Analyzing the Concept of Elder Neglect in Elderly Homes Using a Three-Stage Hybrid Model

Background and purpose: Neglect is amongst the deficits in family functioning in Iranian population which is caused by lack of adequate knowledge on related factors. A major problem on this issue is lack of clear definition of this term. The purpose of this study was to analyze the concept, operational definition, and empirical references of neglect in health care system in Guilan province, Iran, using hybrid approach. The research was conducted using a three-stage model: the review of studies, working in the field, and final analysis of hybrid. At the theoretical stage, we investigated national and international articles, dissertations, and indexing databases for relevant information published between 2000 and 2017. Working in the field was accomplished by collecting clinical data in which 12 participants (selected via targeted sampling) were interviewed. The information was then analyzed. By reviewing the articles, the operational definition of negligence was expressed as forgetting and ignorance. Negligence was recognized as deprivation of human rights and was associated with the function of elderly people. According to the interviews, three main themes and eight sub themes were identified: interactive separation (inevitable avoidance, bitter oblivion, and forgotten by close relatives), psychological conflicts (traumatic experiences, perceived violence, and emotional failure), psychosis (mental excitement and companion concern). There is always an emphasis on respect for the elderly in Iranian culture, however, this vulnerable population is ometimes subject to negligence. Iran is aging and nurses can play a major role in identifying elderely at risk of negligence. Theefore, effective steps can be taken to improve the health of the community by appropriate planning.