School of Nursing, Department of Adult Health, Indiana University, Indianapolis, IN 46202, USA.
J Nurs Adm. 2013 Jan;43(1):30-6. doi: 10.1097/NNA.0b013e3182786013.
The purposes of this study were to identify factors that influenced hospitalized older adults' perceptions of feeling safe and to identify differences in perceptions between rural and urban contexts.
Efforts are underway to ensure patient physical safety and improve care quality in acute-care environments. Perception of care is a unique and independent dimension of quality that includes patients' views of care and how these perceptions might affect responses to illness.
Grounded theory method was used to identify the basic social process of feeling safe in acute care.
Older adults felt safe when nurses provided oversight, were predictable, provided personalized care, and were willing to advocate for them.
Findings are consistent with professional models that center on the human relational components of care. Nurse leaders can facilitate practice environments where relational aspects of nurse work, including patients' perceptions of feeling safe, are the norm, thereby creating exceptional patient care delivery systems.
本研究旨在确定影响住院老年患者安全感的因素，并确定城乡环境之间感知的差异。
目前正在努力确保急性护理环境中的患者身体安全和提高护理质量。对护理的感知是质量的一个独特且独立的维度，包括患者对护理的看法以及这些看法如何影响对疾病的反应。
采用扎根理论方法确定急性护理中感到安全的基本社会过程。
当护士提供监督、可预测、提供个性化护理并愿意为他们辩护时，老年人会感到安全。
研究结果与以护理的人际关系为核心的专业模式一致。护士领导者可以促进实践环境，使护士工作的人际关系方面（包括患者对安全感的感知）成为常态，从而创建卓越的患者护理提供系统。
