ArticleInternational journal of qualitative studies on health and well-being2026
Patient safety in wound care: experiences of healthcare professionals in home healthcare settings.
Article in International journal of qualitative studies on health and well-being, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
backgroundHome healthcare includes many safety challenges in wound care due to the unique and varied care conditions. In this specific context, there is a paucity of knowledge regarding how healthcare professionals ensure safety in wound care management. This study aimed to explore how patient safety risks are experienced and managed in wound care by healthcare professionals in Swedish home healthcare settings.
designThe study was based on a qualitative, explorative research design with an inductive approach.
methodIndividual interviews were conducted with 16 healthcare professionals with wound care experience in home healthcare services. The data was analysed based on qualitative content analysis.
resultsTwo overarching themes and six subthemes were identified as influencing patient safety, presenting challenges that healthcare professionals were required to manage on a daily basis: "Working blindfolded" reflected challenges with the many healthcare professionals involved in wound care. Challenges also comprised fragmented communication pathways and varying knowledge levels, which at times required them to work without the full information or knowledge needed. "Working with hands tied" concerned how registered nurses were obliged to work within specific frameworks with limited possibilities to act. Preventative work was curtailed, reaching agreements with other members of the wound care team that proved challenging in a diverse and dynamic environment.
conclusionThe findings predominantly indicated challenges related to organisational preconditions that could jeopardise patient safety. In certain instances, the professionals were unable to resolve these issues, which resulted in an imminent risk of adverse events and prolonged wound healing.
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