Nakrem Sigrid, Kvanneid Katrine
Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), 7491 Trondheim, Norway.
DPS Solvang, Sørlandet Hospital, Sørlandet Sykehus HF (SSHF), 4604 Kristiansand, Norway.
Healthcare (Basel). 2022 May 31;10(6):1021. doi: 10.3390/healthcare10061021.
The demographic challenges with an increase in older adults in need of nursing care has put home healthcare services under pressure. However, research on what constitutes quality of home healthcare services and what factors influence good nursing care and patient safety is scarce. The aim of this study was to gain insight into health professionals' perceptions of how quality of care in home healthcare is created and what factors put patient safety at risk. The present study was a qualitative study with semi-structured interviews of eight health professionals working in home healthcare services. Qualitative content analysis was used. Four categories of factors the staff thought had to be present to provide good quality services were identified: (1) A workplace with adequate competence; (2) Communication, information flow and collaboration; (3) Continuity and organisation of care; and (4) Resources. Conclusions: The healthcare professionals perceived that the quality of the services overall was good, and if important factors were present, quality of care was achieved. However, they pointed out some factors that were important to prevent inadequate care and improve services, as quality of care was at risk when deficiencies in these areas occurred.
需要护理的老年人数量增加带来的人口结构挑战给家庭医疗服务带来了压力。然而，关于家庭医疗服务质量的构成以及哪些因素影响优质护理和患者安全的研究却很匮乏。本研究的目的是深入了解卫生专业人员对家庭医疗护理质量是如何形成的看法，以及哪些因素会使患者安全面临风险。本研究是一项定性研究，对八名从事家庭医疗服务的卫生专业人员进行了半结构化访谈。采用了定性内容分析法。确定了工作人员认为提供优质服务必须具备的四类因素：(1) 具备足够能力的工作场所；(2) 沟通、信息流与协作；(3) 护理的连续性与组织；(4) 资源。结论：医疗保健专业人员认为总体服务质量良好，并且如果具备重要因素，就能实现护理质量。然而，他们指出了一些对预防护理不足和改善服务很重要的因素，因为当这些领域出现缺陷时，护理质量会受到影响。
