A Mixed Methods Exploration of Staff Interpretations of the Frequency and Forms of Violence in Long-Term Care

BACKGROUND AND OBJECTIVE: In this article, we explore how Long-Term Residential Care (LTRC) features contribute to violence against staff. METHODS: Data were collected using a mixed-methods case study in LTRC, including an online survey (N = 240) and interviews with staff (N = 29) in two Canadian provinces. FINDINGS: Survey data showed 97.2% of staff reported experiencing at least one form of violence from residents, and 53.2% experienced one or more forms of violence from family carers. Severe physical violence from residents was significantly correlated with the number of different types of training staff received and working with a higher proportion of residents with cognitive impairment. Staff attributed violence from family carers to mistrust, lack of understanding, and 'unrealistic expectations' while they attributed violence from residents to insufficient resources. DISCUSSION: Violence in LTRC occurs across multiple relationships. To address this, structural changes to staffing and working conditions that enhance trust and relational care are essential.