A grounded theory of creating space for open safety communication between hospitalized patients and nurses

Groves, Patricia S.; Bunch, Jacinda; Sabadosa, Kathryn A.; Cannava, Kaitlin; Williams, Janet K.

doi:10.1016/j.outlook.2021.01.005

Cited by 4 publications

(10 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A previous study conducted by some of the authors at the same institution prior to the COVID-19 pandemic found nurses tried to create space for open safety communication with patients ( Groves, Bunch, Sabadosa, et al, 2021 ). Nurses did this by taking steps to “anticipate safety concerns, invite safety discussion, be accessible, recognize verbal and nonverbal insecurity, react in a trustworthy way, share a plan, and follow up with patient and family” (p. 637).…”

Section: Discussionmentioning

confidence: 99%

“…In a recent grounded theory study conducted with bedside nurses, the authors found hospital safety requires nurses to be responsive to patient and family concerns through an evaluative process that functions on the interpersonal level ( Groves, Bunch, Cannava, et al, 2021 ). Likewise, research with these nurses indicated they created space for open safety communication to both foster interpersonal trust and to maintain patient safety and patient sense of security ( Groves, Bunch, Sabadosa, et al, 2021 ).…”

Section: Voicing Safety Concernsmentioning

confidence: 99%

“…Preventable patient harm in hospitals burdens the patient, their family members, and the healthcare system, improving patient safety is thus a moral responsibility ( Slawomirski et al, 2017 ). Nurses are uniquely positioned to co-produce safety with patients by creating space for them to talk about safety and by responding appropriately ( Groves, Bunch, Sabadosa, et al, 2021 ). This study provides insight into what makes patients feel safe while in the hospital as well as factors and outcomes surrounding decisions to voice concerns.…”

Section: Applicationmentioning

confidence: 99%

See 2 more Smart Citations

Patient Voices in Hospital Safety during the COVID-19 Pandemic

et al. 2022

Self Cite

View full text Add to dashboard Cite

Hospitalized patients and their families may be reluctant to express safety concerns. We aimed to describe safety and quality concerns experienced by hospitalized patients and families and factors and outcomes surrounding decisions about voicing concerns, including those related to the COVID-19 pandemic. We conducted semi-structured interviews with 19 discharged inpatients or family members in a qualitative descriptive design. Some participants reported concern about staff competency or knowledge, communication and coordination, potential treatment errors, or care environment. Factors influencing feeling safe included healthcare team member characteristics, communication and coordination, and safe care expectations. Reasoning for voicing concerns often included personal characteristics. Reasons for not voicing concerns included feeling no action was needed or the concern was low priority. Outcomes for voicing a concern were categorized as resolved, disregarded, and unknown. These findings support the vital importance of open safety communication and trustworthy response to patients and family members who voice concerns.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Voicing Safety Concernsmentioning

confidence: 99%

Section: Applicationmentioning

confidence: 99%

See 1 more Smart Citation

Patient Voices in Hospital Safety during the COVID-19 Pandemic

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…The extant literature suggests that nursing practice is an important aspect of hospital care not only to create and maintain patient safety but to contribute to a patient's sense of security as well (Mollon, 2014). Consistent with trauma‐informed care, previous studies by the authors and others also indicate that establishing trust is critical for nursing actions to contribute to a patient's sense of security (Fleishman et al, 2019; Groves, Bunch, Sabadosa, et al, 2021; Hupcey, 2000).…”

Section: Introductionmentioning

confidence: 61%

“…Patient safety is defined by the Agency for Healthcare Research and Quality (n.d.) as “freedom from accidental or preventable injuries produced by medical care.” Safety is co‐constructed and maintained by healthcare personnel, patients, and their families, requiring both actions of individuals and supportive organizational structures (Groves, Bunch, Cannava, et al, 2021; Groves, Bunch, Sabadosa, et al, 2021). Sutcliffe and Weick (2013) refer to safety as a “dynamic nonevent,” meaning that a resilient system's emergent property of safety is difficult to observe because successful outcomes are ongoing and constantly achieved.…”

Section: Introductionmentioning

confidence: 99%

Increasing a patient's sense of security in the hospital: A theory of trust and nursing action

2023

Self Cite

View full text Add to dashboard Cite

Having a decreased sense of security leads to unnecessary suffering and distress for patients. Establishing trust is critical for nurses to promote a patient's sense of security, consistent with trauma‐informed care. Research regarding nursing action, trust, and sense of security is wide‐ranging but fragmented. We used theory synthesis to organize the disparate existing knowledge into a testable middle‐range theory encompassing these concepts in hospitals. The resulting model illustrates how individuals are admitted to the hospital with some predisposition to trust or mistrust the healthcare system and/or personnel. Patients encounter circumstances increasing their emotional and/or physical vulnerability to harm, leading to experiences of fear and anxiety. Without intervention, fear and anxiety lead to a decreased sense of security, increased distress, and suffering. Nurse action can ameliorate these effects by increasing a hospitalized person's sense of security or by promoting the development of interpersonal trust, also leading to an increased sense of security. Increased sense of security results in diminished anxiety and fear, and increased hopefulness, confidence, calm, sense of value, and sense of control. The consequences of a decreased sense of security are harmful to patients and nurses should know that they can intervene in ways that both increase interpersonal trust and sense of security.

show abstract

A balance of unsafe care incidents and interactive cooperative care: A constructivist grounded theory study of safe care ecosystem for older inpatients

Yan,

Wu,

Liu

et al. 2024

Journal of Clinical Nursing

View full text Add to dashboard Cite

AimsTo explore older inpatients and their caregivers' care experience and how this relates to the gerontology care practice.BackgroundResearch interest in the conceptualization of safe care for older inpatients was growing, and these studies were predominantly reported from a single or healthcare perspective. There is a shortage of literature on how patients and their caregivers conceptualise safe care.DesignConstructivist grounded theory.MethodsStage 1 included semi‐structured interviews with inpatients. Stage 2 included semi‐structured interviews with caregivers and six field notes. Purposive and theoretical sampling were used to recruit 61 participants across six healthcare institutions. Data analysis included initial coding, focused coding, and theoretical coding using constant comparative, field notes and memo writing.ResultsThe substantive theory to emerge from the data was A balance of unsafe care incidents and interactive cooperative care. This core concept was informed by four categories: unsafe care incidents, interactive cooperative care, person‐centred care, contextual conditions, and one care outcome. The relationships between these categories constituted a balance in which patient‐centred care was the core, unsafe care incidents were the barriers, interactive cooperative care was the facilitator, and the result of the balance was the care outcome. The balance constituted a safe care ecosystem under the interaction of contextual conditions.ConclusionsInteractive cooperative care is vital in enabling care stakeholders to reduce unsafe care incidents, which facilitates them in achieving safe care and further constructing a healthy care ecosystem.Relevance to Clinical PracticeThis theory identifies barriers and facilitators encountered by care stakeholders to cope with everyday problems and guides them in developing personalised care plans to ensure patient safety.

show abstract

A grounded theory of creating space for open safety communication between hospitalized patients and nurses

Cited by 4 publications

References 35 publications

Patient Voices in Hospital Safety during the COVID-19 Pandemic

Patient Voices in Hospital Safety during the COVID-19 Pandemic

Increasing a patient's sense of security in the hospital: A theory of trust and nursing action

A balance of unsafe care incidents and interactive cooperative care: A constructivist grounded theory study of safe care ecosystem for older inpatients

Contact Info

Product

Resources

About