Provincial Service 061 in Cádiz, Public Company for Health Emergencies, Regional Government of Andalusia, Cádiz, Spain.
Institute of Research and Innovation of Biomedical Sciences of the Province of Cádiz (INiBICA), Preventive Medicine and Public Health, University of Cádiz, Cádiz, Spain.
J Clin Nurs. 2020 Dec;29(23-24):4720-4732. doi: 10.1111/jocn.15513. Epub 2020 Oct 11.
To determine the feelings of safety among patients taken to hospital after requesting urgent care, based on their experiences and those of their carers and prehospital emergency care professionals.
Little research has been performed into the perception of safety in prehospital emergency care settings worldwide, from either the perspective of the patients or from that of healthcare professionals.
Exploratory qualitative study using focus groups in Spain.
The participants were patients that requested care through the emergency telephone service, their carers and the professionals of the emergency care teams. The structured sampling design was based on an intentional, nonprobability selection following pragmatic criteria. Seven groups of patients/carers and two groups of professionals were formed (65 participants). The recordings were fully transcribed before their validation and codes were assigned to ensure anonymity. The ATLAS.ti software was used for the analysis. The authors took into account the COREQ checklist for qualitative studies.
Neither group provided a clear definition of the meaning of feeling safe. It appeared easier to give examples that had a positive or negative influence on their perception of feeling safe. During the analysis of the discourse, six categories were detected after grouping the related codes.
For most of the patients' feeling of being safe or very safe arose from the perception of calmness, trust and protection. Defining the perception of safety was not easy. The factors with the greatest effect on feeling safe were related to Information and communication, Person-centred care and Professional competency, without losing sight of other factors such as Accessibility and response times of the emergency teams, Equipment and Healthcare setting.
The findings could be used as a knowledge base in future research and for implementing procedures for improving perceptions of safety among patients.
基于患者及其护理人员和院前急救专业人员的经验，确定在请求紧急护理后被送往医院的患者的安全感。
在全球范围内，无论是从患者还是医疗保健专业人员的角度来看，对于院前急救环境中的安全感知，几乎没有进行过研究。
在西班牙使用焦点小组进行探索性定性研究。
参与者是通过紧急电话服务寻求护理的患者、他们的护理人员和紧急护理团队的专业人员。基于实用标准的有意图的非概率选择进行了结构化的抽样设计。形成了 7 组患者/护理人员和 2 组专业人员（65 名参与者）。在验证之前，对录音进行了完整的转录，并分配了代码以确保匿名。使用 ATLAS.ti 软件进行分析。作者考虑了定性研究的 COREQ 清单。
没有一组人对安全感的含义给出明确的定义。更倾向于给出对他们的安全感感知有积极或消极影响的例子。在对话语进行分析时，在对相关代码进行分组后，发现了六个类别。
对于大多数患者来说，感到安全或非常安全是因为他们感到平静、信任和受到保护。定义安全感的感知并不容易。对感到安全影响最大的因素与信息和沟通、以患者为中心的护理和专业能力有关，同时也不能忽视其他因素，如应急团队的可及性和响应时间、设备和医疗保健环境。
研究结果可以作为未来研究的知识库，并用于实施提高患者安全感的措施。
