The scope of safety in English older adult care homes: a qualitative analysis of Safeguarding Adult Reviews

Abstract

Purpose This paper aims to explore the content of Safeguarding Adult Reviews (SARs) from older adult care homes to understand how safety is understood and might be measured in practice. Design/methodology/approach SARs relevant to older adult care homes from 2015 onwards were identified via the Social Care Institute of Excellence SARs library. Using thematic analysis, initial inductive coding was mapped to a health-derived safety framework, the Safety Measurement and Monitoring Framework (SMMF). Findings The content of the SARs reflected the dimensions of the SMMF but gaining a deeper understanding of safety in older adult care homes requires additional understanding of how this unique context interacts with these dimensions to create and prevent risks and harms. This review identified the importance of external factors in care home safety. Originality/value This study provides an insight into the scope of safety issues within care homes using the SARs content, and in doing so improves understanding of how it might be measured. The measurement of safety in care homes needs to acknowledge that there are factors external to care homes that a home may have little knowledge of and no ability to control.

以“安全教育”为核心的新生儿护理实习教学模式的应用研究

“…也是衡量现代医疗护理质量的重要指标 [1] 。"医疗护理风 险无处不在"已成为医疗界的共识 [2,3] 。随着医疗体制的 不断完善、医疗技术水平的不断发展、法律法规的不断丰 富及医学模式的改进，患者的护理安全和临床实习护士的 安全教育越来越引起医疗管理人员的高度重视 [4] 。患者安 全是指在医疗、护理服务过程中采取必要的手段或措施， 用以避免或预防病人发生不良结果或受到伤害，如防范失 误、偏差、意外等。护理安全是指在实施护理的全过程 中，患者不发生法律和法规允许范围以外的心理、机体结 构或功能上的损害、障碍、缺陷或死亡 [5] 。目前，我国护 理人员对患者安全的认识有了较大的提升，但仍需要进一 步重视 [6] 。护理临床实践教学是护理医务工作人员从学生 到临床护士转变的关键环节。临床带教质量会直接影响护 理实习生对临床工作的适应能力，安全意识及风险防控能 力 [7,8] 。在临床实践过程中，加强护理实习护士护理安全教 育对提升医疗质量具有重要意义，特别是对新生科的护理 实习生 [9] 。 本研究尝试了以"安全教育"为核心的新生儿护理 实习教学模式，通过将安全教育作为实习重点，在带教 老师的引导和要求下将安全教育的理念和要求贯穿整个 新生儿护理实习过程中。要求护理实习生安全教育是护 理实习生必须掌握的重要知识。这种模式不仅可以帮助 护理实习生更好地完成实习任务，还可以有效预防实习 过程中的意外伤害 [10][11][12]…”