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Healthcare Professionals' Perceptions of Risk When Care Is Given in Patients' Homes
Kristina Schildmeijer1, Birgitta Wallerstedt, Mirjam Ekstedt
1Kristina Schildmeijer, PhD, RN, is a Senior Lecturer, School of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Kalmar, Sweden. Birgitta Wallerstedt, PhD, RN, is a Senior Lecturer, School of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Kalmar, Sweden. Mirjam Ekstedt, PhD, RN, is a Professor, School of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Kalmar, and Department of Learning, Informatics, Management and Ethics, Karolinska Institute, Stockholm, Sweden.
Abstract:
Perceptions of risks in decision making for home healthcare were examined. Twenty home healthcare professionals were interviewed. Content analysis yielded one theme (management of known and unpredictable risks) and four categories. Healthcare professionals had to handle both known and unpredictable risks in daily work in patients' homes concerning communication challenges, a fragmented organization at several levels, risky medication management, and balancing respect for patient autonomy and involvement in care against risk taking. Priority must be given to creating safer care in this setting.