| 1. |
- Roxberg, Åsa, 1953-, et al.
(författare)
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Space and place for health and care
- 2020
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Abingdon : Taylor and Francis Ltd.. - 1748-2623 .- 1748-2631. ; 15:sup1
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: This discussion paper aims to contribute to a greater understanding of the state of the art of research engaged with conceptual matters of space and place for health and care. Method: The authors, who represent a variety of academic disciplines, discuss and demonstrate the conceptual recognition of space and place in research in health and caring sciences building upon own work and experience. Results: To explore the concepts of space and place for health and care is a research pursuit of utmost importance, and should be made through transdisciplinary research collaborations, whereby spatial theories from various disciplines could be communicated to cultivate truly novel and well-informed research. Furthermore, engaging with relational and topological perceptions of space and place poses methodological challenges to overcome in future research on health and care. Conclusions: We argue that there is a need for accelerating spatially informed research on health and care that is informed by current theories and perspectives on space and place, and transdisciplinary research collaborations are a means to achieving this. © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
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| 2. |
- Silverglow, Anastasia, et al.
(författare)
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Patient safety culture in home care settings in Sweden: a cross-sectional survey among home care professionals
- 2023
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Ingår i: BMC Health Services Research. - 1472-6963. ; 23:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The connection between a weak patient safety culture and adverse patient events is well known, but although most long-term care is provided outside of hospitals, the focus of patient safety culture is most commonly on inpatient care. In Sweden, more than a third of people who receive care at home have been affected by adverse events, with the majority judged to be preventable. The aim of this study was to investigate the patient safety culture among care professionals working in care at home with older people. METHODS: This cross-sectional study used a purposive sample of 66 municipal care workers, health care professionals, and rehabilitation staff from five municipal care units in two districts in western Sweden who provided care at home for older people and had been employed for at least six months. The participants completed the Hospital Survey on Patient Safety Culture (HSOPSC) self-report questionnaire, which assessed aspects of patient safety culture-norms, beliefs, and attitudes. Logistic regression analysis was used to test how the global ratings of Patient safety grade in the care units and Reporting of patient safety events were related to the dimensions of safety culture according to the staff's professions and years of work experience. RESULTS: The most positively rated safety culture dimension was Teamwork within care units (82%), which indicates good cooperation with the closest co-workers. The least positively rated dimensions were Handoffs and transitions among care units (37%) and Management support (37%), which indicate weaknesses in the exchange of patient information across care units and limited support from top-level managers. The global rating of Patient safety grade was associated with Communication openness and Management support (p < 0.01 and p = 0.03, respectively). Staff with less work experience evaluated the Patient safety grade higher than those with more work experience. CONCLUSIONS: This study suggests that improvements are needed in care transitions and in support from top-level managers and that awareness of patient safety should be improved in staff with less work experience. The results also highlight that an open communication climate within the care unit is important for patient safety.
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| 3. |
- Silverglow, Anastasia, et al.
(författare)
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Perceptions of providing safe care for frail older people at home: A qualitative study based on focus group interviews with home care staff
- 2022
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 36:3, s. 852-862
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Tidskriftsartikel (refereegranskat)abstract
- Background Providing safe care is a core competence in healthcare. The concept usually refers to hospitals but, consistent with the increasing importance of integrated care, the provision of safe care needs to be extended to the context of home care, and more research is needed concerning home healthcare providers' perspectives in this context. Aim The aim of this study was to describe care providers' perceptions of providing safe care for frail older persons living at home. Method A qualitative methodology was chosen. In total, 30 care providers agreed to participate. Data were collected through five focus group interviews and analysed using a phenomenographic approach. Results Three themes regarding care providers' perceptions of providing safe care emerged from the data: 'safe care is created in the encounter and interaction with the older person', 'safe care requires responsibility from the caregiver' and 'safe care is threatened by insufficient organisational resources'. The findings show that providing safe care is an endeavour that requires a holistic view among the care providers as well as effective collaboration within the team, but insufficient competence or a lack of time can make it difficult to safeguard the psychological and existential needs of older persons. Conclusion Providing safe care in home environments encompasses more than just risk reduction. The findings highlight the importance of establishing and integrating team-based and person-centred care into home care settings. Traditional communication structures for inpatient care also need to be adapted to the cross-disciplinary work in municipalities. Care providers should be given the opportunity to develop and maintain their competences and to prioritise relationship-oriented care.
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| 4. |
- Silverglow, Anastasia
(författare)
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Safe care at home for frail older people. Perspectives of care receivers and care professionals
- 2022
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The body of evidence regarding what is needed to ensure safe care is growing, but the ongoing movement of healthcare from inpatient contexts to primary care settings highlights how much knowledge we lack regarding safe care at home for frail older people while still needing to decrease the large number of adverse events in such settings. The overall aim of this thesis was therefore to illuminate the enablers and barriers to safe care at home for frail older people. Methods: Data were gathered through individual interviews with frail older people (Study I), focus group interviews with care professionals (Study II), a survey on patient safety culture among care professionals in home care (Study III) and individual interviews with nurses with overall responsibility for safe healthcare in a municipality (Study IV). The data were analysed using qualitative content analysis (Study I), a phenomenographic approach (Study II), statistical analyses (Study III) and thematic analysis (Study IV). Main findings: Safe care was associated with shared decision-making and the creation of trusting relationships between frail older people and care professionals, as well as with good collaboration within and between professional groups. These processes were facilitated by care professionals’ communication openness, common goals and individual approaches and competence. The greatest barriers to providing safe care were associated with organisational issues, such as strictly regulated schedules; the absence of functioning communication structures; staff turnover and loss of competence; insufficient staff involvement in patient safety work; and the sense of being punished. Conclusions: The findings illuminate care professionals’ constant need to prioritise between tasks and relationships and the pressure to make decisions under strenuous conditions by drawing on their individual competences and by taking more responsibility; they also show a clear connection between safe care and person-centred care. Nevertheless, a gap between ideology and practice indicates the need for support for care professionals in their endeavours to implement a person-centred approach.
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| 5. |
- Silverglow, Anastasia, et al.
(författare)
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What constitutes feeling safe at home? A qualitative interview study with frail older people receiving home care
- 2021
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Ingår i: Nursing Open. - : Wiley. - 2054-1058. ; 8:1, s. 191-199
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To highlight experiences of what constitutes feeling safe at home among frail older people receiving home care. Design: Qualitative descriptive study. Methods: The sample consists of 12 individual recorded interviews with frail older people in their homes. Interviews were transcribed verbatim and analysed using qualitative content analysis. The data collection was performed in spring 2018. Results: The analysis resulted in three categories: "Having a feeling of'at-homeness'" describes the older people's surrounding environment and their efforts to maintain independence; "being able to influence" describes the importance for older people to shape their care by being in control and having an opportunity for self-determination in the context of home care; and "being able to trust staff" relates to expecting staff's knowledge and skills and to appreciating the staff's ability to create positive relations.
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