The experience of practitioners who encounter mistreatment of an older adult with dementia by a caregiver in the home has received little attention in the literature. A critical research methodology aimed to understand the experience of professional agency, the ability to control outcomes and act in a meaningful way, of health and social service practitioners when encountering these cases in the home. Fifty-one practitioners from urban, rural and Northeastern communities in Ontario participated in semi-structured interviews, reflective journals, as well as focus group discussions. Theoretical thematic analysis of data led to the discovery of five themes: weathering the storm to realization; cognitive uncertainty; emotional upheaval; one's inability to resolve the mistreatment; and the double-edge sword of self-reflection. Understanding this experience is an essential step toward improving practice and policy, and achieving positive outcomes for the mistreated older adult with dementia and their caregiver within the home.

中文翻译：

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在家中患有痴呆症的老年人受虐待的情况：从业者的经验和无法获得的专业代理。

从业者在家里受到照料者虐待老年痴呆症的从业者的经验在文献中很少受到关注。一种重要的研究方法，旨在了解健康和社会服务从业人员在家中遇到此类案件时的专业代理经验，控制结果并以有意义的方式采取行动的能力。来自安大略省城市，农村和东北社区的五十一位从业人员参加了半结构化访谈，反思性期刊以及焦点小组讨论。数据的理论主题分析导致发现五个主题：风雨无阻地实现；认知不确定性 情绪动荡；无法解决虐待问题；和自我反思的双刃剑。