Abstract：
BACKGROUND: In situations of home care, patients and their family members must address problems and emergencies themselves. For this reason, home-visiting nurses (HVNs) must practice risk management to ensure that patients can continue receiving care in the comfort of their homes. The purpose of this study was to examine HVNs\' attitudes toward risk management.
METHODS: This study adopted a qualitative description approach. Semi-structured interviews were conducted to collect information on HVNs\' risk management behavior and their attitudes toward it. Participants comprised 11 HVNs working at home-visiting nursing agencies in a prefecture of Japan. Transcribed interviews were analyzed using content analysis.
RESULTS: Nurses\' attitudes toward risk management comprised the following themes: (i) predicting and avoiding risks, (ii) ensuring medical safety in home settings, (iii) coping with incidents, and (iv) playing the role of administrators in medical safety, which was answered only by administrators.
CONCLUSIONS: When practicing risk management, home-visiting nurses should first assess the level of understanding of the patient and family, followed by developing safety measures tailored to their everyday needs. These results further suggest that administrators should take actions to foster a working environment conducive to risk management. These actions include coordinating duties to mitigate risk and improve the process of reporting risks. This study provides a baseline for future researchers to assist patients and families requiring medical care services of this nature.
METHODS: This study adopted a qualitative description approach. Semi-structured interviews were conducted to collect information on HVNs\' risk management behavior and their attitudes toward it. Participants comprised 11 HVNs working at home-visiting nursing agencies in a prefecture of Japan. Transcribed interviews were analyzed using content analysis.
RESULTS: Nurses\' attitudes toward risk management comprised the following themes: (i) predicting and avoiding risks, (ii) ensuring medical safety in home settings, (iii) coping with incidents, and (iv) playing the role of administrators in medical safety, which was answered only by administrators.
CONCLUSIONS: When practicing risk management, home-visiting nurses should first assess the level of understanding of the patient and family, followed by developing safety measures tailored to their everyday needs. These results further suggest that administrators should take actions to foster a working environment conducive to risk management. These actions include coordinating duties to mitigate risk and improve the process of reporting risks. This study provides a baseline for future researchers to assist patients and families requiring medical care services of this nature.
摘要：
背景：在家庭护理的情况下，患者及其家庭成员必须自己解决问题和紧急情况。出于这个原因,家访护士（HVNs）必须实行风险管理，以确保患者可以在舒适的家中继续接受护理。这项研究的目的是研究HVNs对风险管理的态度。
方法：本研究采用定性描述方法。进行了半结构化访谈，以收集有关HVNs风险管理行为及其态度的信息。参与者包括在日本某县的家庭护理机构工作的11个HVN。转录访谈使用内容分析进行分析。
结果：护士对风险管理的态度包括以下主题：（i）预测和避免风险，(ii)确保家庭环境中的医疗安全，(iii)应付意外事件,（iv）在医疗安全方面发挥管理员的作用，只有管理员回答。
结论：在实施风险管理时，家访护士应首先评估患者和家人的理解水平，其次是制定适合他们日常需求的安全措施。这些结果进一步表明，管理人员应采取行动，营造有利于风险管理的工作环境。这些行动包括协调职责以减轻风险并改进报告风险的过程。这项研究为未来的研究人员提供了一个基线，以帮助需要这种性质的医疗服务的患者和家庭。
方法：本研究采用定性描述方法。进行了半结构化访谈，以收集有关HVNs风险管理行为及其态度的信息。参与者包括在日本某县的家庭护理机构工作的11个HVN。转录访谈使用内容分析进行分析。
结果：护士对风险管理的态度包括以下主题：（i）预测和避免风险，(ii)确保家庭环境中的医疗安全，(iii)应付意外事件,（iv）在医疗安全方面发挥管理员的作用，只有管理员回答。
结论：在实施风险管理时，家访护士应首先评估患者和家人的理解水平，其次是制定适合他们日常需求的安全措施。这些结果进一步表明，管理人员应采取行动，营造有利于风险管理的工作环境。这些行动包括协调职责以减轻风险并改进报告风险的过程。这项研究为未来的研究人员提供了一个基线，以帮助需要这种性质的医疗服务的患者和家庭。
