PMID- 37954552 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231122 IS - 2296-858X (Print) IS - 2296-858X (Electronic) IS - 2296-858X (Linking) VI - 10 DP - 2023 TI - Status and influencing factors of elder neglect by geriatric nursing assistants in Chinese nursing homes: a cross-sectional survey. PG - 1273289 LID - 10.3389/fmed.2023.1273289 [doi] LID - 1273289 AB - BACKGROUND: In nursing homes, elder neglect has come to the forefront. Currently, few studies have examined the impact of personal and organizational factors of geriatric nursing assistants on elder neglect. From the perspective of geriatric nursing assistants, this study aims to explore the current situation and influencing factors of elder neglect in Chinese nursing homes. METHODS: A convenience sampling method was used to recruit 412 geriatric nursing assistants from 50 nursing homes in China. Participants were surveyed using a demographic questionnaire, the Elder Neglect Scale for Geriatric Nursing Assistants, the General Self-Efficacy Scale (GSES), and the Proactive Personality Scale (PPS). Spearman correlation analysis and multiple linear regression were used to analyze the factors influencing elder neglect. RESULTS: Geriatric nursing assistants scored a median of 74 out of 85 on the Elder Neglect Scale. Multiple linear regression analyses showed that the main personal factors influencing geriatric nursing assistants' elder neglect were general self-efficacy (beta = 0.312), proactive personality (beta = 0.180), and advanced qualification (beta = 0.084), while the main organizational factors included monthly salary /= 5 days off beta = 0.101). CONCLUSION: Although geriatric nursing assistants are at low levels of elder neglect, it remains a cause for concern. Among the personal factors, geriatric nursing assistants who possessed proactive personalities, high self-efficacy and advanced qualifications, exhibited low levels of elder neglect. Among the organizational factors, those who possessed a high number of days off per month portrayed low levels of elder neglect. Conversely, those who received low monthly salaries and no regular training after induction portrayed high levels of elder neglect. To reduce the risk of elder neglect, nursing homes should give due consideration to candidates' self-efficacy and proactive personality traits when recruiting, and focus on fostering these personality traits in their employees during their work. In addition, strengthening regular training for geriatric nursing assistants, optimizing the salary structure, and arranging rest days in a reasonable manner are also necessary measures. CI - Copyright (c) 2023 Wang, Yang, Li, Ma, Zhang, Du and Dou. FAU - Wang, Jing AU - Wang J AD - School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China. FAU - Yang, Zhihua AU - Yang Z AD - School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China. FAU - Li, Ya AU - Li Y AD - Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Guangzhou, China. FAU - Ma, Ruijuan AU - Ma R AD - School of Media and Communications, Urumqi Vocational University, Urumqi, China. FAU - Zhang, Liping AU - Zhang L AD - Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China. FAU - Du, Yage AU - Du Y AD - School of Nursing, Peking University, Beijing, China. FAU - Dou, Haoying AU - Dou H AD - School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China. LA - eng PT - Journal Article DEP - 20231025 PL - Switzerland TA - Front Med (Lausanne) JT - Frontiers in medicine JID - 101648047 PMC - PMC10634532 OTO - NOTNLM OT - elder neglect OT - geriatric nursing assistants OT - nursing homes OT - older adults OT - proactive personality OT - self-efficacy COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/11/13 06:42 MHDA- 2023/11/13 06:43 PMCR- 2023/10/25 CRDT- 2023/11/13 04:33 PHST- 2023/08/08 00:00 [received] PHST- 2023/10/09 00:00 [accepted] PHST- 2023/11/13 06:43 [medline] PHST- 2023/11/13 06:42 [pubmed] PHST- 2023/11/13 04:33 [entrez] PHST- 2023/10/25 00:00 [pmc-release] AID - 10.3389/fmed.2023.1273289 [doi] PST - epublish SO - Front Med (Lausanne). 2023 Oct 25;10:1273289. doi: 10.3389/fmed.2023.1273289. eCollection 2023.