Purpose: Nursing care safety measures are important in nursing homes where medical and daily living care coexist. The purpose of this study was to identify the elements of safety behavior that allow nurses and caregivers to develop collaboratively, a culture of safety in nursing homes.
Methods: Three nurses and four caregivers from four nursing homes were interviewed regarding their professional practice and their collaborative efforts to keep care recipients’ safe. Categorical analysis was performed on the data.
Results: Seventy-eight codes across six categories for nurses and 83 codes across six categories for caregivers were extracted. The three categories common to both were “work environment in which it is easy to talk", “smooth information dissemination", and “division of roles according to expertise". The other categories for nurses were “explain of medications and other information in an easy-to-understand,” “appreciation for individualized care innovations,” and “welcome and immediate prompt feedback on findings.” The other categories for caregivers were “ability to check and report questions", "questions and consultation with nurses", and “augmenting knowledge of terminology and sharing it with caregivers.”
Discussion: Safety in nursing homes can arise from a work environment that facilitates easy discussion, and smooth information sharing that allows for expertise-based role-sharing. Additionally, the caregivers’ awareness encourages consultation with nurses, and the nurses’ prompt responses results in efforts to ensure user safety. We recommend that this mutual consultation creates a virtuous cycle that helps ensure the safety of care field.
Emiko Yamamoto, Aichi Medical University, Japan
Kaori Hatanaka, Baika Women’s University, Japan
Tomoko Tanaka, Okayama University, Japan
About the Presenter(s)
Mrs. Yamamoto is an associate professor in the School of Nursing at Aichi Medical University, where her research focuses on developing a culture of medical safety.
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