International Journal of Research in Nursing Original Research Paper A History of the Present: The Impact of Newspapers’ Constructions of Maltreatment in an Irish Nursing Home Amanda Phelan School of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin 4, Ireland Article history Abstract: Since the publication of Ireland’s policy on elder abuse, Received: 14-04-2016 structural, practice, policy and research advances have occurred. However, Revised: 20-09-2016 a significant catalyst to in raising the public consciousness was the impact Accepted: 21-09-2016 of an undercover broadcast of maltreatment in Leas Cross nursing home in 2005. This broadcast has had an enduring and significant impact on nursing Email: [email protected] home care until the present day. Consequently, this study provides insights into newspaper editorial rhetorical representations following the broadcast of an undercover television expose of sub-standard care practices in Leas Cross. Data collection involved the examination of editorial coverage in four national newspapers following the television broadcast, Primetime Investigates : Home Truths (Radio Telivis Eireann (RTE) in 2005. Using three methods within the tradition of critical discourse analysis, the study reveals how typical unmitigated understandings of elder abuse were rendered visible through the construction of subject positions and identities. Furthermore, the consequences of these editorials are considered. Findings show that particular typified narratives were used to present a selected reality and there are distinct differences in broadsheets and tabloid publications. The broadcast’s exposure of this substandard care is seen to have an enduring impact on both the establishment of the Irish Health Information and Quality Authority in 2007 and on current standards of regulations in nursing care. Keywords: Long Term Care, Elder Abuse, Newspaper Coverage Introduction (List, 1985; Barak, 1988; Richardson, 2007; Landau, 2009). Newspaper coverage of events do not mirror reality As part of the programme of research in the National but construct particular versions of selected reality Centre for the Protection of Older People, a study was (Stamou, 2001; Frewin et al ., 2009). As such, newspaper undertaken to examine newspaper representations of reports can be positioned to establish, challenge and elder abuse following a covert television investigation of care practices in a residential facility for older people affirm existing relations of dominance and inequality (Phelan, 2009a). Within mass media cultures, social (Fairclough, 1995; Bell and Garrett, 1998; Richardson, issues such as elder abuse have key reference points 2007). Newspapers are a particular powerful medium in which attract concentrated coverage of a topic and carry Ireland, which has the highest average newspaper influential associations in public perceptions (Kitzinger, readership time in Europe (Elvestad and Blekesaune, 2000). Such events are described as ‘media templates’, 2008). This study examines how meanings and identities which provide contextual understandings and serve as of elder abuse were spoken of in newspapers within a catalysts to political and social change and guide particular timeframe and the consequences of this. The narratives for discourses (Kitzinger, 2000). timeframe is purposefully selected as a critical period Mass media is a powerful vehicle which contributes to which generated considerable Irish media discourses on the construction of hegemonic perspectives in social the topic of elder abuse. The paper focuses on the ways in reality (Landau, 2009) particularly in relation to ‘informed which dominant texts are presented, dropped, constrained citizenry’ (Kumar, 2001: 285). Newspapers constitute a and perpetuated through Irish newspaper coverage for the major media platform, representing a powerful way of period. This represents a watershed moment in Irish constructing and sustaining public opinion and identities regulation of nursing home care and has been seen as a © 2016 Amanda Phelan. This open access article is distributed under a Creative Commons Attribution (CC-BY) 3.0 license. Amanda Phelan / International Journal of Research in Nursing 2016, 7 (1): 1.11 DOI: 10.3844/ijrnsp.2016.1.11 reference point in subsequent scandals related to content can be mediated by issues of newspaper residential care of vulnerable adults. ownership (Chomsky, 2006). Consequently, media events such as the reportage following the Primetime Investigates Background to the Primetime Investigates programme are subject to a transformative process Programme (Fairclough, 1995). Moreover, newspapers themselves are Elder abuse is recognized as a complex, nebulous subject to particular tensions between information and social phenomenon (Phelan, 2013). In Ireland, public entertainment, agreement and persuasion, as well as awareness of elder abuse was minimal until an negotiating the domains of public and private spaces undercover television programme portraying sub- (Fairclough, 1995). Accounts within newspapers have been standard care practices in a North Dublin nursing home shown to recontextualise reality using the following was broadcast on 30 May 2005. The Primetime patterns (a) distortions, (b) artificial constructions of reality, Investigates ² programme examines issues of public (c) systematic overkill and (d) media consumption concern and involves contributions and interviews from (Friedrichs, 2006). Furthermore, the social reality presented politicians, experts on the focused topic and lobbyist in newspapers is influenced by a myriad of factors such as groups. The one-hour broadcast was televised and was constraints of time and space (Tardy, 2009), relevance or based on sixty hours of undercover film footage taken by importance (Bell, 1991), financial constraints and sales a healthcare attendant who was employed in the nursing (Conboy, 2006; Frewin et al ., 2009) and ideological home for an eight-week period during March and April standpoints or what Fairclough terms ‘authoritarian 2005. This resulted in a plethora of newspaper, television populism’ (Fairclough, 1989). These factors persuade the and radio coverage focusing on unacceptable care practices in residential care for older people. The Health reader that the views of the speaker, within the newspaper, Service Executive (HSE) subsequently assumed represent the views of the readers. management of the care home, but the nursing home Within the plethora of media discourses, newspapers eventually closed in August of 2005. Public outrage in affect what ordinary people think as well as reflecting the media was so intense that questions were raised in public opinion therefore giving particular viewpoints popular currency and navigating dilemmas of society the Irish Parliament and two subsequent public reports (Hodgetts and Chamberlain, 2003a; Van Dijk, 1991; were commissioned on Leas Cross (O’ Neill, 2006; Machin and Mayr, 2007; Payne, 2008; Payne et al ., DoH, 2009) with a further report detailing the 2008). The media also provides central understandings appropriateness of a patient transfer to the facility of social issues through ‘regimes of representation’ (Dignam, 2010). (Hall, 2001: 338) and identifies legitimate responses to Methodology: Newspapers as a Discursive Medium these issues (Hodgetts and Chamberlain, 2003b), including policy formation (Davidson et al ., 2003) The media is a particularly important focus for Furthermore, events are not only cognitively constructed discourse analysis as it has an important role as in a timeframe contemporaneous to the media template, ‘discourse-bearing institutions’ (Bell and Garrett, 1998). but influence memories of the topic (Frewin et al ., 2009). The media can be viewed as a vehicle of democratic In the case of Leas Cross for example, newspapers public debate which informs the public, or as a powerful continue to echo its impact even years after its broadcast monopoly which tacitly supports vested interests (O’ Cionnaith, 2011a; 2011b; Cullen, 2014; Flanagan, (Thomas and Wareing, 1999; Li, 2009). Furthermore, the 2014), particularly in connection to HIQA reports and media is a crucial catalyst in presenting culture, politics other residential care mistreatment scandals. The and social life; it contributes to the character of society examination of newspapers also allows a critique of those (Bell, 1998; Fairclough, 1995). As a key media outlet, responsible for the perpetuation of particular views and, newspapers function as ‘papers of record’ in society therefore, social inequality (Van Dijk, 1993) although Teo (Cotter, 2001) making speech durable over time, (2000) argues that newspapers also have the power to therefore forming a historical record of events. resist and challenge socially accepted norms. Newspapers bridge two speech contexts: The situation of speech reception and the situation of speech production Elder Abuse in Newspaper Coverage (Reisigl and Worak, 2009). Moreover, newspapers In conducting a literature review of elder abuse in enable a gauging of public opinion and consequently, newspapers, it is obvious that there is scant attention public discourses (Bell, 1998; Talbot, 2007) and their paid to this issue. Only six published studies were influence cannot be understated (Fairclough, 1995; Le, located (Beard and Payne, 2005; Mastin et al ., 2007; 2003; McNeely and Cook, 2007). McNeely and Cook, 2007; Payne et al ., 2008; In an attempt to connect with concerns of the