Concept analysis of patient safety in home care: a hybrid model

BMJ Open Quality

article

Sahar Keyvanloo Shahrestanaki¹  Forough Rafii²  Tahereh Najafi Ghezeljeh³  Mansoureh Ashghali Farahani²  Zahra Amrollah Majdabadi Kohne¹ 

[1] School of Nursing and Midwifery , Iran University of Medical Sciences;Nursing and Midwifery Care Research Center, School of Nursing and Midwifery , Iran University of Medical Sciences;1 School of Nursing and Midwifery , Iran University of Medical Sciences , Tehran , Iran 2 Nursing and Midwifery Care Research Center, School of Nursing and Midwifery , Iran University of Medical Sciences , Tehran , IranNursing and Midwifery Care Research Center, School of Nursing and Midwifery , Iran University of Medical Sciences

关键词: Patient safety;    Home Nursing;    Nurses;    Nursing homes;   

DOI  :  10.1136/bmjoq-2022-002077

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Background Patient safety in home care is a fundamental and complex concept in nursing. This concept includes a number of challenges in patient care. Studies have shown that there is no clear and uniform definition for this concept.Objective The objective of the present study was to analyse patient safety in home care in Iran.Methods The study was done using a hybrid model at three phases, including theoretical, field work and the final analysis. We searched valid databases including MEDLIN and CINHAL; electronic references including Web of Science, Scopus, Ovid, ProQuest, PubMed and Persian databases including Magiran, IranDoc and SID during 2008–2022, using these Persian and English keywords: Patient Safety, Safety, Home Care Service, Domiciliary Care, Home Care and Home Health Care. A total of 16 articles were searched in the theoretical phase and then analysed by content analysis. In field work phase, nine participants were interviewed (nurse, family and patient) and then the interviews were analysed by the content analysis method. In the final analysis phase, a general analysis of the previous two phases was performed and after determining the attributes, antecedents and consequences, a final definition of patient safety in home care in Iran was presented.Findings Based on different studies, patient safety in home care is a multifaceted concept, which encompasses physical, mental, social and practical dimensions. Evaluation, prevention, participation and commitment to the safety culture are the core features of this concept. The patient care concept depends on the commitment of the involved participants, adequate resources, environmental conditions, support of the involved centres (home care agency, hospital and the insurance), self-efficacy and the ability of the caregivers (nurses).Conclusion Defining the concept of patient safety in home care provides a basis for the development of a safe patient care system at home. This concept analysis for patient safety in home care could be a guide for future studies.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND