TY  - JOUR
PY  - 2020//
TI  - Process models to understand resident-to-resident aggression among residents with dementia in long-term care
JO  - Journal of applied gerontology
A1  - Burnes, David
A1  - Syed, Manaal
A1  - Hsieh, Jessica
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0733-4648
UR  - http://dx.doi.org/10.1177/0733464820955089
ID  - ref1
ER  -