was conducted to explore variables that predicted the healthcare workers' perceptions, and covariance structure analysis was used to examine whether the KAB model can accurately predict healthcare workers' perceptions. Multiple comparisons showed significant differences in knowledge, attitudes, and behaviors regarding elder abuse among the abovementioned six groups. Age, sex, and years of work related to the care of elderly were extracted as significant determinants of healthcare workers' perceptions of elder abuse. The examination of the KAB model with covariance structure analysis yielded a model with strong goodness-of-fit. These findings emphasize the need to take effective measures to improve their perceptions as well as review the role of each healthcare worker so that they can be more concerned with and involved in the safeguarding of the elderly. Given the strong goodness-of-fit demonstrated by the KAB model, education of healthcare workers on both the knowledge of, and attitudes toward, elder abuse may help in improving healthcare workers' behavior in dealing with elder abuse.

The US population is aging. With this demographic shift, more older adults will be living with chronic conditions and geriatric syndromes. To prepare the next generation of health care professionals for this aging population, we need to provide training that captures the complexity of geriatric care. This pilot study aimed to assess the feasibility of the cinematic-virtual reality (cine-VR) training in the complexity of geriatric care. We measured changes in attitudes to disability, self-efficacy to identify and manage elder abuse and neglect, and empathy before and after participating in the training program. We conducted a single-arm, pretest-posttest pilot study to assess the feasibility of a cine-VR training and measure changes in attitudes to disability, self-efficacy to identify and manage elder abuse and neglect, and empathy. Health professional students from a large university in the Midwest were invited to participate in 1 of 4 cine-VR trainings. Participants completed 3 surveys before and after the cine-VR training. We performed paired t tests to examine changes in these constructs before and after the training. A total of 65 health professional students participated in and completed the full cine-VR training for 100% retention. Participants did not report any technological difficulties or adverse effects from wearing the head-mounted displays or viewing the 360-degree video. Out of the 65 participants, 48 completed the pre- and postassessments. We observed an increase in awareness of discrimination towards people with disability (t47=-3.97; P<.001). In addition, we observed significant improvements in self-efficacy to identify and manage elder abuse and neglect (t47=-3.36; P=.002). Finally, we observed an increase in participants' empathy (t47=-2.33; P=.02). We demonstrated that our cine-VR training program was feasible and acceptable to health professional students at our Midwestern university. Findings suggest that the cine-VR training increased awareness of discrimination towards people with disabilities, improved self-efficacy to identify and manage elder abuse and neglect, and increased empathy. Future research using a randomized controlled trial design with a larger, more diverse sample and a proper control condition is needed to confirm the effectiveness of our cine-VR training.

This study aimed to identify the factors influencing the intention to intervene in elder abuse among nursing students. A descriptive survey design was used, and questionnaires were completed by 182 nursing students. Statistical analysis was performed on the data collected, using SPSS 25.0, -test, -test, correlation, and regression analysis to confirm predictors of intention to intervene in elder abuse. Awareness of abuse, legal and institutional knowledge, and attitude were positively correlated with the intention to intervene in elder abuse. Factors influencing the intention to intervene by nursing students were education courses about elder abuse, awareness of elder abuse, legal and institutional knowledge, and attitude. The findings suggest that it is necessary to provide educational protocols for nursing students to improve their awareness and knowledge of elder abuse. Based on the findings of this study, there is a need for specific education programs and guidelines to increase the assessment of, and intervention in, elder abuse.

Despite international growth in policies to increase the identification and response to elder abuse and neglect, there remain considerable barriers to treating the problem. Some of these barriers may be attributed to how older adults from different racial/ethnic backgrounds define, experience and seek to remedy elder mistreatment. Using focus group discussions based on case vignettes, this paper examines how older adults from different racial and ethnic backgrounds in the United States of America perceive elder mistreatment. Five focus groups were conducted with African Americans, English-speaking Latinos, Spanish-speaking Latinos, non-Latino Whites and African American care-givers for older adults. While similar definitions and meanings of elder abuse were expressed across the different racial/ethnic groups, Latino participants introduced additional themes of machismo, respect, love and early intervention to stop abuse, suggesting that perceptions/beliefs about elder mistreatment are determined by culture and degree of acculturation in addition to race/ethnicity. Most differences in attitudes occurred within groups, demonstrating that perceptions vary by individual as well as by culture. In identifying scenarios that constitute elder mistreatment, some participants felt that certain cases of abuse are actually the persistence of intimate partner violence into old age. Participants also indicated that victims may prefer to tolerate mistreatment in exchange for other perceived benefits (e.g. companionship, security); and out of fear that they could be placed in an institution if mistreatment is reported. Findings suggest the need for person-centred intervention and prevention models that integrate the cultural background, care needs and individual preferences of older adults.

Purpose This paper aims to explore the trends in academic research on elder abuse from 1990 to 2023 using bibliometric analysis. It seeks to identify research trends, hotspots and gaps and proposes future research directions. Design/methodology/approach Using bibliometric analysis method, this study analyzes 2,404 documents related to elder abuse from the Scopus database. Visual analysis is conducted using VOSviewer software to reveal research trends, thematic clusters and their interrelationships. Findings The study shows a rising concern for elder abuse, especially in nursing homes, domestic settings and among dementia patients. However, research on prevention and intervention measures is lacking, despite increasing international collaboration. Yet, deeper exploration of cross-cultural and regional differences remains limited. Practical implications This study reveals that improving care conditions for nursing home residents and dementia patients requires increased funding, professional training for caregivers, the strengthening of regulations and the establishment of clear guidelines for reporting abuse. Additionally, promoting international cooperation, sharing best practices, raising public awareness and supporting ongoing research are essential measures to ensure the safety and dignity of older adults. Originality/value To the best of the authors’ knowledge, this study represents the first systematic review of elder abuse research using bibliometric analysis, providing researchers and policymakers with a comprehensive knowledge framework of the field’s development trends and research hotspots.

Recent studies on self-neglect highlight the crucial role that community members play, not just as referrers to services, but as definers of what is and is not to be tolerated in their neighbourhood. In the context of social care policy development that promotes the role of local communities in social care and positions self-neglect as a safeguarding concern, this qualitative study addresses a gap in the evidence base—that of improving understanding of public perceptions of self-neglect. Members of the public were recruited from a local further education college and a voluntary agency that involved older people as volunteers. Thirty-four people (thirty-two females and two males) took part in eight focus groups drawing on a visual and textual vignette. Overlapping themes emerging from the analysis of discussion included emotional reactions to the situation, concerns about dirt and hygiene, actions in relation to choice, impact on the neighbourhood and expectations of formal intervention. There was also evidence of highly negative and abusive standpoints, particularly amongst younger participants. A model for community intervention is proposed based on four principles: achieving agreement on the lowest living standards community members feel able to accept, co-ordinating community resources, facilitating contact and monitoring to fill resource gaps.

At long last, the epidemic of elder abuse is beginning to receive the public attention it desperately needs. Forty years after child abuse and domestic violence first entered mainstream public awareness, elder abuse, which attacks all demographic, geographic, and economic cohorts, is now recognized as far more prevalent than ever was known. In 2004, the Hebrew Home at Riverdale and a community partner of the Pace Women's Justice Center, acted on a pioneering premise that existing facilities and services could be adapted and leveraged to provide direct intervention in elder abuse cases. Since The Weinberg Center was established, it has assisted seven other nonprofit organizations throughout the US to replicate the model. The Weinberg model is not limited to emergency shelter services. The model helps build collaborative partnerships not only for direct service, but also for training and outreach, with law enforcement, community-based service providers, and academia. The goal is to provide the right care, at the right time, and in the right place for victims of elder abuse. Adapted from the source document.

Purpose - The purpose of this paper is to explore US Chinese older adults' views regarding elder abuse interventions in order to understand barriers and facilitators of help-seeking behaviors. Design/methodology/approach - The study design was qualitative, using a grounded theory approach to data collection and analysis. Community-based participatory research approach was implemented to partner with the Chicago Chinese community. A total of 37 community-dwelling Chinese older adults (age 60+) participated in focus group discussions. Findings - Participants viewed many benefits of intervention programs. Perceived barriers were categorized under cultural, social, and structural barriers. Facilitators to implement interventions included increasing education and public health awareness, integrating social support with existing community social services, as well as setting an interdisciplinary team. Perpetrators intervention strategies were also discussed. Originality/value - This study has wide policy and practice implications for designing and deploying interventions with respect to elder abuse outcome. Modifying the cultural, social, and structural barriers that affect health behavior of Chinese older adults contribute to the salience of elder abuse interventions in this under-served.