“Awakening consciousness”: Safe Care Linkage Theory From a Mixed Perspective—A Constructivist Grounded Theory Study
Lupei Yan, Xiaorong Wu, Yunman Huang, Li Liu, Fang Wang, Xiuying Hu

TL;DR
This study explores how healthcare professionals, older adults, and caregivers understand and implement safe geriatric care, developing a new theory called 'Awakening consciousness–Safe care linkage theory'.
Contribution
The study introduces a novel grounded theory explaining how safety awareness is awakened among geriatric care stakeholders to improve patient safety.
Findings
The 'Awakening consciousness–Safe care linkage theory' includes four levels: concept-motivation, environment-institution, practice-interaction, and balance-choice.
The theory provides a framework for understanding and addressing unsafe care crises in geriatric care settings.
Findings suggest the theory can guide efforts to improve safety by redesigning management processes and awakening stakeholder awareness.
Abstract
To explore how healthcare professionals, older adults, and caregivers across different contexts conceptualize and implement safe care and develop a substantive theory that reflects their perspectives. Geriatric care is delivered in a model of ongoing change, with healthcare professionals, older adults, and caregivers highlighting its impact on patient safety. However, there is a shortage of literature on how all care stakeholders conceptualize safe geriatric care. Constructivist grounded theory methodology was employed in this study. Between February 2023 and September 2024, semistructured interviews were conducted. Twenty‐five healthcare professionals, 24 inpatients, 19 care workers, and 18 family members from ten hospitals and one primary health center within China participated in the study. Data analysis included initial coding, focused coding, and theoretical coding using constant…
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Taxonomy
TopicsPatient Safety and Medication Errors · Occupational Health and Safety Research · Geriatric Care and Nursing Homes
