Academic Journal
Consensus-Based Safety Recommendations for Informal Home Care: A Mixed Methods Study.
| Τίτλος: | Consensus-Based Safety Recommendations for Informal Home Care: A Mixed Methods Study. |
|---|---|
| Συγγραφείς: | Abed N; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), Valencia, Spain.; Miguel Hernandez University of Elche, Elche, Spain., Neves VR; Federal University of São Paulo, São Paulo, Brazil., Perez VM; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), Valencia, Spain.; Miguel Hernandez University of Elche, Elche, Spain., Ortola DM; Denia Health District, Alicante, Spain., García VF; Denia Health District, Alicante, Spain., Knezevic B; University Hospital Centre Zagreb, Zagreb, Croatia., Sousa P; Public Health Research Centre, Comprehensive Health Research Center (CHRC), Lisbon, Portugal.; NOVA National School of Public Health, NOVA University, Lisbon, Portugal., Strametz R; Wiesbaden Institute for Healthcare Economics and Patient Safety (WiHelP), RheinMain University of Applied Sciences, Wiesbaden, Germany., Guilabert M; Department of Health Psychology, Miguel Hernández University of Elche, Elche, Spain., Mira JJ; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), Valencia, Spain.; Miguel Hernandez University of Elche, Elche, Spain.; Salud Alicante-Sant Joan Health District, Alicante, Spain. |
| Πηγή: | Research in nursing & health [Res Nurs Health] 2026 Oct; Vol. 49 (5), pp. 543-552. Date of Electronic Publication: 2026 Apr 15. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Wiley Country of Publication: United States NLM ID: 7806136 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1098-240X (Electronic) Linking ISSN: 01606891 NLM ISO Abbreviation: Res Nurs Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: New York, Wiley. |
| Ιατρικοί όροι (MeSH): | Home Care Services*/standards , Patient Safety*/standards , Caregivers* , Consensus*, Humans |
| Περίληψη: | As home-based care expands globally, informal caregivers are responsible for medical and nursing responsibilities, raising serious concerns about safety and risk management. This study proposes expert-informed, safety recommendations tailored to informal caregiving in home settings. The study used a six-phase mixed methods design combining a Consensus Development Conference (CDC) process with elements of Failure Modes and Effects Analysis (FMEA). In the first five phases, 13 healthcare professionals, hereafter referred to as "the professionals" (10 nurses, one physician, one occupational therapist, and one social worker), engaged in deliberations and risk assessments. The professionals agreed on 15 caregiving domains such as medication administration, mobility, and caregiver well-being, mapped them to 53 home caregiving procedures, identified 160 potential failure modes (errors), and rated the effect severity of each failure mode. This process led to the development of an initial set of 450 safety recommendations. In the final phase, a multidisciplinary expert review conducted by the research team merged overlapping items, eliminating redundancies and ensuring accuracy, confirming 53 procedures, 147 distinct failure modes (errors), refining 213 procedure failure mode effect associations, and consolidating the corpus to 288 recommendations. The resulting recommendations are intended to guide the development of safety guidance for informal caregiving in home settings. These recommendations are considered expert-derived guidance, since end users did not participate in the study. (© 2026 The Author(s). Research in Nursing & Health published by Wiley Periodicals LLC.) |
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| Grant Information: | CA22152 COST (European Cooperation in Science and Technology) |
| Contributed Indexing: | Keywords: consensus recommendations; home care; informal caregivers; patient safety; risk management |
| Entry Date(s): | Date Created: 20260415 Date Completed: 20260903 Latest Revision: 20260905 |
| Update Code: | 20260905 |
| PubMed Central ID: | PMC13539635 |
| DOI: | 10.1002/nur.70074 |
| PMID: | 41983590 |
| Βάση Δεδομένων: | MEDLINE |
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