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Title: Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in Home Care settings: a systematic review
Authors: Hignett, Sue
Otter, Mary Edmunds
Keen, Christine
First Published: 21-Feb-2016
Publisher: Elsevier for Pergamon
Citation: International Journal of Nursing Studies (2016),
Abstract: Objective: To explore the safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in Home Care settings Design: Seven-stage framework from the PRISMA statement for research question, eligibility (definition), search, identification of relevant papers from title and abstract, selection and retrieval of papers, appraisal and synthesis. Data sources: British Nursing Index (BNI), Allied and Complementary Medicine Database (AMED), Applied Social Sciences Index and Abstracts (ASSIA), Cinahl, Cochrane Library, Embase, Ergonomics Abstracts, Health Business Elite, Health Management Information Consortium (HMIC), Medline, PsycInfo, Scopus, Social Care online, Social Science Citation Index). Review methods: The included references (n = 42) were critically appraised using a modified version of Downs and Black checklist and the Mixed Methods Appraisal Tool. Results: The risk factors are reported using the modified model of human factors of health care in the home to represent the roles of both patients and caregivers in the system. The results are grouped as environment (health policy, physical and social), artefacts (equipment and technology), tasks (procedures and work schedules) and care recipient/provider. These include permanent and temporary building design and access, communication and lone working, provision of equipment and consumables, and clinical tasks. The topics with strong evidence from at least 2 papers relate to risks associated with awkward working positions, social environment issues (additional tasks and distractions), abuse and violence, inadequate team (peer) support, problems with workload planning, needle stick injuries and physical workload (moving and handling patients). Conclusions: As home care increases, there is a need to ensure the safety of both patients and caregivers with an understanding of the physical interactions and tasks to manage safety risks and plan safer care delivery systems.
DOI Link: 10.1016/j.ijnurstu.2016.02.011
ISSN: 0020-7489
eISSN: 1873-491X
Version: Post-print
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © 2016 Published by Elsevier Inc. Following the embargo period the version associated with this record is distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License ( ), which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Description: The file associated with this record is under embargo for 12 months from the date of first publication.
Appears in Collections:Published Articles, Dept. of Health Sciences

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