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Edward S Shipper - One of the best experts on this subject based on the ideXlab platform.
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medical student perceptions of a Mistreatment program during the surgery clerkship
American Journal of Surgery, 2018Co-Authors: Brittany N Hasty, Sylvia Bereknyei Merrell, Sarah Miller, Edward S ShipperAbstract:Abstract Background Medical student Mistreatment remains a concern, particularly in the surgery clerkship. This is a single academic institution's report of medical student perceptions of a Mistreatment program embedded in the surgery clerkship. Methods Students who completed the surgery clerkship and the Mistreatment program volunteered to be interviewed individually or in focus groups. The interviews were transcribed and qualitatively analyzed. Results Twenty-four medical students were interviewed and nine transcripts were obtained. Codes were identified independently then nested into four codes: Student Growth, Faculty Champion and Team, Student Perspectives on Surgical Culture, and Program Methods. Rank orders were then calculated for each major code. Conclusion Our Mistreatment program has shown that providing students with an opportunity to define Mistreatment, a safe environment for them to debrief, and staff to support and advocate for them empowers them with the knowledge and skillset to confront what is too often considered part of the hidden curriculum.
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underlying mechanisms of Mistreatment in the surgical learning environment a thematic analysis of medical student perceptions
American Journal of Surgery, 2017Co-Authors: Elena C Brandford, Sylvia Bereknyei Merrell, Brittany N Hasty, Janine S Bruce, Edward S ShipperAbstract:Abstract Background Medical students experience more psychological distress than the general population. One contributing factor is Mistreatment. This study aims to understand the mechanisms of Mistreatment as perceived by medical students. Methods Students completed anonymous surveys during the first and last didactic session of their surgery clerkship in which they defined and gave examples of Mistreatment. Team-based thematic analysis was performed on responses. Results Between January 2014 and June 2016, 240 students participated in the surgery clerkship. Eighty-nine percent of students completed a survey. Themes observed included (1) Obstruction of Students' Learning, (2) Exploitation of Student Vulnerability, (3) Exclusion from the Medical Team, and (4) Contextual Amplifiers of Mistreatment Severity. Conclusion The themes observed in this study improve our understanding of the students' perspective on Mistreatment as it relates to their role in the clinical learning context, which can serve as a starting point for interventions that ultimately improve students' experiences in the clinical setting.
Linda J Waite - One of the best experts on this subject based on the ideXlab platform.
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The Social Relationship Context of Elder Mistreatment.
Gerontologist, 2019Co-Authors: Jaclyn S. Wong, Hannah Breslau, V. Eloesa Mcsorley, Kristen Wroblewski, Melissa J. K. Howe, Linda J WaiteAbstract:Elder Mistreatment victims at risk of poor physical and psychological health may benefit from increased social support. This article identifies Mistreatment victims among community-dwelling older Americans and maps their social networks to guide the design of social support interventions. Using nationally representative survey data from Wave 3 (2015-2016) of the National Social Life, Health, and Aging Project (N = 2,334) and descriptive, latent class, and regression analyses, we estimate the prevalence of Mistreatment since age 60, identify the alleged perpetrators' relationships to the victims, and examine victims' social networks. Self-reported lifetime prevalence of elder Mistreatment is as high as 21%, depending on the Mistreatment behavior measured. Latent class analysis reveals two Mistreatment classes: 12% of older adults experienced multiple types of Mistreatment (polyvictimization), and 6% experienced primarily financial Mistreatment. Although alleged perpetrators are unlikely to appear in older adults' core social networks, the most commonly reported perpetrators are children and relatives. Regression analyses show that experiencing Mistreatment since age 60 is associated with having less current social support, more social strain, and fewer kin in the core social network. Older adults reporting polyvictimization also have less-dense core networks. Increasing family support should be done cautiously because children and relatives are frequently named as Mistreatment perpetrators. Increasing communication across polyvictimization victims' network members may support their well-being. Providing outside assistance with financial management could benefit financial Mistreatment victims. © The Author(s) 2019. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
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elder Mistreatment predicts later physical and psychological health results from a national longitudinal study
Journal of Elder Abuse & Neglect, 2017Co-Authors: Jaclyn S. Wong, Linda J WaiteAbstract:Stress process theory predicts that elder Mistreatment leads to declines in health, and that social support buffers its ill effects. We test this theory using nationally representative, longitudinal data from 2,261 older adults in the National Social Life Health and Aging Project. We regress psychological and physical health in 2010/2011 on verbal and financial Mistreatment experience in 2005/2006 and find that the mistreated have more anxiety symptoms, greater feelings of loneliness, and worse physical and functional health 5 years later than those who did not report Mistreatment. In particular, we show a novel association between financial Mistreatment and functional health. Contrary to the stress buffering hypothesis, we find little evidence that social support moderates the relationship between Mistreatment and health. Our findings point to the lasting impact of Mistreatment on health but show little evidence of a buffering role of social support in this process.
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Mistreatment and psychological well being among older adults exploring the role of psychosocial resources and deficits
Journals of Gerontology Series B-psychological Sciences and Social Sciences, 2011Co-Authors: Linda J WaiteAbstract:Objectives. To examine the relationships between psychosocial resources and deficits, elder Mistreatment, and psychological well-being. Methods. We used a representative sample of 2,744 older adults aged 57–85 years in the United States from the National Social Life, Health and Aging Project. We examined reports of any Mistreatment (verbal, financial, or physical) and multiple types of Mistreatment. Results. Lower levels of positive support, higher levels of criticism from close relationships, and feelings of social isolation are positively associated with self-reported Mistreatment experience. As suggested by the stress process theory, those who reported Mistreatment experience also reported lower levels of global happiness and higher levels of psychological distress. There is also some evidence for the buffering hypothesis—levels of global happiness are higher and levels of psychological distress are lower for older adults who reported any Mistreatment if they also reported more positive social support, social participation, and feelings of social connection. Discussion. Older adults with fewer psychosocial resources or more psychosocial deficits seem to be more vulnerable to Mistreatment, and Mistreatment seems particularly detrimental to psychological well-being for these people.
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elder Mistreatment in the united states prevalence estimates from a nationally representative study
Journals of Gerontology Series B-psychological Sciences and Social Sciences, 2008Co-Authors: Edward O Laumann, Sara A Leitsch, Linda J WaiteAbstract:OBJECTIVES: The National Social Life, Health and Aging Project is the first population-based, nationally representative study to ask older adults about their recent experience of Mistreatment. This article provides estimates of Mistreatment by family members and examines the association of Mistreatment with demographic and health characteristics. METHODS: We selected community-residing participants aged 57 to 85 using a multistage area probability design. Of those eligible, 3,005 participated in the study, for a weighted response rate of 75.5%. We asked respondents if in the past year they had experienced Mistreatment in the following domains: verbal, financial, and physical. We asked those who reported Mistreatment about their relationship to the person responsible. RESULTS: In all, 9% of older adults reported verbal Mistreatment, 3.5% financial Mistreatment, and 0.2% physical Mistreatment by a family member. Odds of verbal Mistreatment were higher for women and those with physical vulnerabilities and were lower for Latinos than for Whites. Odds of financial Mistreatment were higher for African Americans and lower for Latinos than for Whites and were lower for those with a spouse or romantic partner than for those without partners. DISCUSSION: Few older adults report Mistreatment by family members, with older adults quite insulated from physical Mistreatment. Language: en
Ron Acierno - One of the best experts on this subject based on the ideXlab platform.
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NATIONAL ELDER Mistreatment STUDY WAVE II: MENTAL HEALTH CORRELATES OF FINANCIAL Mistreatment
Innovation in Aging, 2020Co-Authors: Melba A. Hernandez-tejada, Ron Acierno, Wendy Muzzy, Georgia J Anetzberger, Jordan Watkins, Gabrielle Frook, Mara SteedleyAbstract:Objective: Whereas prevalence of elder financial Mistreatment has received increased attention over the past decade, health and mental health correlates are rarely studied. Thus, the potential relevance of financial abuse to mental health and perceived health is relatively unknown, and the objective of this article is to illustrate this relationship. Method: The second wave of the National Elder Mistreatment Study used random digit dialing telephone survey methodology to assess both recent financial Mistreatment and its potential mental health correlates (i.e., diagnoses of depression, post-traumatic stress disorder [PTSD], generalized anxiety disorder [GAD], and self-ratings of physical health) in 774 older adults. Results: The study indicated that past-year Wave II financial Mistreatment was associated with significantly increased likelihood of depression, PTSD, GAD, and poor self-rated health; and financial Mistreatment perpetrated by family members was associated with particularly increased risk of depression. Discussion: Assessment of mental health is relevant and important in cases of financial abuse.
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the national elder Mistreatment study an 8 year longitudinal study of outcomes
Journal of Elder Abuse & Neglect, 2017Co-Authors: Ron Acierno, Melba A Hernandeztejada, Georgia J Anetzberger, Daniel Loew, Wendy MuzzyAbstract:ABSTRACTObjectives: To conduct an 8-year follow-up of the National Elder Mistreatment Study (NEMS) and specify risk ratios for negative outcomes of elder abuse, including DSM-5 defined depression, generalized anxiety disorder (GAD), post-traumatic stress disorder (PTSD), and poor self-reported health.Methods: Attempts were made to re-contact, via Computer Assisted Telephone Interview, all 752 NEMS participants who reported Mistreatment since age 60 at Wave I, as well as a randomly selected sample of non-mistreated NEMS participantsResults: 183 NEMS Wave I elder abuse victims and 591 non-victims provided data. In bivariate analyses, elder Mistreatment 8 years earlier increased risk of negative outcomes by 200–700%. However, multivariate analyses revealed that Current (Wave II) social support was highly protective against most negative outcomes (excepting PTSD), and even appeared to nullify effects of Mistreatment on GAD and poor self-reported health.Conclusions: Outcomes of elder Mistreatment have not been...
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The National Elder Mistreatment Study: Race and Ethnicity Findings
Journal of Elder Abuse & Neglect, 2013Co-Authors: Melba A. Hernandez-tejada, Ananda B Amstadter, Wendy Muzzy, Ron AciernoAbstract:The prevalence of elder Mistreatment with respect to race and ethnicity was examined in an unweighted sample of 5,777 participants (5,776 participants in weighted sample). Random Digit Dialing methodology was used to select a representative sample of community-dwelling older adults, and the survey was available in English and Spanish. Mistreatment types included emotional, physical, and sexual abuse. Race- and ethnicity-based differences were largely absent, and the only observed increase was for physical Mistreatment among non-White older adults; however, this association was not sustained in multivariate analyses controlling for income, health status, and social support. Findings are in contrast to prior reports of increased risk of Mistreatment in minority populations and point to correlated and modifiable factors of social support and poor health as targets for preventive intervention.
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prevalence and correlates of elder Mistreatment in south carolina the south carolina elder Mistreatment study
Journal of Interpersonal Violence, 2011Co-Authors: Ananda B Amstadter, Kristyn Zajac, Martha Strachan, Melba A Hernandez, Dean G Kilpatrick, Ron AciernoAbstract:The purposes of this study were to (a) derive prevalence estimates for elder Mistreatment (emotional, physical, sexual, neglectful, and financial Mistreatment of older adults [age 60 +]) in a randomly selected sample of South Carolinians; (b) examine correlates (i.e., potential risk factors) of Mistreatment; and (c) examine incident characteristics of Mistreatment events. Random Digit Dialing (RDD) was used to derive a representative sample in terms of age and gender; computer-assisted telephone interviewing was used to standardize collection of demographic, correlate, and Mistreatment data. Prevalence estimates and Mistreatment correlates were obtained and subjected to logistic regression. A total of 902 participants provided data. Prevalence for Mistreatment types (since age 60) were 12.9% emotional, 2.1% physical, 0.3% sexual, 5.4% potential neglect, and 6.6% financial exploitation by family member. The most consistent correlates of Mistreatment across abuse types were low social support and needing as...
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Do Incident and Perpetrator Characteristics of Elder Mistreatment Differ by Gender of the Victim? Results from the National Elder Mistreatment Study
Journal of Elder Abuse & Neglect, 2010Co-Authors: Ananda B Amstadter, Melba A Hernandez, Josh M. Cisler, Jenna L. Mccauley, Wendy Muzzy, Ron AciernoAbstract:Perpetrator and incident characteristics were studied in regard to incidents of emotional, physical, and sexual Mistreatment of older adults (age 60+) in a national sample of older men and women. Random digit dialing across geographic strata was used to compile a nationally representative sample; computer assisted telephone interviewing was used to standardize collection of demographic, Mistreatment, and perpetrator and incident characteristics data. The final sample size consisted of 5,777 older adults. Approximately one in ten adults reported at least one form of Mistreatment, and the majority of incidents were not reported to authorities. Perpetrators of physical Mistreatment against men had more “pathological” characteristics compared to perpetrators of physical Mistreatment against women. Perpetrators of physical Mistreatment (compared to emotional and sexual Mistreatment) also evidenced increased likelihood of legal problems, psychological treatment, substance use during incident, living with the vi...
Meghan A Bohren - One of the best experts on this subject based on the ideXlab platform.
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Mistreatment of women during childbirth in abuja nigeria a qualitative study on perceptions and experiences of women and healthcare providers
Reproductive Health, 2017Co-Authors: Meghan A Bohren, Joshua P Vogel, Ozge Tuncalp, Bukola Fawole, Musibau A Titiloye, A O Olutayo, Agnes A Oyeniran, Modupe Ogunlade, Olubunmi R OsunsanAbstract:Background Global efforts have increased facility-based childbirth, but substantial barriers remain in some settings. In Nigeria, women report that poor provider attitudes influence their use of maternal health services. Evidence also suggests that women in Nigeria may experience Mistreatment during childbirth; however, there is limited understanding of how and why Mistreatment this occurs. This study uses qualitative methods to explore women and providers’ experiences and perceptions of Mistreatment during childbirth in two health facilities and catchment areas in Abuja, Nigeria.
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perceptions and experiences of the Mistreatment of women during childbirth in health facilities in guinea a qualitative study with women and service providers
Reproductive Health, 2017Co-Authors: Mamadou Dioulde Balde, Joshua P Vogel, Boubacar Diallo, Abou Bangoura, Oumar Harouna Sall, Anne Marie Soumah, Meghan A BohrenAbstract:Every woman is entitled to respectful care during childbirth; so it is concerning to hear of informal reports of Mistreatment during childbirth in Guinea. This study sought to explore the perceptions and experiences of Mistreatment during childbirth, from the perspectives of women and service providers, and the analysis presents findings according to a typology of Mistreatment during childbirth. This study used qualitative methods (in-depth interviews (IDIs) and focus group discussions (FGDs)) and was conducted with four groups of participants: women of reproductive age, midwives, doctors, and administrators. The study took place in two sites in Guinea, an urban area (Mamou) and peri-urban (Pita). Data collection was conducted in two health facilities for providers and administrators, and in the health facility catchment area for women. Data were collected in local languages (Pular and Malinke), then transcribed and analyzed in French. We used a thematic analysis approach and coded transcripts manually. A total of 64 IDIs and eight FGDs were conducted and are included in this analysis, including 40 IDIs and eight FGDs with women of reproductive age, 5 IDIs with doctors, 13 IDIs with midwives, and 6 IDIs with administrators. Participants described their own personal experiences, experiences of women in their communities and perceptions regarding Mistreatment during childbirth. Results were organized according to a typology of Mistreatment during childbirth, and included instances of physical abuse, verbal abuse, abandonment and neglect. Women described being slapped by providers, yelled at for noncompliance with provider requests, giving birth on the floor and without skilled attendance in the health facility. Poor physical conditions of health facilities and health workforce constraints contributed to experiences of Mistreatment. These results are important because they demonstrate that the Mistreatment of women during childbirth exists in Guinea and occurs in multiple forms. These data should be used by the Ministry of Health and other stakeholders to develop strategies to reduce and prevent the Mistreatment of women during childbirth.
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by slapping their laps the patient will know that you truly care for her a qualitative study on social norms and acceptability of the Mistreatment of women during childbirth in abuja nigeria
SSM-Population Health, 2016Co-Authors: Meghan A Bohren, Joshua P Vogel, Ozge Tuncalp, Bukola Fawole, Musibau A Titiloye, A O Olutayo, Agnes A Oyeniran, Modupe Ogunlade, Loveth MetibobaAbstract:Abstract Background Many women experience Mistreatment during childbirth in health facilities across the world. However, limited evidence exists on how social norms and attitudes of both women and providers influence Mistreatment during childbirth. Contextually-specific evidence is needed to understand how normative factors affect how women are treated. This paper explores the acceptability of four scenarios of Mistreatment during childbirth. Methods Two facilities were identified in Abuja, Nigeria. Qualitative methods (in-depth interviews (IDIs) and focus group discussions (FGDs)) were used with a purposive sample of women, midwives, doctors and administrators. Participants were presented with four scenarios of Mistreatment during childbirth: slapping, verbal abuse, refusing to help the woman and physical restraint. Thematic analysis was used to synthesize findings, which were interpreted within the study context and an existing typology of Mistreatment during childbirth. Results Eighty-four IDIs and 4 FGDs are included in this analysis. Participants reported witnessing and experiencing Mistreatment during childbirth, including slapping, physical restraint to a delivery bed, shouting, intimidation, and threats of physical abuse or poor health outcomes. Some women and providers considered each of the four scenarios as Mistreatment. Others viewed these scenarios as appropriate and acceptable measures to gain compliance from the woman and ensure a good outcome for the baby. Women and providers blamed a woman's “disobedience” and “uncooperativeness” during labor for her experience of Mistreatment. Conclusions Blaming women for Mistreatment parallels the intimate partner violence literature, demonstrating how traditional practices and low status of women potentiate gender inequality. These findings can be used to facilitate dialogue in Nigeria by engaging stakeholders to discuss how to challenge these norms and hold providers accountable for their actions. Until women and their families are able to freely condemn poor quality care in facilities and providers are held accountable for their actions, there will be little incentive to foster change.
Sylvia Bereknyei Merrell - One of the best experts on this subject based on the ideXlab platform.
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assessment of programs aimed to decrease or prevent Mistreatment of medical trainees
JAMA Network Open, 2018Co-Authors: Laura M Mazer, Sylvia Bereknyei Merrell, Brittany N Hasty, Christopher D StaveAbstract:Importance Mistreatment of medical students is pervasive and has negative effects on performance, well-being, and patient care. Objective To document the published programmatic and curricular attempts to decrease the incidence of Mistreatment. Data Sources PubMed, Scopus, ERIC, the Cochrane Library, PsycINFO, andMedEdPORTALwere searched. Comprehensive searches were run on “Mistreatment” and “abuse of medical trainees” on all peer-reviewed publications until November 1, 2017. Study Selection Citations were reviewed for descriptions of programs to decrease the incidence of Mistreatment in a medical school or hospital with program evaluation data. A Mistreatment program was defined as an educational effort to reduce the abuse, Mistreatment, harassment, or discrimination of trainees. Studies of the incidence of Mistreatment without description of a program, references to a Mistreatment program without outcome data, or a program that has never been implemented were excluded. Data Extraction and Synthesis Authors independently reviewed all retrieved citations. Articles that any author found to meet inclusion criteria were included in a full-text review. The data extraction form was developed based on the guidelines for Best Evidence in Medical Education. An assessment of the study quality was conducted using a conceptual framework of 6 elements essential to the reporting of experimental studies in medical education. Main Outcomes and Measures A descriptive review of the interventions and outcomes is presented along with an analysis of the methodological quality of the studies. A separate review of theMedEdPORTALMistreatment curricula was conducted. Results Of 3347 citations identified, 10 studies met inclusion criteria. Of the programs included in the 10 studies, all were implemented in academic medical centers. Seven programs were in the United States, 1 in Canada, 1 in the United Kingdom, and 1 in Australia. The most common format was a combination of lectures, workshops, and seminars over a variable time period. Overall, quality of included studies was low and only 1 study included a conceptual framework. Outcomes were most often limited to participant survey data. The program outcome evaluations consisted primarily of surveys and reports of Mistreatment. All of the included studies evaluated participant satisfaction, which was mostly qualitative. Seven studies also included the frequency of Mistreatment reports; either surveys to assess perception of the frequency of Mistreatment or the frequency of reports via official reporting channels. Five Mistreatment program curricula fromMedEdPORTALwere also identified; of these, only 2 presented outcome data. Conclusions and Relevance There are very few published programs attempting to address Mistreatment of medical trainees. This review identifies a gap in the literature and provides advice for reporting on Mistreatment programs.
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medical student perceptions of a Mistreatment program during the surgery clerkship
American Journal of Surgery, 2018Co-Authors: Brittany N Hasty, Sylvia Bereknyei Merrell, Sarah Miller, Edward S ShipperAbstract:Abstract Background Medical student Mistreatment remains a concern, particularly in the surgery clerkship. This is a single academic institution's report of medical student perceptions of a Mistreatment program embedded in the surgery clerkship. Methods Students who completed the surgery clerkship and the Mistreatment program volunteered to be interviewed individually or in focus groups. The interviews were transcribed and qualitatively analyzed. Results Twenty-four medical students were interviewed and nine transcripts were obtained. Codes were identified independently then nested into four codes: Student Growth, Faculty Champion and Team, Student Perspectives on Surgical Culture, and Program Methods. Rank orders were then calculated for each major code. Conclusion Our Mistreatment program has shown that providing students with an opportunity to define Mistreatment, a safe environment for them to debrief, and staff to support and advocate for them empowers them with the knowledge and skillset to confront what is too often considered part of the hidden curriculum.
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underlying mechanisms of Mistreatment in the surgical learning environment a thematic analysis of medical student perceptions
American Journal of Surgery, 2017Co-Authors: Elena C Brandford, Sylvia Bereknyei Merrell, Brittany N Hasty, Janine S Bruce, Edward S ShipperAbstract:Abstract Background Medical students experience more psychological distress than the general population. One contributing factor is Mistreatment. This study aims to understand the mechanisms of Mistreatment as perceived by medical students. Methods Students completed anonymous surveys during the first and last didactic session of their surgery clerkship in which they defined and gave examples of Mistreatment. Team-based thematic analysis was performed on responses. Results Between January 2014 and June 2016, 240 students participated in the surgery clerkship. Eighty-nine percent of students completed a survey. Themes observed included (1) Obstruction of Students' Learning, (2) Exploitation of Student Vulnerability, (3) Exclusion from the Medical Team, and (4) Contextual Amplifiers of Mistreatment Severity. Conclusion The themes observed in this study improve our understanding of the students' perspective on Mistreatment as it relates to their role in the clinical learning context, which can serve as a starting point for interventions that ultimately improve students' experiences in the clinical setting.
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a mixed methods analysis of a novel Mistreatment program for the surgery core clerkship
Academic Medicine, 2017Co-Authors: Laura M Mazer, Sylvia Bereknyei Merrell, Cara A Liebert, Ilene B HarrisAbstract:PurposeTo review Mistreatment reports from before and after implementation of a Mistreatment program, and student ratings of and qualitative responses to the program to evaluate the short-term impact on students.MethodIn January 2014, a video- and discussion-based Mistreatment program was implemente
