TY  - JOUR
PY  - 2024//
TI  - Exploring overt racial and ethnic conflict in resident-to-resident aggression in long-term care facilities
JO  - Journal of the American Medical Directors Association
A1  - Chang, E.-Shien
A1  - Jhaveri, Sonya
A1  - Hancock, David W.
A1  - Teresi, Jeanne A.
A1  - Ramirez, Mildred
A1  - Eimicke, Joseph P.
A1  - Czaja, Sara J.
A1  - Pillemer, Karl
A1  - Lachs, Mark S.
A1  - Rosen, Tony
SP  - 565
EP  - 571.e1
VL  - 25
IS  - 4
N2  - OBJECTIVES: Resident-to-resident aggression (RRA) in long-term care facilities is gaining recognition as a serious problem. Racial/ethnic conflict may be a contributing factor to RRA incidents, but it remains insufficiently studied. Our goal was to explore overt racial/ethnic conflict in RRA. <br><br>DESIGN: We used quantitative and qualitative secondary analyses of existing data from a large, rigorously conducted study of RRA to describe the involved residents and patterns of overt racial/ethnic conflicts. SETTING AND PARTICIPANTS: The parent study included information of 2011 residents in 10 randomly selected New York State nursing homes with a wide range of racial/ethnic minority residents (4.2%-63.2%). A subset of 407 residents were involved in RRA. <br><br>METHODS: We re-examined data from the parent study, which used an innovative approach to identify RRA incidents by reconstructing each incident based on residents' self-reports, staff interviews, field observations, and medical chart review. Resident and facility information was collected. <br><br>RESULTS: A total of 35 residents (8.6% of those involved in RRA incidents) were identified as involved in overt racial/ethnic conflicts. These residents were more likely to have had less education than residents involved in other types of RRA but not in overt racial/ethnic conflicts. More than half (56.9%) of the 51 incidents of RRA involving overt racial/ethnic conflict between a specific pair of residents occurred repeatedly. Manifestation of racial/ethnic conflicts included physical violence, discrimination, racial/ethnic slurs, stereotypes, and microaggression. Acute precipitants of these incidents included various communal-living challenges and unmet needs at the facility, relational, and individual levels. Psychological and behavioral consequences were also described. <br><br>CONCLUSION AND IMPLICATIONS: We found a broad range of manifestations, acute precipitants, circumstances surrounding, and consequences of overt racial/ethnic conflicts in RRA. Additional research is needed to improve understanding of this phenomenon and how staff may effectively intervene and prevent it.<p />  <p>Language: en</p>
LA  - en
SN  - 1525-8610
UR  - http://dx.doi.org/10.1016/j.jamda.2023.09.023
ID  - ref1
ER  -