ArticleBMJ open2022
'We just have to make it work': a qualitative study on assistant nurses' experiences of patient safety performance in home care services using forum play scenarios.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Patient safety in wound care: experiences of healthcare professionals in home healthcare settings.International journal of qualitative studies on health and well-being · 2026Article
- Article
- Entangled in complexity: An ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs.Journal of advanced nursing · 2025Article
- Registered nurses' perceptions of their leadership close to older adults in municipal home healthcare: a cross-sectional questionnaire study.BMC nursing · 2025Article
- Conditions for and potential solutions associated with continuity of care for patients with complex care needs across Swedish regions with differing population densities.BMC health services research · 2025Article
- Blurred lines: Ethical challenges related to autonomy in home-based care.Nursing ethics · 2024Article
- Article
- Exploring homecare leaders' risk perception and the link to resilience and adaptive capacity: a multiple case study.BMC health services research · 2024Article
- Patient safety culture in home care settings in Sweden: a cross-sectional survey among home care professionals.BMC health services research · 2023Article
- Exploring interdependencies, vulnerabilities, gaps and bridges in care transitions of patients with complex care needs using the Functional Resonance Analysis Method.BMC health services research · 2023Article
- Validity and reliability of a Chinese version of the Bergen Work Addiction Scale.Frontiers in psychology · 2023Article
- Concept analysis of patient safety in home care: a hybrid model.BMJ open quality · 2022Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveSafety is essential to support independent living among the rising number of people with long-term healthcare and social care needs. Safety performance in home care leans heavily on the capacity of unlicensed staff to respond to problems and changes in the older patients' functioning and health. The aim of this study is to explore assistant nurses' adaptive responses to everyday work to ensure safe care in the home care context.
designA qualitative approach using the drama-based learning and reflection technique forum play with subsequent group interviews. The audio-recorded interviews were transcribed and analysed with thematic analysis.
settingHome care services organisations providing care to older people in their private homes in two municipalities in southern Sweden.
participantsPurposeful sampling of 24 assistant nurses and three managers from municipal home care services and a local geriatric hospital clinic.
resultsHome care workers' adaptive responses to provide safe home care were driven by an ambition to 'make it work in the best interests of the person' by adjusting to and accommodating care recipient needs and making autonomous decisions that expanded the room for manoeuvrability, while weighing risks of a trade-off between care standards and the benefits for the community-dwelling older people's independent living. Adaptations to ensure information transfer and knowledge acquisition across disciplines and borders required reciprocity.
conclusionsSafety performance in home care service is dependent on the staff closest to the older people, who deal with safety risks and ethical dilemmas on a day-to-day basis and their access to information, competence, and resources that fit the demands. A proactive leadership characterised by mutual trust and adequate support for decision making is suggested. Managers and decision-makers across healthcare and social care need to consider how they can develop interprofessional collaborations and adaptive routines supporting safety from a broader perspective.
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