Attributes related to the concept of patient safety in home care
Categories of attributes of the concept | Subcategories of attributes of the concept | Some concepts obtained from studies |
Evaluative and preventive process | Identifying environmental hazards Identifying patient threats Continuous risk assessment Risk prevention and control | Gershon et al
28 identified patient safety in home care and considered it as a continuous identification of the conditions and risks in the home Gershon et al 26 considered identification of patient threats at home as a key attribute Tong et al 37 referred to the concept of prevention and assessment with timely intervention for safety |
Multidimensional and complex process | Physical dimension Emotional dimension Social dimension Functional dimension | Lang et al
32 in their results emphasised the multidimensionality of the concept of physical, emotional, social and functional safety Demiris et al 30 in their study emphasised the multidimensionality of safety at home physically, emotionally and environmentally |
Participatory care | Family participation Nurse participation Patient participation Relationship between involved members | Lang et al
32stated that patients played an essential role in self-care and therefore should be part of the patient’s safety discourse Lang et al 32 mentioned that healthcare providers should involve clients, families and caregivers in deciding the type, amount and time of home care required to provide appropriate and responsive care Mirjam et al 35 mentioned that the safety performance of home care services depends on the closest family members to the elderly |
Culture of patient safety in home care | Safety training and learning Understanding of safety Showing safety behaviour Competence of caregivers | Berland et al
29 referred to culture of patient safety in home care as the existence of care routines, updating procedures and knowledge and training among healthcare workers and implementation in care Ree and Wiig39 considered culture of patient safety as the product of values, attitudes, perceptions, competencies and patterns of individual and group behaviour Gershon et al 28considered training home healthcare professionals to increase their knowledge and skills for home care Lang et al 32 mentioned human resource challenges and competency as key issues for home care safety |