PMID- 19220490
OWN - NLM
STAT- MEDLINE
DCOM- 20091104
LR  - 20181201
IS  - 1365-2524 (Electronic)
IS  - 0966-0410 (Linking)
VI  - 17
IP  - 5
DP  - 2009 Sep
TI  - Banned from working in social care: a secondary analysis of staff characteristics 
      and reasons for their referrals to the POVA list in England and Wales.
PG  - 423-33
LID - 10.1111/j.1365-2524.2008.00840.x [doi]
AB  - Since July 2004, employers of social care staff working with vulnerable adults in 
      England and Wales have been legally required to refer workers or volunteers 
      dismissed for misconduct because they have harmed vulnerable adults or placed 
      them at risk of harm to the Protection of Vulnerable Adults (POVA) list. The POVA 
      list is unique to England and Wales, and is a powerful tool of quality assurance 
      for the care sector and for the safeguarding of vulnerable adults. This article 
      reports on part of a multi-method study including quantitative and qualitative 
      elements to produce a rounded picture of the factors involved in decisions to 
      place staff members on the POVA list. Based on secondary data analysis of all 
      records of POVA referrals from August 2004 to November 2006 (5294 records) as 
      well as a detailed sample of 298 referrals, this article focuses on the 
      prevalence of different types of alleged harm and their association with various 
      staff, employer and service-users' characteristics. The most common form of 
      alleged abuse was physical abuse (33%), while the least was sexual abuse (6%). 
      Some of the other key findings are the over-representation of men referred (31% 
      compared to an average of 15% in the workforce) and significantly different types 
      of abuse in care home and domiciliary settings, where financial abuse was less 
      likely in care homes [odds ratio (OR) 0.17; P < 0.001], while physical abuse more 
      likely in the same setting (OR 3.60; P < 0.001).
FAU - Hussein, Shereen
AU  - Hussein S
AD  - King's College London, Strand, London, UK. sherren.hussein@kcl.ac.uk
FAU - Stevens, Martin
AU  - Stevens M
FAU - Manthorpe, Jill
AU  - Manthorpe J
FAU - Rapaport, Joan
AU  - Rapaport J
FAU - Martineau, Stephen
AU  - Martineau S
FAU - Harris, Jess
AU  - Harris J
LA  - eng
GR  - Department of Health/United Kingdom
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20090212
PL  - England
TA  - Health Soc Care Community
JT  - Health & social care in the community
JID - 9306359
SB  - IM
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Elder Abuse/legislation & jurisprudence/prevention & control/*statistics & 
      numerical data
MH  - *Employee Discipline
MH  - England/epidemiology
MH  - Female
MH  - Home Health Aides
MH  - Humans
MH  - Male
MH  - *Mandatory Reporting
MH  - Middle Aged
MH  - Nurses
MH  - Nursing Assistants
MH  - Odds Ratio
MH  - Prevalence
MH  - Sex Distribution
MH  - Sex Offenses/legislation & jurisprudence/prevention & control/*statistics & 
      numerical data
MH  - Theft/statistics & numerical data
MH  - Wales/epidemiology
MH  - Young Adult
EDAT- 2009/02/18 09:00
MHDA- 2009/11/05 06:00
CRDT- 2009/02/18 09:00
PHST- 2009/02/18 09:00 [entrez]
PHST- 2009/02/18 09:00 [pubmed]
PHST- 2009/11/05 06:00 [medline]
AID - HSC840 [pii]
AID - 10.1111/j.1365-2524.2008.00840.x [doi]
PST - ppublish
SO  - Health Soc Care Community. 2009 Sep;17(5):423-33. doi: 
      10.1111/j.1365-2524.2008.00840.x. Epub 2009 Feb 12.