“I’m trying to stop things before they happen” : Carers’ contributions to patient safety in hospitals

Journal article


Merner, Bronwen, Hill, Sophie and Taylor, Michael. (2019). “I’m trying to stop things before they happen” : Carers’ contributions to patient safety in hospitals. Qualitative Health Research. 29(10), pp. 1508-1518. https://doi.org/10.1177/1049732319841021
AuthorsMerner, Bronwen, Hill, Sophie and Taylor, Michael
Abstract

Patient safety policies increasingly encourage carer (i.e., family or friends) involvement in reducing health care–associated harm in hospital. Despite this, carer involvement in patient safety in practice is not well understood—especially from the carers’ perspective. The purpose of this article is to understand how carers of adult patients perceived and experienced their patient safety contributions in hospital. Constructivist grounded theory informed the data collection and analysis of in-depth interviews with 32 carers who had patient safety concerns in Australian hospitals. Results demonstrated carers engaged in the process of “patient-safety caring.” Patient-safety caring included three levels of intensity: low (“contributing without concern”), moderate (“being proactive about safety”), and high (“wrestling for control”). Carers who engaged at high intensity provided the patient with greater protection, but typically experienced negative consequences for themselves. Carers’ experiences of negative consequences from safety involvement need to be mitigated by practice approaches that value their contributions.

Keywordscarer; caregiver; family member; patient safety; adverse event; medical error; harm; hospital; qualitative; grounded theory; Australia; Asia-Pacific
Year2019
JournalQualitative Health Research
Journal citation29 (10), pp. 1508-1518
PublisherSAGE Publications Inc.
ISSN1049-7323
Digital Object Identifier (DOI)https://doi.org/10.1177/1049732319841021
Scopus EID2-s2.0-85064597756
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1508-1518
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online19 Apr 2019
Publication process dates
Deposited02 Jun 2021
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