Factors associated with health care providers speaking with older patients about being subjected to abuse

Figures & data

Table 1. Factors associated with speaking with older patients about being subjected to abuse (n = 153^a), Pearson’s’ chi-square test

	Experience speaking with older patients about being subjected to abuse
	All		No/Don’t remember		Yes		P
	n	(%)	n	(%)	n	(%)
Total count^a	153	(100)	77	(50.3)	76	(49.7)
Sex^a							.16
Female	138	(90.2)	72	(52.2)	66	(47.8)
Male	15	(9.8)	5	(33.3)	10	(66.7)
Age^a							.36
<34 years	65	(42.5)	37	(56.9)	28	(43.1)
35–49 years	34	(22.2)	16	(47.1)	18	(52.9)
>50 years	54	(35.3)	24	(44.4)	30	(55.6)
Occupation^a							<.01
assistant nurse	63	(41.2)	40	(63.5)	23	(36.5)
Nurse	58	(37.9)	28	(48.3)	30	(51.7)
Physician	21	(13.7)	4	(19.0)	17	(81.0)
Paramedical personnel*	11	(7.2)	5	(45.5)	6	(54.5)
Work experience^a							<.01
< 1 year	21	(13.7)	16	(76.2)	5	(23.8)
1–5 years	40	(26.1)	23	(57.5)	17	(42.5)
> 5 years	92	(60.1)	38	(41.3)	54	(58.7)
Education^a							.02
No/don’t remember	72	(47.1)	44	(61.1)	28	(38.9)
Elder abuse	20	(13.1)	9	(45.0)	11	(55.0)
Violence in close relationships	40	(26.1)	19	(47.5)	21	(52.5)
Elder abuse and violence in close relationships	21	(13.7)	5	(23.8)	16	(76.2)
Sense of professional responsibility^a							<.01
Low-medium	81	(52.9)	50	(61.7)	31	(38.3)
High	72	(47.1)	27	(37.5)	45	(62.5)
Concern for patient-care provider relationship^a							<.01
Not at all/little concerned	119	(77.8)	52	(43.7)	67	(56.3)
Very/somewhat concerned	34	(22.2)	25	(73.5)	9	(26.5)
Concern for negative reaction^b							.06
Not at all/little concerned	116	(76.3)	53	(45.7)	63	(54.3)
Very/somewhat concerned	36	(23.7)	23	(63.9)	13	(36.1)
Self-efficacy in asking questions^b							<.01
0–10 (Low)	47	(30.9)	34	(72.3)	13	(27.7)
11–20 (Medium)	90	(59.2)	39	(43.3)	51	(56.7)
21–30 (High)	15	(9.9)	4	(26.7)	11	(73.3)
Self-efficacy in managing cases^b							.70
0–16 (Low)	15	(9.9)	9	(60.0)	6	(40.0)
17–33 (Medium)	89	(58.6)	43	(48.3)	46	(51.7)
34–50 (High)	48	(31.6)	24	(50.0)	24	(50.0)
Preparedness at workplace^b							<.01
Don’t know	64	(42.1)	44	(68.8)	20	(31.3)
Very/fairly good	33	(21.7)	14	(42.4)	19	(57.6)
Very/somewhat inadequate	55	(36.2)	18	(32.7)	37	(67.3)
Time to bring up issue of abuse^b							.09
Never/rarely	63	(41.4)	37	(58.7)	26	(41.3)
Often/always	89	(58.6)	40	(44.9)	49	(55.1)
Knowing where to turn for help^b							.42
Yes	111	(73)	54	(48.6)	57	(51.4)
No	41	(27)	23	(56.1)	18	(43.9)

^a1 missing case (0.6%).

^b2 missing cases (1.3%).

*Paramedical personnel are referred to as “Other” in the questionnaire, and include the following occupational groups: Occupational therapist, physiotherapist, pharmacologist, and dietician.

Figure 1. Respondents’ assessment of how much responsibility they think each professional category has for asking older patients questions about being subjected to abuse. Amount of responsibility presented as percentage of answers for each profession (%) (n = 154^a,b).

^a1 missing case for categories assistant nurse and physician, (0.6%).^b2 missing cases for categories nurse and occupational therapist or physiotherapist, (1.3%).

Table 2. Factors associated with health care providers speaking with older patients about being subjected to abuse, logistic regression model (n = 151^a)

	B	OR	95% CI	p
Occupation				.02
Physician		1
Nurse	−1.57	0.21	0.05–0.93	.04
Assistant nurse	−2.26	0.11	0.02–0.46	<.01
Paramedical personnel*	−2.28	0.10	0.01–0.88	.04
Education				.02
No/Don’t remember		1
Elder abuse	0.41	1.50	0.42–5.42	.54
Violence in close relationships	0.64	1.90	0.70–5.19	.21
Elder abuse and violence in close relationships	2.44	11.51	2.41–55.00	<.01
Working experience				.02
< 1 year		1
1–5 years	1.35	3.87	0.84–17.76	.08
> 5 years	2.14	8.45	1.84–38.86	<.01
Sense of own professional responsibility				<.01
Low-medium		1
High	1.17	3.23	1.39-7.54	<.01
Concern for patient-care provider relationship				<.01
Very/somewhat concerned		1
Not at all/a little concerned	1.38	3.97	1.41–11.14	<.01
Preparedness at workplace				.04
Don’t know		1
Very/fairly good	1.18	3.27	1.09–9.79	.03
Very/somewhat inadequate	1.06	2.88	1.10–7.53	.03

¹Model summary: −2 log likelihood = 148.48, Cox & Snell R-square = 0.33, Nagelkerke R-square = 0.44. Hosmer and Lemeshow test = 0.33.

²Variables without statistical significance, not included in the final model: Level of self-efficacy for asking questions about elder abuse p = .41.

^a3 missing cases (1.9%).

*Paramedical personnel are referred to as “Other” in the questionnaire, and include the following occupational groups: Occupational therapist, physiotherapist, pharmacologist, and dietician.

Figure 2. Extent to which specific measures might facilitate for health care providers to handle an encounter with older patients who have been subjected to abuse (%) (n = 153^a).

^a1 missing case (0.6%).