Yoshimatsu Keiko, Nakatani Hisae
Department of Nursing, Faculty of Nursing and Nutrition, The University of Shimane, 151 Nisihayasigi-cho, Izumo-shi, Shimane-ken, 693-8550, Japan.
Department of Community and Public Health Nursing, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima City, 734-8551, Japan.
BMC Nurs. 2022 Jun 6;21(1):139. doi: 10.1186/s12912-022-00905-2.
In situations of home care, patients and their family members must address problems and emergencies themselves. For this reason, home-visiting nurses (HVNs) must practice risk management to ensure that patients can continue receiving care in the comfort of their homes. The purpose of this study was to examine HVNs' attitudes toward risk management.
This study adopted a qualitative description approach. Semi-structured interviews were conducted to collect information on HVNs' risk management behavior and their attitudes toward it. Participants comprised 11 HVNs working at home-visiting nursing agencies in a prefecture of Japan. Transcribed interviews were analyzed using content analysis.
Nurses' attitudes toward risk management comprised the following themes: (i) predicting and avoiding risks, (ii) ensuring medical safety in home settings, (iii) coping with incidents, and (iv) playing the role of administrators in medical safety, which was answered only by administrators.
When practicing risk management, home-visiting nurses should first assess the level of understanding of the patient and family, followed by developing safety measures tailored to their everyday needs. These results further suggest that administrators should take actions to foster a working environment conducive to risk management. These actions include coordinating duties to mitigate risk and improve the process of reporting risks. This study provides a baseline for future researchers to assist patients and families requiring medical care services of this nature.
在家庭护理情况下，患者及其家庭成员必须自行应对各种问题和紧急情况。因此，家访护士（HVN）必须实施风险管理，以确保患者能够在家中舒适地继续接受护理。本研究的目的是调查家访护士对风险管理的态度。
本研究采用定性描述方法。通过半结构化访谈收集有关家访护士风险管理行为及其态度的信息。参与者包括在日本一个县的家访护理机构工作的11名家访护士。对转录的访谈内容进行内容分析。
护士对风险管理的态度包括以下主题：（i）预测和避免风险，（ii）确保家庭环境中的医疗安全，（iii）应对事件，以及（iv）在医疗安全中发挥管理者作用（只有管理者回答了这一点）。
在实施风险管理时，家访护士应首先评估患者和家庭的理解程度，然后制定适合其日常需求的安全措施。这些结果进一步表明，管理者应采取行动营造有利于风险管理的工作环境。这些行动包括协调职责以降低风险并改进风险报告流程。本研究为未来的研究人员为需要此类医疗护理服务的患者和家庭提供帮助提供了一个基线。
