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Feeling safe during an inpatient hospitalization: a concept analysis
Author(s) -
Mollon Deene
Publication year - 2014
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.12348
Subject(s) - feeling , harm , cinahl , patient safety , psychology , perception , medline , perspective (graphical) , qualitative research , social psychology , medicine , nursing , psychological intervention , health care , computer science , sociology , social science , neuroscience , artificial intelligence , political science , law , economics , economic growth
Aim This paper aims to explore the critical attributes of the concept feeling safe. Background The safe delivery of care is a high priority; however; it is not really known what it means to the patient to ‘feel safe’ during an inpatient hospitalization. This analysis explores the topic of safety from the patient's perspective. Design Concept analysis. Data sources The data bases of CINAHL , Medline, PsychInfo and Google Scholar for the years 1995–2012 were searched using the terms safe and feeling safe. Methods The eight‐step concept analysis method of Walker and Avant was used to analyse the concept of feeling safe. Uses and defining attributes, as well as identified antecedents, consequences and empirical referents, are presented. Case examples are provided to assist in the understanding of defining attributes. Results Feeling safe is defined as an emotional state where perceptions of care contribute to a sense of security and freedom from harm. Four attributes were identified: trust, cared for, presence and knowledge. Relationship, environment and suffering are the antecedents of feeling safe, while control, hope and relaxed or calm are the consequences. Empirical referents and early development of a theory of feeling safe are explored. Conclusion This analysis begins the work of synthesizing qualitative research already completed around the concept of feeling safe by defining the key attributes of the concept. Support for the importance of developing patient‐centred models of care and creating positive environments where patients receive high‐quality care and feel safe is provided.