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Türkiye'deki Hemşirelerin Yaşlı İstismarı ve İhmaline Yönelik Tutumları ve İlişkili Faktörler

Year 2024, Volume: 40 Issue: 2, 241 - 250, 29.08.2024
https://doi.org/10.53490/egehemsire.1134470

Abstract

Amaç: Yaşlı istismarı, zamana ve toplumsal yapıya göre değişmekle birlikte evrensel bir olgu olarak karşımıza çıkmaktadır. Hemşirelerin istismara ve ihmale uğrayan yaşlıları fark etmesi ve onlara yönelik girişimler yapabilmesi önemlidir. Bu çalışma, Türk hemşirelerin yaşlı istismarı ve ihmaline yönelik tutumlarını ve ilişkili faktörleri incelemek için yapıldı.
Yöntem: Kesitsel ve ilişki arayıcı tipteki bu çalışmada, veriler kartopu örnekleme yöntemi kullanılarak 15-25 Haziran 2021 tarihleri arasında çalışmaya katılmayı kabul eden 104 hemşireden online anket formu ile toplandı. Veriler Statistical Package for the Social Sciences (SPSS) 23 programında analiz edildi.
Bulgular: Hemşirelerin %69.2’sinin yaşlı istismarı ile ilgili kurs almadığı, %99.2’sinin lisans eğitiminde yaşlı hemşireliği ile ilgili eğitim aldığı, %99.2’sinin yaşlı istismarı kavramını bildiği, %92.3’ünün yaşlı istismarı ile karşılaştığı ve %61.5’inin tanık olduğu yaşlı istismarını rapor etmediği belirlendi. Yaşlı istismarını rapor etme durumu; ileri yaştaki hemşirelerde 2.69 kat, ortaya çıkabilecek sorunlarda hemşirelerin yeterince korunabileceğine inananlarda 6.71 kat ve yaşlı istismarı yasası ile ilgili bilgi düzeyi yüksek olanlarda 4.21 kat fazla bulunmuştur.
Sonuç ve öneriler: Bulgular doğrultusunda; Türk hemşirelerin yaşlı istismarı ve ihmali konusunda bilgilerinin yeterli olmasına karşın, olay bildirimleri yetersiz bulunmuştur. Hemşireler, hemşirelerin yaşlı istismar ve ihmali olgularında uygulayabilecekleri algoritmalar oluşturmalıdırlar. Ayrıca, istismar ve ihmali önlemeye odaklı hemşirelik bakım planı geliştirmeli, uygulamalı ve değerlendirmelidir

References

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  • Türkiye istatistik kurumu (TÜİK). (2021). İstatistiklerle Yaşlılar. Updated18 March 2021. Access address: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2020-37227#:~:text=T%C3%9C%C4%B0K%20Kurumsal&text=Ya%C5%9Fl%C4%B1%20n%C3%BCfus%20olarak%20kabul%20edilen,9%2C5'e%20y%C3%BCkseldi.(Date of Access: 28.06.2021).
  • Çilingiroğlu, N., & Demirel, S. (2004). Aging And Ageism. Türk Geriatri Dergisi, 7(4), 225-230. http://geriatri.dergisi.org/uploads/pdf/pdf_TJG_239.pdf.
  • Polat, Ü., Kahraman, B.B. (2013). The Relationship Between the Healthy Lifestyle Behaviors of Elderly Individuals and the Perceived Social Support. Firat Med J, 18(4), 213- 218. http://www.firattipdergisi.com/pdf/pdf_FTD_855.pdf.
  • Gönüllü Taşkese, C. (2017). Agıng, Old Age And Elders in Rural And Urban Regions: The Case Of Denizli Province. Mehmet Akif Ersoy Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 4 (1), 92-124. https://dergipark.org.tr/tr/download/article-file/320587.
  • Dong, X.Q. (2015). Elder Abuse: Systematic Review and İmplications for Practice. Journal of the American Geriatrics Society, 63(6), 1214-1238. DOI: 10.1111/jgs.13454.
  • Kalaycı, I., Özkul M, Özbek Yazıcı, S., & Küpeli A. (2017). The Unseen Side of Neglect and Abuse: The Importance Of Assistant Personnel Education In Health Services As A Precaution Against Elder Abuse And Neglect. The Journal of Social Science, 4, 576- 593. https://doi.org/10.16990/SOBIDER.3474.
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  • Artan, T. (2016). Financial Abuse as a Type of Elderly Abuse among Elderly People Residing in Senior Centers. HSP, 3(1), 48-56. DOI: 10.17681/hsp.78913.
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  • Kıssal, A., & Beşer, A. (2009). Identifying and Evaluating Elder Abuse and Neglect. TAF Preventive Medicine Bulletin, 8, 357-364. https://www.researchgate.net/publication/283724999_Yasli_Istismar_ve_Ihmalinin_Degerlendirilmesifile:///C:/Users/Pc/Downloads/YalstismarvehmalininDeerlendirilmesi.pdf.
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  • Kerlinger, F.N. & Lee, H.B. (1999). Foundations Of Behavioral Research. New York: Harcourt College Publishers.
  • Phelan, A. (2018). The role of the nurse in detecting elder abuse and neglect: current perspectives. Nursing: Researchand Reviews, 8, 15–22. https://doi.org/10.2147/NRR.S148936.
  • Özkul, M., & Kalaycı, I. .(2018). Perceptıon of Elderly Abuse in Employment of Carersfor Elderly: An Implementatıon on Elderly Sıtter Traınees. Turkish Studies Social Sciences, 13(10),567-586. http://dx.doi.org/10.7827/TurkishStudies.13211.
  • Tufan, İ. (2011). Türkiye’de Yaşlılara Şiddet I. Türkiye Gerontoloji Atlası’ndan (Geroatlas) Bir Kesit. Antalya: Gerontolojik Yayınlar. [In Turkish].
  • Ergin, F., Evci Kiraz, E.D., Saruhan,G., Benli, C., Okyay, P. & Beser, E. (2012). Prevalenceand Risk Factors of Elder Abuse and Neglect in a Western City Of Turkey: A Community Based Study. Bulletin Of The Transylvania University of Braşov Series VI: Medical Sciences, 5(54), 33-50.
  • Burnett, J., Jackson, S.L., Sinha, A.K., Aschenbrenner, A.R., Murphy, K.P., Xia, R. & Diamond, P.M. (2016). Five-YearAll-Cause Mortality Rates A cross Five Categories Of Substantiated Elder Abuse Occurring in The Community. Journal of Elder Abuse & Neglect, 28(2), 59-75. DOI: 10.1080/08946566.2016.1142920.
  • Cho, O.H., Cha, K.S., & Yoo, Y.S. (2015). Awareness and Attitudes Towards Violence and Abuse among Emergency Nurses. Asian Nursing Research, 9, 213e218. http://dx.doi.org/10.1016/j.anr.2015.03.003.
  • Bayrak Kahraman, B., Polat, Ü., & Gürhan, N. (2021). Health Science Students’ Perception sand Awareness of Elder Abuse and Neglect. Turkish Journal of Geriatrics, 24(1), 104-112. DOI: 10.31086/tjgeri.2021.205.
  • Ko, C., & Koh, C.K .(2012). Factors Related to Korean Nurses’ Willingness to Report Suspected Elder Abuse. Asian Nursing Research, 6, 115e119. http://dx.doi.org/10.1016/j.anr.2012.08.002.
  • Özdemir, S., Katıpoglu, B., Evrin, T., Akkus Özdemir. F., Kuday Kaykısız, E., Ertürk, Z.K, Sinan Cem Uzunget, Z.K., & Korkmaz, A. (2018). Evaluation of The Awareness of the Physicians on Negligence And Abuse of The Elderly Patients Admitted to Emergency Department. Disaster and Emergency Medicine Journal, 3(3), 82–90. DOI: 10.5603/DEMJ.2018.0019.
  • Thomson, A.M., Beavan, J.R., Lisk, R., Mccracken, L.C.,& Myint, P.K. (2010). Training in Elder Abuse: The experience of higher specialist trainees in Geriatric Medicine in the UK. Archives of Gerontology and Geriatrics, 51(3), 257-259. http://dx.doi.org/10.1016/j.archger.2009.11.01.
  • Krug, E.G., Dahlberg, L.L., Mercy, J.A., Zwi, A.B., & Lozano, R. (Eds.). (2002). World Report on Violence and Health, World Health Organization, Geneva, Access address: http://whqlibdoc.who.int/publications/2002/9241545615_eng.pdf. (Date of Access: 28.06.2021).
  • Nusbaum, N.J., Cheung, V.M., Cohen, J., Keca, M., & Mailey, B. (2006). Role of First Responders in Detecting and Evaluating Elders at Risk. Archives of Gerontology and Geriatrics, 43(3), 361-367. http://dx.doi.or.
  • Meeks‐Sjostrom, D. (2004). A Comparison of Three Measures of Elder Abuse. Journal of Nursing Scholarship, 36(3), 247-250. http://dx.doi.org/247-250.10.1111/j.1547-5069.2004.04045. Artan, T. (2013). Family Abuse Against the Elders Living in Nursing Homes. Toplum ve Sosyal Hizmet, 24(2), 109-122.
  • Kalaycı, I., Özbek Yazıcı, S. & Şenkaynağı, A. (2015). Violence perception of the old people’s attendants: Sample of Suleyman Demirel University Hospital. Yaşlı Sorunları Araştırma Dergisi, 8(1), 22-33.
  • Alon, S., Tuma, N., Band-Winterstein, T., Goldblatt, H. (2017). Professionals’ Awareness of Sexual Abuse in Late Life: An Exploratory Survey. Journal of the American Psychiatric Nurses Association, 00(0), 1–9. https://doi.org/10.1177/10783903177125.
  • Naughton, C., Drennan, J., & Lafferty, A. (2014). Older People’s Perceptions of The Term Elder Abuse and Characteristics Associated With A Lower Level Of Awareness. Journal of Elder Abuse & Neglect, 26(3), 300-318. doi: 10.1080/08946566.2013.867242.
  • Tsukada, N., Saito, Y. & Tatara, T. (2001). Japanese Older People's Perceptions of Elder Abuse. Journal of Elder Abuse & Neglect, 13(1), 71-89. DOI:10.1300/J084v13n01_04.
  • Lee, Y.S., Kaplan, C.P., & Perez-Stable, E.J. .(2014). Elder Mistreatment Among Chinese and Korean Immigrants: The Roles of Sociocultural Contexts on Perceptions and Help-Seeking Behaviors. Journal of Elder Abuse & Neglect, 26(3), 244–269. doi: 10.1080/08946566.2013.820656.
  • Chang, J. & Moon, A. (1997). Korean American Elderly's Knowledge and Perceptions of Elder Abuse: A Qualitative Analysis of Cultural Factors. Journal of Multicultural Social Work, 6(1-2), 139-154.
  • Kalınkara, V. (2011). Temel Gerontoloji Yaşlılık Bilimi. Ankara: Nobel Akademik Yayıncılık. [In Turkish].
  • Frazão, S.L., Correia, A.M., Norton, P. & Magalhães, T. (2015). Physical Abuse Against Elderly Persons in Institutional Settings. Journal of Forensic and Legal Medicine, 36, 54-60. doi: 10.1016/j.jflm.2015.09.002.
  • Cooper, C. & Livıngston, G. (2014). Mental Health/Psychiatric Issues in Elder Abuse and Neglect. Clinics in Geriatric Medicine, 30(4), 839-850. doi: 10.1016/j.cger.2014.08.011.
  • Loh, D. A., Choo, W.Y., Hairi, N.N., Othman, S., Mohd Hairi, F., Mydin, M., … & Bulgiba, A. (2015). A Cluster Randomized Trial on ImprovingNurses’ Detectionand Management of ElderAbuseandNeglect (I-Need): Study Protocol. Journal of Advanced Nursing, 71(11), 2661-2672. doi: 10.1111/jan.12699.
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Turkish Nurses’ Attitudes towards Elder Abuse and Neglect and Related Factors

Year 2024, Volume: 40 Issue: 2, 241 - 250, 29.08.2024
https://doi.org/10.53490/egehemsire.1134470

Abstract

Aim: Elder abuse is a universal phenomenon, although it changes according to time and social structure. Nurses need to be able to recognize elder abused and neglected people and to take initiatives for themThis study aimed to examine the attitudes of Turkish nurses towards elder abuse and neglect and related factors.
Methods: In this cross-sectional and correlational study, we collected the data using an online questionnaire from 104 nurses who agreed to participate in the study between 15-25 June 2021, using the random sampling method. We analyzed the data in the Statistical Package for the Social Sciences (SPSS) 23 program.
Results: 69.2% of the nurses did not take a course on elder abuse, 99.2% received training on elder nursing in undergraduate education, 99.2% knew the concept of elderly abuse, 92.3% faced elder abuse, and 61.5% witnessed it, but they did not report the abuse. The rate of reporting elder abuse was 2.69 times higher in elder nurses, 6.71 times in those who did not believe that nurses could be protected adequately in case of problems that might arise, and 4.21 times in those with a high level of knowledge about the elder abuse law.
Conclusion: In line with the findings, Turkish nurses had sufficient knowledge about elder abuse and neglect, but incident reports were inadequate.
Implications for nursing management: Executive nurses should create algorithms that nurses can apply in cases of elder abuse and neglect.

References

  • Özdemir, L., Akdemir, N., Akyar, İ. (2005). Elderly Evaluation Form Developed For Nurses and Gerıatrıc Problems. Turkish Journal of Geriatrics, 8(2), 94-100. http://geriatri.dergisi.org/uploads/pdf/pdf_TJG_261.pdf.
  • World Health Organization (WHO).(2021). Ageing and health. Updated 5 February 2018. Access address: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health. (Date of Access: 28.06.2021).
  • Türkiye istatistik kurumu (TÜİK). (2021). İstatistiklerle Yaşlılar. Updated18 March 2021. Access address: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2020-37227#:~:text=T%C3%9C%C4%B0K%20Kurumsal&text=Ya%C5%9Fl%C4%B1%20n%C3%BCfus%20olarak%20kabul%20edilen,9%2C5'e%20y%C3%BCkseldi.(Date of Access: 28.06.2021).
  • Çilingiroğlu, N., & Demirel, S. (2004). Aging And Ageism. Türk Geriatri Dergisi, 7(4), 225-230. http://geriatri.dergisi.org/uploads/pdf/pdf_TJG_239.pdf.
  • Polat, Ü., Kahraman, B.B. (2013). The Relationship Between the Healthy Lifestyle Behaviors of Elderly Individuals and the Perceived Social Support. Firat Med J, 18(4), 213- 218. http://www.firattipdergisi.com/pdf/pdf_FTD_855.pdf.
  • Gönüllü Taşkese, C. (2017). Agıng, Old Age And Elders in Rural And Urban Regions: The Case Of Denizli Province. Mehmet Akif Ersoy Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 4 (1), 92-124. https://dergipark.org.tr/tr/download/article-file/320587.
  • Dong, X.Q. (2015). Elder Abuse: Systematic Review and İmplications for Practice. Journal of the American Geriatrics Society, 63(6), 1214-1238. DOI: 10.1111/jgs.13454.
  • Kalaycı, I., Özkul M, Özbek Yazıcı, S., & Küpeli A. (2017). The Unseen Side of Neglect and Abuse: The Importance Of Assistant Personnel Education In Health Services As A Precaution Against Elder Abuse And Neglect. The Journal of Social Science, 4, 576- 593. https://doi.org/10.16990/SOBIDER.3474.
  • Sayan, A., & Durat, G. (2004). Elder Abuse and Neglect: Preventive Intervention. Atatürk Üniv. Hemşirelik Yüksekokulu Dergisi, 7, 97-106. https://dergipark.org.tr/tr/download/article-file/29247.
  • Akduman, G.G., Korkusuz, İ., & Akduman, B. (2006). Yaşlı istismarı ve ihmali. Adli Psikiyatri Dergisi, 3, 3-8. [In Turkish].
  • Artan, T. (2016). Financial Abuse as a Type of Elderly Abuse among Elderly People Residing in Senior Centers. HSP, 3(1), 48-56. DOI: 10.17681/hsp.78913.
  • World Health Organization (WHO). (2002). The Toronto declaration on the global prevention of elder abuse. Access address: http://www.who.int/ageing/projects/elder_ abuse/alc_toronto_declaration_en.pdf. (Date of Access: 28.06.2021).
  • Kıssal, A., & Beşer, A. (2009). Identifying and Evaluating Elder Abuse and Neglect. TAF Preventive Medicine Bulletin, 8, 357-364. https://www.researchgate.net/publication/283724999_Yasli_Istismar_ve_Ihmalinin_Degerlendirilmesifile:///C:/Users/Pc/Downloads/YalstismarvehmalininDeerlendirilmesi.pdf.
  • Uysal, A. (2002). Dünyada yaygın bir sorun: yaşlı istismarı ve ihmali. Aile ve Toplum, 5(2), 1-7. ISSN: 1303-0256. https://dergipark.org.tr/en/download/article-file/198042. [In Turkish].
  • Kerlinger, F.N. & Lee, H.B. (1999). Foundations Of Behavioral Research. New York: Harcourt College Publishers.
  • Phelan, A. (2018). The role of the nurse in detecting elder abuse and neglect: current perspectives. Nursing: Researchand Reviews, 8, 15–22. https://doi.org/10.2147/NRR.S148936.
  • Özkul, M., & Kalaycı, I. .(2018). Perceptıon of Elderly Abuse in Employment of Carersfor Elderly: An Implementatıon on Elderly Sıtter Traınees. Turkish Studies Social Sciences, 13(10),567-586. http://dx.doi.org/10.7827/TurkishStudies.13211.
  • Tufan, İ. (2011). Türkiye’de Yaşlılara Şiddet I. Türkiye Gerontoloji Atlası’ndan (Geroatlas) Bir Kesit. Antalya: Gerontolojik Yayınlar. [In Turkish].
  • Ergin, F., Evci Kiraz, E.D., Saruhan,G., Benli, C., Okyay, P. & Beser, E. (2012). Prevalenceand Risk Factors of Elder Abuse and Neglect in a Western City Of Turkey: A Community Based Study. Bulletin Of The Transylvania University of Braşov Series VI: Medical Sciences, 5(54), 33-50.
  • Burnett, J., Jackson, S.L., Sinha, A.K., Aschenbrenner, A.R., Murphy, K.P., Xia, R. & Diamond, P.M. (2016). Five-YearAll-Cause Mortality Rates A cross Five Categories Of Substantiated Elder Abuse Occurring in The Community. Journal of Elder Abuse & Neglect, 28(2), 59-75. DOI: 10.1080/08946566.2016.1142920.
  • Cho, O.H., Cha, K.S., & Yoo, Y.S. (2015). Awareness and Attitudes Towards Violence and Abuse among Emergency Nurses. Asian Nursing Research, 9, 213e218. http://dx.doi.org/10.1016/j.anr.2015.03.003.
  • Bayrak Kahraman, B., Polat, Ü., & Gürhan, N. (2021). Health Science Students’ Perception sand Awareness of Elder Abuse and Neglect. Turkish Journal of Geriatrics, 24(1), 104-112. DOI: 10.31086/tjgeri.2021.205.
  • Ko, C., & Koh, C.K .(2012). Factors Related to Korean Nurses’ Willingness to Report Suspected Elder Abuse. Asian Nursing Research, 6, 115e119. http://dx.doi.org/10.1016/j.anr.2012.08.002.
  • Özdemir, S., Katıpoglu, B., Evrin, T., Akkus Özdemir. F., Kuday Kaykısız, E., Ertürk, Z.K, Sinan Cem Uzunget, Z.K., & Korkmaz, A. (2018). Evaluation of The Awareness of the Physicians on Negligence And Abuse of The Elderly Patients Admitted to Emergency Department. Disaster and Emergency Medicine Journal, 3(3), 82–90. DOI: 10.5603/DEMJ.2018.0019.
  • Thomson, A.M., Beavan, J.R., Lisk, R., Mccracken, L.C.,& Myint, P.K. (2010). Training in Elder Abuse: The experience of higher specialist trainees in Geriatric Medicine in the UK. Archives of Gerontology and Geriatrics, 51(3), 257-259. http://dx.doi.org/10.1016/j.archger.2009.11.01.
  • Krug, E.G., Dahlberg, L.L., Mercy, J.A., Zwi, A.B., & Lozano, R. (Eds.). (2002). World Report on Violence and Health, World Health Organization, Geneva, Access address: http://whqlibdoc.who.int/publications/2002/9241545615_eng.pdf. (Date of Access: 28.06.2021).
  • Nusbaum, N.J., Cheung, V.M., Cohen, J., Keca, M., & Mailey, B. (2006). Role of First Responders in Detecting and Evaluating Elders at Risk. Archives of Gerontology and Geriatrics, 43(3), 361-367. http://dx.doi.or.
  • Meeks‐Sjostrom, D. (2004). A Comparison of Three Measures of Elder Abuse. Journal of Nursing Scholarship, 36(3), 247-250. http://dx.doi.org/247-250.10.1111/j.1547-5069.2004.04045. Artan, T. (2013). Family Abuse Against the Elders Living in Nursing Homes. Toplum ve Sosyal Hizmet, 24(2), 109-122.
  • Kalaycı, I., Özbek Yazıcı, S. & Şenkaynağı, A. (2015). Violence perception of the old people’s attendants: Sample of Suleyman Demirel University Hospital. Yaşlı Sorunları Araştırma Dergisi, 8(1), 22-33.
  • Alon, S., Tuma, N., Band-Winterstein, T., Goldblatt, H. (2017). Professionals’ Awareness of Sexual Abuse in Late Life: An Exploratory Survey. Journal of the American Psychiatric Nurses Association, 00(0), 1–9. https://doi.org/10.1177/10783903177125.
  • Naughton, C., Drennan, J., & Lafferty, A. (2014). Older People’s Perceptions of The Term Elder Abuse and Characteristics Associated With A Lower Level Of Awareness. Journal of Elder Abuse & Neglect, 26(3), 300-318. doi: 10.1080/08946566.2013.867242.
  • Tsukada, N., Saito, Y. & Tatara, T. (2001). Japanese Older People's Perceptions of Elder Abuse. Journal of Elder Abuse & Neglect, 13(1), 71-89. DOI:10.1300/J084v13n01_04.
  • Lee, Y.S., Kaplan, C.P., & Perez-Stable, E.J. .(2014). Elder Mistreatment Among Chinese and Korean Immigrants: The Roles of Sociocultural Contexts on Perceptions and Help-Seeking Behaviors. Journal of Elder Abuse & Neglect, 26(3), 244–269. doi: 10.1080/08946566.2013.820656.
  • Chang, J. & Moon, A. (1997). Korean American Elderly's Knowledge and Perceptions of Elder Abuse: A Qualitative Analysis of Cultural Factors. Journal of Multicultural Social Work, 6(1-2), 139-154.
  • Kalınkara, V. (2011). Temel Gerontoloji Yaşlılık Bilimi. Ankara: Nobel Akademik Yayıncılık. [In Turkish].
  • Frazão, S.L., Correia, A.M., Norton, P. & Magalhães, T. (2015). Physical Abuse Against Elderly Persons in Institutional Settings. Journal of Forensic and Legal Medicine, 36, 54-60. doi: 10.1016/j.jflm.2015.09.002.
  • Cooper, C. & Livıngston, G. (2014). Mental Health/Psychiatric Issues in Elder Abuse and Neglect. Clinics in Geriatric Medicine, 30(4), 839-850. doi: 10.1016/j.cger.2014.08.011.
  • Loh, D. A., Choo, W.Y., Hairi, N.N., Othman, S., Mohd Hairi, F., Mydin, M., … & Bulgiba, A. (2015). A Cluster Randomized Trial on ImprovingNurses’ Detectionand Management of ElderAbuseandNeglect (I-Need): Study Protocol. Journal of Advanced Nursing, 71(11), 2661-2672. doi: 10.1111/jan.12699.
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There are 43 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Hatice Demirağ 0000-0002-2393-563X

Nurşen Kulakaç 0000-0002-5427-1063

Sevilay Hintistan 0000-0002-5907-5723

Publication Date August 29, 2024
Submission Date June 22, 2022
Acceptance Date February 13, 2024
Published in Issue Year 2024 Volume: 40 Issue: 2

Cite

APA Demirağ, H., Kulakaç, N., & Hintistan, S. (2024). Turkish Nurses’ Attitudes towards Elder Abuse and Neglect and Related Factors. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 40(2), 241-250. https://doi.org/10.53490/egehemsire.1134470