Prevention of Abuse and Neglect

The College of Nurses of Ontario provides an e-learning opportunity for Abuse Prevention that includes videos, participant workbook and facilitators guide.

One Is One Too Many is a valuable tool for any organization employing nurses that is concerned about issues involving client abuse. The One is One Too Many program provides powerful re-creations of situations in which abuse occurs, as well as guides and materials to facilitate discussion about what tools nurses need to stop abuse.

Reference: College of Nurses of Ontario. (2005). Abuse Prevention: One is one too many Toronto, ON: College of Nurses of Ontario. Retrieved from http://www.cno.org/en/learn-about-standards-guidelines/standards-and-guidelines/

This document contains a sample policy and procedures to support compliance and meet the requirements of s. 20(1) and (2) of the Long-Term Care Homes Act, 2007 and its Regulation.

AdvantAge Ontario Long-Term Care Homes Act (LTCHA) Implementation Member Support Project resources are confidential documents for AdvantAge members only. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon this information, by persons or entities other than the intended recipients is prohibited without the approval of AdvantAge.

Reference: Ontario Association of Non-Profit Homes and Services for Seniors. (2012). Zero tolerance for abuse and neglect: Sample policies and procedures. Retrieved from http://www.oanhss.org/MediaCentre2/LTCHomesActCentralseeSiteNavigation/LTCHA_Resources.aspx?WebsiteKey=112387af-5c3c-42f5-bfce-85c542bee396
 

This site describes elder abuse and provides a number of downloadable publications related to addressing and preventing elder abuse.

Any use of information in the web site should be accompanied by an acknowledgment of WHO as the source, citing the uniform resource locator (URL) of the article.

Reference: World Health Organization. Ageing and Life Course Elder Abuse. Retrieved from http://www.who.int/ageing/projects/elder_abuse/en/

Being Least Intrusive is an approach and a tool that front-line workers can use to guide them through a process of critical preparation, assessment and reflection in their care giving relationship with older First Nations people.

Reference: Struthers, A and Neufeld, L (2011) BLI: Being Least Intrusive – An Orientation to Practice for Front-Line Workers Responding to Abuse of Aboriginal Older Adults Retrieved from http://www.nicenet.ca/tools-bli-being-least-intrusive-an-orientation-to-practice-for-front-line-workers-responding-to-abuse-of-aboriginal-older-adults

This site provides information on recognizing scams, frauds and identity theft and how to address and report them.

Reference: Canadian Anti-Fraud Centre, Government of Canada, 2015. This site provides information on recognizing scams, frauds and identity theft and how to address and report them. http://www.antifraudcentre-centreantifraude.ca/index-eng.htm

Cinq mesures à adopter pour vous protéger Fiche de renseignements pour la sensibilisation en matière de santé. Association des infirmières et infirmiers autorisés de l’Ontario (2014, juillet).

Cinq mesures à adopter pour vous protéger . Toronto, ON, Canada: Auteur. Récupérée de http://rnao.ca/bpg/guidelines/fact-sheets/cinq-mesures-%C3%A0-adopter-pour-vous-prot%C3%A9ger

This appendix outlines considerations, tips and resources to support effective communication when addressing issues of abuse and neglect of older adults.

Registered Nurses’ Association of Ontario. (2014). Appendix F of Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: Registered Nurses’ Association of Ontario. pp 103-104. http://rnao.ca/sites/rnao-ca/files/Preventing_Abuse_and_Neglect_of_Older_Adults.pdf

Decision tree outlining the process to follow in the event of alleged, suspected or witnessed case of emotional abuse.

Reference: Ministry of Health and Long Term Care. (2012). Licensee Reporting of Emotional Abuse. Retrieved from http://www.fco.ngo/resources/decision-tree-licensee-reporting-emotional-abuse
 

Decision tree outlining the process to follow in the event of alleged, suspected or witnessed case of neglect.

Reference: Ministry of Health and Long Term Care. (2012). Licensee Reporting of Neglect. Retrieved from http://www.familycouncilmembers.net/resources/decision-tree-licensee-reporting-neglect

Decision tree outlining the process to follow in the event of alleged, suspected or witnessed case of sexual abuse.

Reference: Ministry of Health and Long Term Care. (2012). Licensee Reporting of Sexual Abuse. Retrieved from http://www.familycouncilmembers.net/resources/decision-tree-licensee-reporting-sexual-abuse

This resource describes the variety of abuse and neglect that can occur and will assist homes in planning a comprehensive education program.

Registered Nurses’ Association of Ontario. (2014). Appendix D of Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: Registered Nurses’ Association of Ontario. Pp 97-99.http://rnao.ca/sites/rnao-ca/files/Preventing_Abuse_and_Neglect_of_Older_Adults.pdf

Practice standards are documents that help nurses understand their responsibilities and legal obligations to enable them to make safe, effective and ethical decisions when practising. This practice standard aims to help nurses understand the regulatory and legislative requirements for documentation.

This is a series of animated learning resources that have been created to enhance the capacity of those working with seniors and to adopt a common approach to identify and respond to elder abuse. As you move through each training module, you will be prompted by a coach who will act as your guide to make sure you maximize your learning.

Reference: Elder Abuse Ontario. (n.d.). Elder Abuse Training Tools: Interactive Animated Learning Resources_Recognizing Financial and Emotional Abuse. Retrieved from http://www.elderabuseontario.com/training-education/training/eao-training-curricula/

Une pratique efficace des soins infirmiers dépend d’une relation thérapeutique efficace entre le client et l’infirmière. Cette Ligne directrice porte sur les qualités d’une relation thérapeutique efficace, sur les possibilités qu’elle offre, sur l’état des connaissances et sur les connaissances requises afin de pouvoir travailler efficacement dans une relation thérapeutique. Afin qu’une relation thérapeutique puisse être instaurée avec succès, les valeurs du milieu de travail et les caractéristiques essentielles de l’établissement doivent être en place et doivent être compatibles avec cet objectif. Une feuille de travail sur le niveau de préparation de votre établissement est compris.

Association des infirmières et infirmiers autorisés de l’Ontario (2006). Établissement de la relation thérapeutique. Toronto, Canada : Association des infirmières et infirmiers autorisés de l’Ontario. http://rnao.ca/bpg/guidelines/establishing-therapeutic-relationships

Cette ligne directrice fournit des recommandations fondées sur les données probantes à l'intention des infirmières et des autres membres de l'équipe pluridisciplinaire qui évaluent et prennent en charge des personnes qui ressentent ou qui courent le risque de ressentir n'importe quel type de douleur. Cette ligne directrices est approuvé par 'the International Association for the Study of Pain'.

Association des infirmières et infirmiers autorisés de l’Ontario (2013). Evaluation et prise en charge de la douleur, Troisième edition. Toronto, ON, Canada: Auteur. Récupérée de http://rnao.ca/bpg/translations/%C3%A9valuation-et-prise-en-charge-de-la-douleur

Ce travail est financé par le ministère de la santé et des soins de longue durée.

Nurses and other health-care providers want you to know they can help you deal with a serious threat to your health—abuse and neglect. Did you know that signs of abuse and neglect are not always easy to spot? You may not even know that you are being mistreated. That’s why it is so important to talk about the issue with a trained nurse or health-care provider.

Retrieved from: http://rnao.ca/bpg/guidelines/fact-sheets/five-measures-you-can-take-protect-yourself-abuse-and-neglect%E2%80%94-be-used-wh

This report on the Public Guardian and Trustee of British Columbia Website examines the context of capacity assessments and commonly used tools.

Reference: O'Connor, D. (2009) Incapability Assessments: A Review of Assessment and Screening Tools Final Report. Retrieved from: http://www.trustee.bc.ca/documents/STA/Incapability_Assessments_Review_Assessment_Screening_Tools.pdf

The expert panel for the BPG Facilitating Client Centred Learning (2012) developed the L.E.A.R.N.S. Model, which describes how to support effective learning. LEARNS stands for Listen, Establish, Adopt, Reinforce, Name, Strengthen and refers to the nurse/client interaction.

Reference: Registered Nurses’ Association of Ontario (2012). Facilitating Client Centred Learning. Toronto, Canada: Registered Nurses’ Association of Ontario. pp. 19-20. http://rnao.ca/bpg/guidelines/facilitating-client-centred-learning

Cette ligne directrice sur les pratiques exemplaires en soins infirmières et infirmiers est un document détaillé comportant les ressources nécessaires au soutien de la pratique basée sur des données probantes. Un milieu de travail sain, c’est un milieu de pratique qui maximise la santé et le bien-être des infirmières, des résultats de qualité chez le patient ou client, le rendement de l’organisation et du système, et les retombées sociales, y compris des collectivités en meilleure santé.

Association des infirmières et infirmiers autorisés de l’Ontario (2013). Lignes directrices sur le développement et le maintien du leadership infirmier, Deuxième edition. Toronto, ON, Canada: Auteur. Récupérée de http://rnao.ca/bpg/language/lignes-directrices-sur-le-d%C3%A9veloppement-et-le-maintien-du-leadership-infirmier

Pauktuutit Inuit Women of Canada is the national organization that represents all Inuit women in Canada. Pauktuutit has been active in abuse prevention and building capacity to address abuse issues since its inception in 1984. Pauktuutit brought together individuals, agencies and groups who share a common interest in preventing abuse in Inuit communities, to collaborate on the development and implementation of this unique national,community-based strategy.

Reference: Pauktuutit Inuit Women of Canada. (2006). National Strategy to Prevent Abuse in Inuit Communities and Sharing Knowledge, Sharing Wisdom: A Guide to the National Strategy. Ottawa, ON: Author. Retrieved from http://pauktuutit.ca/wp-content/blogs.dir/1/assets/InuitStrategy_e.pdf

These brochures help identify several key issues regarding managing the stigma and discrimination in housing, family and social support found in LGBTT population. The resource is available for free download. However, there is a cost recovery associated with this resource if you would like to order printed materials. They are sold in bundles of 25 for 5.00.

Senior Pride Network. (2009). Opening the Closet on Aging: Working with older lesbian, gay, bisexual, transsexual, and transgender people. Retrieved from http://www.rainbowhealthontario.ca/resources/opening-the-closet-on-aging-working-with-older-lesbian-gay-bisexual-transsexual-and-transgender-people/

The fact sheet is a tool to increase awareness of the regulatory mandate on educating and preventing client abuse and provide further resources to support nurses in the prevention of abuse in practice.

This link takes you to the prevention of abuse and neglect section 19 and 20 of the Long-Term Care Homes Act, 2007, S.O. 2007, c. 8. Government of Ontario. Retrieved from https://www.ontario.ca/laws/statute/07l08  

This Website provides local, provincial, federal and multicultural links to elder abuse resources. It also provides strategies to minimize the risk of elder abuse.

Reference: Prevention of Elder Abuse Committee of York Region This Website provides local, provincial, federal and multicultural links to elder abuse resources. It also provides strategies to minimize the risk of elder abuse. http://elderabuse-yorkregion.ca/prevention/

Disclaimer: The Prevention of Elder Abuse Committee of York Region has a mission to reduce elder abuse by increasing awareness. The committee does not provide services or assistance.

The Website provides excellent resources focussed on the intersection of the LGBTQ community and aging. Some resources are available for download and some resources can be purchased.

Copyright with Rainbow Health Ontario

Reference: Rainbow Health Ontario Website (n.d.). Retrieved from http://www.rainbowhealthontario.ca/resource-search/

This link takes you to the reporting and complaints section 21 to 28 of the Long-Term Care Homes Act, 2007, S.O. 2007, c. 8. Government of Ontario. Retrieved from https://www.ontario.ca/laws/statute/07l08

The manual contains a series of clearly written modules on violence against older persons. A focus is on recognizing abuse in all settings. Modules are interactive with case studies illustrating points. One module is on residential care (long term care). The manual is intended for use in a training program on preventing violence, but could be used for self-learning. Accompanying trainer manuals are available. References and resources are Newfoundland and Labrador based.

Copyright, Government of Newfoundland and Labrador

This new guideline is designed to apply to all domains of nursing practice, including clinical, administration, and education, to assist nurses to become more comfortable, confident and competent when caring for clients undergoing care transitions. It is important that nurses, working in collaboration with the interprofessional team promote safe and effective care transitions. Care transitions depends on effective communication and coordination of client care by all interprofessional team members and with the client, their family and caregiviers.

This guideline is endorsed by Accreditation Canada.

Registered Nurses’ Association of Ontario. (2014). Care Transitions. Toronto, ON: http://rnao.ca/bpg/guidelines/care-transitions

Gain knowledge in leadership practices that result in healthy outcomes for nurses, patients/clients, organizations and systems. This guideline addresses:

• System resources that support effective leadership practices and behaviours for formal leaders and nurses at the point of care
• Organizational culture, values and resources that support effective leadership practices and behaviours at all levels
• Personal resources that support effective leadership practices across the continuum of care
• Anticipated outcomes of effective nursing leadership

2nd Edition, 2013

Registered Nurses’ Association of Ontario. (2013). Developing and Sustaining Nursing Leadership. Toronto, ON, Canada: Author. Retrieved from http://rnao.ca/bpg/guidelines/developing-and-sustaining-nursing-leadership

Gain an overview of the most compelling evidence about diversity; understanding it, accepting the differences it brings to work settings, and finally, to seeking and embracing diversity.

This panel has been developing guidelines that recommend a congruent set of work place behaviours, management practices and institutional policies within a practice setting resulting in an organizational environment that is respectful and inclusive of cultural and other forms of diversity.

Reference: Registered Nurses’ Association of Ontario (2007). Embracing Cultural Diversity in Health Care: Developing Cultural Competence. Toronto, ON: Author. http://rnao.ca/bpg/guidelines/embracing-cultural-diversity-health-care-developing-cultural-competence

The purpose of this best practice guideline is to provide evidence-based recommendations related to nurses and other health care professionals providing effective client centred learning. This guideline will address the following areas: • How can nurses effectively facilitate client centred learning? • What are effective teaching delivery methods/ strategy for client centred learning? • How do nurses assess client learning? This guideline will be applicable to all domains of nursing including clinical, administration, and education.

Learn about four types of violence encountered by nurses and other health-care professionals. It provides evidence-informed strategies to plan, implement, and evaluate outcomes related to recognizing and assessing the risk of violence in the workplace.

This guideline provides evidence-informed individual, system, and organizational recommendations to recognize, prevent and effectively intervene in workplace violence, thereby fostering healthy work environments. It also identifies individual, organizational, and system resources that support prevention, recognition, early detection and effective interventions related to preventing and managing violence in the workplace.

Registered Nurses’ Association of Ontario. (2009). Preventing and Managing Violence in the Workplace. Toronto, ON: http://rnao.ca/bpg/guidelines/preventing-and-managing-violence-workplace

Increase your knowledge in promoting family health through interventions and supports provided during expected (i.e. birth, school, adolescence, aging, and death) as well as unexpected (i.e. trauma/accidents, chronic illness, developmental delay and disability) life events. Focusing on the family is an integral component of nursing practice. This guideline was developed to promote and facilitate continuing education, reflection and reaffirmation of the importance of caring for families. Supplement: 2006

Registered Nurses’ Association of Ontario. (2002). Supporting and Strengthening Families Through Expected and Unexpected Life Events. Toronto, ON, Canada: Author. Retrieved from http://rnao.ca/bpg/guidelines/supporting-and-strengthening-families-through-expected-and-unexpected-life-events

Le but de la présente ligne directrice est de promouvoir les pratiques fondées sur des données probantes, qui sont associées aux soins axés sur les besoins de la personne et de la famille, et d'aider les infirmières et d'autres fournisseurs de soins de santé à acquérir les connaissances et les compétences nécessaires pour améliorer leur pratique de ces soins. Les recommandations aideront les infirmières et d'autres fournisseurs de soins de santé à obtenir le savoir requis pour collaborer et établir des relations habilitantes avec des personnes et leur famille qui font appel aux services de santé, afin d'optimiser la santé et le bien-être au cours de leur vie. Cette approche fondée sur des données probantes, et combinée à une perspective qui reconnaît la place de la personne au centre des soins de santé, permettra d'améliorer l'expérience de cette personne et sa satisfaction à l'égard des soins et des services offerts par le système de santé. Elle s'applique à tous les domaines de la pratique des soins infirmiers, y compris les secteurs clinique, administratif et éducatif.

Cette ligne directrice recommande des pratiques exemplaires dans trois domaines principaux : ■ Les recommandations au sujet des pratiques exemplaires ont été rédigées principalement à l'intention des infirmières et d'autres fournisseurs de soins de santé dans l'équipe interprofessionnelle qui offre des soins directs à des personnes dans les milieux de soins du système de santé (p. ex., soins actifs, soins de longue durée et soins à domicile) et dans la collectivité (p. ex., soins primaires, équipes de santé familiale et santé publique). ■ Les recommandations en matière d'éducation s'adressent à ceux qui sont responsables de la formation du personnel et des étudiants, tels que les éducateurs, les équipes d'amélioration de la qualité, les gestionnaires, les administrateurs ainsi que les établissements d'enseignement universitaire et professionnel. ■ Les recommandations sur le système, l'organisation et la politique s'appliquent à divers publics selon le type de recommandation. Les publics comprennent les gestionnaires, les administrateurs, les décideurs, les organismes de réglementation en soins infirmiers, les établissements d'enseignement et les organismes gouvernementaux. Pour obtenir une efficacité optimale, les recommandations dans ces trois secteurs doivent être mises en œuvre simultanément. Cette ligne directrice remplace le soin centré au client précédent .

Association des infirmières et infirmiers autorisés de l’Ontario. (2015). Soins axés sur les besoins de la personne et de la famille. Toronto (Ontario) : Association des infirmières et infirmiers autorisés de l’Ontario http://rnao.ca/bpg/language/soins-ax%C3%A9s-sur-les-besoins-de-la-personne-et-de-la-famille

Long-Term Care Task Force on Resident Care and Safety- Developing an Action Plan to Address Abuse and Neglect in Long-Term Care Homes.

An action plan and progress reports that examine and address the factors contributing to incidents of abuse or neglect in long-term care homes with the goal of helping to prevent these incidents.

Reference: Long-Term Care Task Force on Resident Care and Safety Ontario (2012) Developing an Action Plan to Address Abuse and Neglect in Long-Term Care Homes. Retrieved from: http://longtermcaretaskforce.ca/

At the core of nursing is the therapeutic nurse-client relationship. The College's Therapeutic Nurse-Client Relationship, Revised 2006, practice standard describes the expectations for all nurses in establishing, maintaining and terminating a therapeutic relationship.

Retrieved from: http://www.cno.org/Global/docs/prac/41033_Therapeutic.pdf

The link takes you to the COllege of Nurses of Ontario webcast on Therapeutic Nurse-Client Relationship – Maintaining Boundaries

This is a brightly coloured, one page pamphlet/poster that describes signs of elder abuse and gives resources. This is one of a suite of resources from Elder Abuse Ontario in the Helping Seniors section of their website.

Reference: Elder Abuse Ontario. 2015. Warning Signs of Elder Abuse. Accessed Feb. 2, 2017 from http://www.elderabuseontario.com/what-is-elder-abuse/help-for-seniors/educational-materials-for-seniors/