The Mediator and the Moderator Effects of Resourcefulness on the Relationship Between Elders' Abuse and Quality of Life Among Relocated Egyptian Elders

Monday, July 11, 2011

Abir K. Bekhet, PhD, RN, HSMI1
Rasha Fouad, PhD, RN2
Susan Leuck, BSN, RN1
(1)College of Nursing, Marquette University, Milwaukee, WI
(2)Faculty of Nursing, Alexandria University, Alexandria, Egypt

Learning Objective 1: Define the term “elders’ abuse” and discuss the consequences on their quality of life.

Learning Objective 2: Identify the two types of resourcefulness and illustrate on how resourcefulness can have a positive effect on quality of life.

Background and significance: The population of Egyptian older adults is increasing exponentially; their percentage is projected to increase from 4% in 2000 to 8.7% in 2030.  Contemporary Egyptians are adapting new strategies for care despite continuing norms of reciprocity among kin.   One of these strategies involves relocation of the elder to a retirement community.  Elder abuse is a serious problem that can occur in institutions where health and social care is given. 

Purpose: The purpose of this study is to investigate the mediator and/or the moderator effects of resourcefulness on the relationship between elders’ abuse and quality of life among Egyptian elders who have been relocated to three retirement communities in Alexandria, Egypt. Theoretical Framework:  The middle range theory of resourcefulness (Zauszniewski, 2006) suggests that the effects of abuse on elder’s quality of life may be influenced by resourceful behaviors.  Resourcefulness is the ability to perform daily activities despite adverse situations (personal resourcefulness) and to seek help from others when unable to function independently (social resourcefulness).

Methods:  A descriptive, correlational, and cross sectional design will be used to examine hypothesized relationships among the study variables using psychometrically sound measures. The sample consists of 100 elders aged 60 and older who recently relocated to three retirement communities in Alexandria, Egypt.

 Results: Descriptive statistics will be used to examine the major study variables.  Hierarchical regression will be used to test the mediating and/or the moderating effects of resourcefulness on the relationship between elders’ abuse and quality of life.

Conclusion:  The results from this study will provide direction for the development of a resourcefulness intervention to help older adults to acquire personal and social resourcefulness to improve their quality of life and deal with the abuse that they might encounter.