Tong Catherine E, Sims-Gould Joanie, Martin-Matthews Anne
Centre for Hip Health & Mobility, Vancouver Costal Health Research Institute, University of British Columbia, Vancouver, Canada.
Centre for Hip Health & Mobility, Vancouver Costal Health Research Institute, University of British Columbia, Vancouver, Canada Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Int J Qual Health Care. 2016 Apr;28(2):214-20. doi: 10.1093/intqhc/mzw006. Epub 2016 Jan 31.
Drawing on interviews with home care clients and their family caregivers, we sought to understand how these individuals conceptualize safety in the provision and receipt of home care, how they promote safety in the home space and how their safety concerns differ from those of home support workers.
In-depth, semi-structured interviews were conducted with clients and family caregivers. The analysis included topic and analytical coding of participants' verbatim accounts.
Interviews were completed in British Columbia, Canada.
Totally 82 clients and 55 caregivers participated.
Clients and family caregivers identified three types of safety concerns: physical, spatial and interpersonal. These concerns are largely multi-dimensional and intersectional. We present a conceptual model of client and caregiver safety concerns. We also examine the factors that intensify and mitigate safety concerns in the home.
In spite of safety concerns, clients and family caregivers overwhelmingly prefer to receive care in the home setting. Spatial and physical concerns are the most salient. The financial burden of creating a safe care space should not be the client's alone to bear. The conceptualization and promotion of safety in home care must recognize the roles, responsibilities and perspectives of all of the actors involved, including workers, clients and their caregivers.
通过对居家护理客户及其家庭照顾者的访谈，我们试图了解这些人如何在提供和接受居家护理时理解安全，他们如何在家庭空间中促进安全，以及他们的安全担忧与居家支持工作者的安全担忧有何不同。
对客户和家庭照顾者进行了深入的半结构化访谈。分析包括对参与者逐字记录的主题和分析编码。
访谈在加拿大不列颠哥伦比亚省完成。
共有82名客户和55名照顾者参与。
客户和家庭照顾者确定了三种安全担忧类型：身体安全、空间安全和人际安全。这些担忧在很大程度上是多维度和交叉性的。我们提出了一个客户和照顾者安全担忧的概念模型。我们还研究了加剧和减轻家庭安全担忧的因素。
尽管存在安全担忧，但客户和家庭照顾者绝大多数还是更喜欢在家中接受护理。空间和身体方面的担忧最为突出。营造安全护理空间的经济负担不应仅由客户承担。居家护理中安全的概念化和促进必须认识到所有相关行为者的角色、责任和观点，包括工作人员、客户及其照顾者。
