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. 2019 Nov 12;19:307. doi: 10.1186/s12877-019-1331-8

Table 3.

Main categories, generic categories, and sub-categories of the abuse of hospitalized elders

Main category Generic category Sub-category
Micro-level issues Physical abuse Physical aggression/ Rough care and treatment/ Intentional-unintentional bodily harm
Emotional and psychological abuse Verbal abuse/ Violation of the patient’s dignity/ Discrimination in the provision of health care services/ Psychological violence/ Deprivation and unnecessary restrictions
Meso-level issues Insufficient professional competence Clinical incompetence/ Inadequate psychological empowerment/ Insufficient professional belonging
Professional negligence Inadequate emotional support/ Insufficient information support/ Caring neglect/ Medical neglect
Insufficient adherence to professional ethics Unethical behavior/ Irresponsibility/ Inappropriate disclosure of facts/ Using elderly patients as teaching tools
Exo-level issues Unsanitary environment Unhygienic conditions/ Failure to adhere to the infection control principles
Unsafe environment Inappropriate physical environment/ Confusing conditions
Macro-level issues Complex process of admission till discharge Difficult processes of patient’s admission and transfer/ lengthy waiting time/ lengthy process of patient discharge
Limitations of resources Insufficient allocation of human resources/ Inadequate facilities and equipment
Financial abuse Financial neglect/ Imposing extra costs on patient/ Patient’s treatment to achieve more income