Education and training of nurses in the use of advanced medical technologies in home care related to patient safety: A cross-sectional survey

Haken, Ingrid ten; Allouch, Somaya Ben; Harten, Wim H. van

doi:10.1016/j.nedt.2021.104813

Cited by 10 publications

(9 citation statements)

References 19 publications

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“…This study highlights the solution-oriented ability of homecare teams when handling AMTs in practical settings. This aligns with the ndings of studies conducted at the operational level among nurses within the same organisations: demonstrating a strong awareness of quality and patient safety within a more implicit professional safety culture, resulting in relatively few incidents [14,16]. However, a lack of organisation-wide learning systems is evident.…”

Section: Discussionsupporting

confidence: 75%

“…Competency testing is not always mandatory, and retraining often occurs on an occasional basis or on team requests. These factors align with risks identi ed in a prior study among operational-level respondents from the same organisations [14]. Additional risks arise from the requirement for formal registration of nursing competence, which not all nurses ful ll, and some organisations place the responsibility of competence on nurses.…”

Section: Discussionsupporting

confidence: 61%

“…To further ensure the quality of home treatments involving advanced medical technologies (AMTs), increased attention should be directed towards training healthcare providers. Evidently, personnel with appropriate AMT-related competencies and levels of expertise are not always deployed [9][10][11]14]. A previous survey on education and training at the operational level identi ed risk factors for patient safety.…”

Section: Introductionmentioning

confidence: 99%

“…A previous survey on education and training at the operational level identi ed risk factors for patient safety. These include practical training of AMTs is not always provided, additional or retraining is not always mandatory, and competencies are not always assessed [14]. While many organisations have improved quality enhancement and patient safety, integrated education into training plans is the next step [15].…”

Section: Introductionmentioning

confidence: 99%

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Quality and safety management of advanced medical technologies in home care organisations: A qualitative survey along the road to uniformity in the Netherlands.

Haken,

Allouch,

Harten

2024

Preprint

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Background: A Quality Management System (QMS) in health care organisations encompasses not only policies, processes and necessary procedures, but should also encompass quality, safety, and risk management of medical technology (MT). Tactical and operational decision-making levels should be closely interconnected. Previous studies showed that nurses at the operational level do have a good awareness of patient safety, but especially in teams with a strong degree of self-organisation the interaction with tactical levels is an issue. Methods: A qualitative methodology was employed to explores the perspectives of employees who are responsible at a tactical level in homecare organisations concerning the quality and safety of advanced medical technologies (AMTs). Fifteen semi-structured interviews were conducted with purposively sampled employees across the Netherlands. Data were analyzed thematically using mainly a deductive approach. Results: All organisations possess a QMS, with only seven participants indicating that there is a plan for the quality and safety of AMTs. Most organisations apply the national protocols in the use of AMTs and rely on the supplier’s maintenance protocols. Although some participants say that their organisation has no formal procedure for resolving malfunctions with AMTs, all know pathways to solve problems. Organisations use tailored training programs for nurses in using AMTs, but not all are testing knowledge and skills and/or demand the formal registration of competence of nurses. Professionals report an incident on a separate form in the electronic client file or via a separate reporting system. However, there is no uniformity within organisations about handling incidents. Most interviewees state that in any case, incidents are discussed in the team. On the dimension ‘reporting, evaluating and learning from incidents’, the prevalent patient safety culture is ‘proactive’ on average. Conclusions: There is a lack of uniformity regarding quality and safety procedures for the use of AMTs in homecare organisations and structured policies for the implementation, use and maintenance are needed. This study identified additional risk factors regarding individual competencies in the use of AMTs at home. Employees at a tactical level, seem to be more positive about the patient safety culture with AMTs in their organisations than nurses at operational level.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionsupporting

confidence: 61%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Quality and safety management of advanced medical technologies in home care organisations: A qualitative survey along the road to uniformity in the Netherlands.

Haken,

Allouch,

Harten

2024

Preprint

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“…They described difficulties related to less frequent caring activities and being responsible for finding out applicable policies or rules. This problem might grow more frequent in the future, as more advanced care is performed in patient homes [40,41]. This requires both collegial cooperation and the courage to act when things are not done safely.…”

Section: Discussionmentioning

confidence: 99%

Registered nurses' efforts to ensure safety for home‐dwelling older patients

Lindberg

Fock

Nilsén

et al. 2022

Scandinavian Caring Sciences

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Background The international development of health care, an ageing population and rapid technical development mean that more care is being performed in patient homes. This care environment is often unpredictable and involves both formal and informal caregivers, making it potentially unsafe. There is sparse knowledge about how patient safety is protected in home health care in Sweden and how registered nurses work to prevent risks and promote safe care. Aim The aim of the study was to explore registered nurses' efforts to reduce perceived risks for home‐dwelling older patients and ensure safe home health care. Method We used a qualitative design with individual interviews with 13 registered nurses working in municipalities in southeast Sweden. The narratives were analysed with inductive content analysis. Findings The findings showed that the registered nurses tried to secure a safe care environment and took an active role in care, striving to stay one step ahead of the patient. These three types of efforts are likely interdependent, suggesting they are all needed to reduce perceived risks for home‐dwelling older patients and ensure patient safety in home health care. Conclusions It is a challenge for registered nurses to maintain patient safety when performing care in patient homes. Continuity of care is required and must be based not only on self‐reliance among registered nurses but also on trusting relationships with patients, next of kin, colleagues and other personnel, as well as on the development of organisational conditions adapted to patient needs.

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Advanced health technologies require skills and influence the culture of education: Literature Review and Research Agenda

Mežnarec

Bogataj

2021

IFAC-PapersOnLine

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Education and training of nurses in the use of advanced medical technologies in home care related to patient safety: A cross-sectional survey

Cited by 10 publications

References 19 publications

Quality and safety management of advanced medical technologies in home care organisations: A qualitative survey along the road to uniformity in the Netherlands.

Quality and safety management of advanced medical technologies in home care organisations: A qualitative survey along the road to uniformity in the Netherlands.

Registered nurses' efforts to ensure safety for home‐dwelling older patients

Advanced health technologies require skills and influence the culture of education: Literature Review and Research Agenda

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