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Table 3 Example of data analysis in the category “abuse from co-residents”

From: Elder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders’ perceptions of elder abuse and neglect

Sub- Categories

Code

Meaning unit

Common

Resident-to resident aggression are common

We have very often residents that are both physically and psychological aggressive towards other residents.

Resident - to resident aggression as normalized

Difficult to do something with resident- to resident aggression

I think it is due to the cognitive failure, so then it is not an abuse, because it doesn’t help to just talk to the resident.

Resident-to-resident aggression a big part of everyday life in nursing homes

We may have a little thick skin in relation to where the limit goes for what we accept. Because it is such a big part of our everyday life that it became normal in a way.

Normal behaviour from people with dementia

When we have focus on dementia, it becomes normal for us to see such behaviour.

Hitting

Physical abuse – hitting when trespassing a resident rom

We had a patient who was hit and beaten by the same resident several times. The resident walks into his room and simply knocked him down, and that is a despair.

Verbal abuse

Psychological abuse – verbal abuse normal behaviour for people with dementia

Then we have residents with frontotemporal dementia who just acts in that way, they just verbally offending others, but it is their way of behaving.

Violation of resident’s privacy

Psychological abuse – violation of resident’s privacy when trespassing into another resident’s room

Trespassing into another residents’ room that happens a lot, but it’s a violation of their privacy, and if the resident can’t speak or is cognitive impaired, they may be unable to tell if something is happening.

Stealing things

Financial abuse – stealing things

They steal things from each other’s room, yeas that happened.

Sexual assault

Sexual abuse – sexual assault and an ethical dilemma

We see sexual approaches or that they forgot that they are married and find each other instead. But that is more a dilemma than an assault …. or maybe it can be an assault… well I don’t know.