@article{ref1,
title="Process models to understand resident-to-resident aggression among residents with dementia in long-term care",
journal="Journal of applied gerontology",
year="2020",
author="Burnes, David and Syed, Manaal and Hsieh, Jessica",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND/OBJECTIVES: Resident-to-resident aggression (RRA) is a prevalent form of interpersonal violence in long-term care (LTC) settings. Research to guide preventive interventions is limited. Using social-ecological and need-driven dementia-compromised behavior perspectives, we sought to generate process models representing common RRA pathways in dementia-specific LTC units.   RESEARCH METHODS: We used qualitative focus group methodology involving staff (n = 36) exposed to everyday resident interactions at two urban LTC facilities in Toronto, Canada. Semistructured interviews were audio-recorded and transcribed. Two independent raters coded the transcripts using iterative, constant comparison analytic processes.   RESULTS: Two distinct RRA process models in dementia-specific LTC units were developed. Models reflect sequential pathways driven by residents' benign or responsive behaviors and cognitive processing limitations, with escalation points within resident dyads or groups.   IMPLICATIONS: This study furthers RRA conceptualization as a process rather than an aggressive event. Models capture unique RRA manifestations in dementia-specific LTC units and entrypoints for prevention or management.<p /> <p>Language: en</p>",
language="en",
issn="0733-4648",
doi="10.1177/0733464820955089",
url="http://dx.doi.org/10.1177/0733464820955089"
}