Patient safety for people experiencing advanced dementia in hospital: A video reflexive ethnography.

Dadich, A; Rodrigues, J; De Bellis, A; Hosie, A; Symonds, T; Prendergast, J; Bevan, A; Collier, A

Patient safety for people experiencing advanced dementia in hospital: A video reflexive ethnography.

Dadich, A Rodrigues, J De Bellis, A Hosie, A

Symonds, T Prendergast, J Bevan, A Collier, A

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Publisher:: SAGE Publications
Publication Type:: Journal Article
Citation:: Dementia (London), 2023, 22, (5), pp. 1057-1076
Issue Date:: 2023-07

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Field	Value	Language
dc.contributor.author	Dadich, A
dc.contributor.author	Rodrigues, J
dc.contributor.author	De Bellis, A
dc.contributor.author	Hosie, A https://orcid.org/0000-0003-1674-2124
dc.contributor.author	Symonds, T
dc.contributor.author	Prendergast, J
dc.contributor.author	Bevan, A
dc.contributor.author	Collier, A
dc.date.accessioned	2023-09-06T00:34:46Z
dc.date.available	2023-09-06T00:34:46Z
dc.date.issued	2023-07
dc.identifier.citation	Dementia (London), 2023, 22, (5), pp. 1057-1076
dc.identifier.issn	1471-3012
dc.identifier.issn	1741-2684
dc.identifier.uri	http://hdl.handle.net/10453/171932
dc.description.abstract	BACKGROUND: Patient safety for people experiencing dementia in acute hospitals is a global priority. Despite national strategies as well as safety and quality guidelines, how safety practices are enacted within the complexities of everyday work are poorly understood and articulated. METHODS: Using video reflexive ethnography, this 18-month study was conducted within an inpatient geriatric evaluation and management unit for people experiencing dementia and/or delirium in Australia. Patients, family members, and staff members participated by: allowing researchers to document fieldwork notes and video-record their practices and/or accounts thereof; and/or interpreting video-recordings with researchers to co-analyse and make sense of the data. RESULTS: Safe care for people experiencing advanced dementia involved: negotiating risk via leadership, teamwork, and transparency; practice-based learning through situated adaptation; managing personhood versus protocols by doing the 'right' thing; joyful and meaningful work; as well as incorporating patient and family voices to do safety together. CONCLUSION: Patient safety for people experiencing dementia requires continuous responsiveness and prioritising in the context of multiple risks by a staff collective with a shared purpose. Ongoing research to better understand how the nuances of patient safety unfold in everyday complex clinical realities in diverse contexts and with key stakeholders is required.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	SAGE Publications
dc.relation.ispartof	Dementia (London)
dc.relation.isbasedon	10.1177/14713012231168958
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1110 Nursing, 1702 Cognitive Sciences
dc.subject.classification	Geriatrics
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4205 Nursing
dc.subject.mesh	Humans
dc.subject.mesh	Aged
dc.subject.mesh	Patient Safety
dc.subject.mesh	Dementia
dc.subject.mesh	Anthropology, Cultural
dc.subject.mesh	Hospitals
dc.subject.mesh	Australia
dc.subject.mesh	Humans
dc.subject.mesh	Dementia
dc.subject.mesh	Anthropology, Cultural
dc.subject.mesh	Aged
dc.subject.mesh	Hospitals
dc.subject.mesh	Australia
dc.subject.mesh	Patient Safety
dc.subject.mesh	Humans
dc.subject.mesh	Aged
dc.subject.mesh	Patient Safety
dc.subject.mesh	Dementia
dc.subject.mesh	Anthropology, Cultural
dc.subject.mesh	Hospitals
dc.subject.mesh	Australia
dc.title	Patient safety for people experiencing advanced dementia in hospital: A video reflexive ethnography.
dc.type	Journal Article
utslib.citation.volume	22
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1110 Nursing
utslib.for	1702 Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2023-09-06T00:34:43Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	22
utslib.citation.issue	5

Abstract:

BACKGROUND: Patient safety for people experiencing dementia in acute hospitals is a global priority. Despite national strategies as well as safety and quality guidelines, how safety practices are enacted within the complexities of everyday work are poorly understood and articulated. METHODS: Using video reflexive ethnography, this 18-month study was conducted within an inpatient geriatric evaluation and management unit for people experiencing dementia and/or delirium in Australia. Patients, family members, and staff members participated by: allowing researchers to document fieldwork notes and video-record their practices and/or accounts thereof; and/or interpreting video-recordings with researchers to co-analyse and make sense of the data. RESULTS: Safe care for people experiencing advanced dementia involved: negotiating risk via leadership, teamwork, and transparency; practice-based learning through situated adaptation; managing personhood versus protocols by doing the 'right' thing; joyful and meaningful work; as well as incorporating patient and family voices to do safety together. CONCLUSION: Patient safety for people experiencing dementia requires continuous responsiveness and prioritising in the context of multiple risks by a staff collective with a shared purpose. Ongoing research to better understand how the nuances of patient safety unfold in everyday complex clinical realities in diverse contexts and with key stakeholders is required.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/171932