Division of Nursing and Medical Technology, Department of Health, Education and Technology, Luleå University of Technology, Luleå, Sweden.
Int J Qual Stud Health Well-being. 2023 Dec;18(1):2216018. doi: 10.1080/17482631.2023.2216018.
The purpose of this study was to explore the concept of feeling safe, from the patient perspective, in a perioperative context.
The eight-step concept analysis approach proposed by Walker and Avant was utilized to examine the attributes of feeling safe. Uses of the concept, defining attributes as well as antecedents, consequences and empirical referents are presented to describe the concept. Case examples are provided in order to assist the understanding of the defining attributes.
Feeling safe is defined as: a person that does not feel worried or threatened. Three attributes were identified: Participation, Control and Presence. Knowledge and Relationship are the antecedents of feeling safe, while Feeling Acknowledged and Trust are the consequences. Empirical referents are explored in order to find a way to measuring the perceived feeling of safety.
This concept analysis underscores the importance of including patients' perceptions in traditional patient safety work. Patients who feel safe perceive that they participate in their care, that they are in control, and that they feel the presence of both healthcare staff and relatives. The perceived feeling of security could, by extension, promote the postoperative recovery of patients undergoing surgery by positively affect the process of recovery.
本研究旨在从患者角度探讨围手术期安全感的概念。
采用沃克和奥凡特提出的八步概念分析方法，考察安全感的属性。使用该概念，定义属性以及前提、后果和经验参照，以描述该概念。提供案例示例以帮助理解定义属性。
安全感被定义为：一个人不感到担忧或受到威胁。确定了三个属性：参与、控制和存在。知识和关系是安全感的前提，而被认可和信任是后果。探讨了经验参照，以找到一种衡量感知安全感的方法。
本次概念分析强调了在传统的患者安全工作中纳入患者感知的重要性。感到安全的患者认为他们参与了自己的护理，他们能够掌控局面，并且感到医护人员和亲属的存在。可感知的安全感可以通过积极影响康复过程，促进接受手术的患者术后恢复。
