Implications of case managers' perceptions and attitude on safety of home-delivered care

Jones, S. (2015) Implications of case managers' perceptions and attitude on safety of home-delivered care. British Journal of Community Nursing, 20 (12). pp. 602-607. ISSN 14624753 (ISSN)

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Abstract

Perceptions on safety in community care have been relatively unexplored. A project that sought to understand the multiple perspectives on safety in the NHS case-management programme was carried out in relation to the structure, process, and outcome of care. This article presents a component of the nursing perspective that highlights an important element in the structure of nursing care that could potentially impede the nurses' ability to be fully effective and safe. A single case study of the case-management programme was undertaken. Three primary care organisations from three strategic health authorities participated, and three focus groups were conducted (one within each organisation). In total, 17 case management nurses participated. Data were audiotaped and transcribed verbatim and subjected to framework analysis. Nursing staff attitudes were identified as a structure of care that influence safety outcomes, particularly their perceptions of the care setting and the implications it has on their role and patient behaviour. Greater understanding of the expected role of the community nurse is necessary, and relevant training is required for nurses to be successful in empowering patients to perform more safely. In addition, efforts need to be made to improve patients' trust in the health-care system to prevent harm and promote more effective utilisation of resources. © 2015 MA Healthcare Ltd.

Item Type: Article
Uncontrolled Keywords: Case management, Community matron, Community nursing, Nurse's role, Patient safety, case management, case manager, DNA transcription, doctor patient relation, genetic transcription, health care system, human, human experiment, information processing, nursing staff, organization, perception, prevention, primary medical care, safety, trust, adult, female, health personnel attitude, home care, male, middle aged, national health service, nurse administrator, organization and management, patient safety, primary health care, psychology, safety, United Kingdom, Adult, Attitude of Health Personnel, Female, Great Britain, Home Nursing, Humans, Male, Middle Aged, Nurse Administrators, Nursing Staff, Patient Safety, Primary Health Care, Safety Management, State Medicine
Subjects: B700 Nursing
Divisions: UoA Collections > UoA 03: Allied Health Professions, Dentistry, Nursing & Pharmacy
Faculty of Health, Education and Life Sciences > Centre for Social Care, Health and Related Research (C-SHARR) > Quality of Care
Depositing User: Miss Jessica Baylis
Date Deposited: 08 Nov 2016 16:22
Last Modified: 08 Nov 2016 16:22
URI: http://www.open-access.bcu.ac.uk/id/eprint/560

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