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      Safeguarding adults: A concept analysis

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Aims

          This article aimed to examine the concept of safeguarding adults and establish an operational definition for application to practice, research and policy.

          Design

          Rodgers' evolutionary and inductive method of concept analysis was used.

          Data Sources

          A systematic search was conducted across four electronic databases, CINAHL, PsycINFO, Scopus and PubMed, covering the period from January 2014 to May 2023. This systematic database search aimed to gather a broad spectrum of research and scholarly literature to inform and support the concept analysis. A total of 10 peer‐reviewed articles were reviewed using a data chart to identify the context, definitions, antecedents, attributes and consequences of safeguarding adults.

          Results

          The analysis of the included articles helped to develop a better understanding of safeguarding adults by offering a practical operational definition tailored to the specific needs of practising nurses. The implications for practice, research and policy are discussed, highlighting the potential for improving the quality of care and ensuring the well‐being of adults at risk of abuse.

          Conclusion

          By employing Rogers' evolutionary concept analysis method, we developed a deeper insight into safeguarding adults in health care. A synthesis of literature revealed the intricate layers and adaptations within safeguarding practices. This concept analysis lays the groundwork for future research, policy development and educational initiatives, enhancing the well‐being and safety of adults at risk of abuse within care.

          Impact

          By undertaking a concept analysis of the term safeguarding adults' nurses can be more prepared to engage in and reinforce the key principles of safeguarding adults, providing guidance to ensure the protection and well‐being of adults at risk of abuse.

          Patient or Public Contribution

          Not applicable.

          What this Paper Contributes to the Wider Body of Knowledge

          This concept analysis helps to define and clarify the conceptual term ‘safeguarding adults’ promoting a shared understanding of the key components of adult protection and providing a comprehensive framework for assessment and management of adults at risk of abuse in this field of practice.

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          Most cited references83

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          • Article: not found

          Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study.

          Austerity measures and health-system redesign to minimise hospital expenditures risk adversely affecting patient outcomes. The RN4CAST study was designed to inform decision making about nursing, one of the largest components of hospital operating expenses. We aimed to assess whether differences in patient to nurse ratios and nurses' educational qualifications in nine of the 12 RN4CAST countries with similar patient discharge data were associated with variation in hospital mortality after common surgical procedures. For this observational study, we obtained discharge data for 422,730 patients aged 50 years or older who underwent common surgeries in 300 hospitals in nine European countries. Administrative data were coded with a standard protocol (variants of the ninth or tenth versions of the International Classification of Diseases) to estimate 30 day in-hospital mortality by use of risk adjustment measures including age, sex, admission type, 43 dummy variables suggesting surgery type, and 17 dummy variables suggesting comorbidities present at admission. Surveys of 26,516 nurses practising in study hospitals were used to measure nurse staffing and nurse education. We used generalised estimating equations to assess the effects of nursing factors on the likelihood of surgical patients dying within 30 days of admission, before and after adjusting for other hospital and patient characteristics. An increase in a nurses' workload by one patient increased the likelihood of an inpatient dying within 30 days of admission by 7% (odds ratio 1·068, 95% CI 1·031-1·106), and every 10% increase in bachelor's degree nurses was associated with a decrease in this likelihood by 7% (0·929, 0·886-0·973). These associations imply that patients in hospitals in which 60% of nurses had bachelor's degrees and nurses cared for an average of six patients would have almost 30% lower mortality than patients in hospitals in which only 30% of nurses had bachelor's degrees and nurses cared for an average of eight patients. Nurse staffing cuts to save money might adversely affect patient outcomes. An increased emphasis on bachelor's education for nurses could reduce preventable hospital deaths. European Union's Seventh Framework Programme, National Institute of Nursing Research, National Institutes of Health, the Norwegian Nurses Organisation and the Norwegian Knowledge Centre for the Health Services, Swedish Association of Health Professionals, the regional agreement on medical training and clinical research between Stockholm County Council and Karolinska Institutet, Committee for Health and Caring Sciences and Strategic Research Program in Care Sciences at Karolinska Institutet, Spanish Ministry of Science and Innovation. Copyright © 2014 Elsevier Ltd. All rights reserved.
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            Changing how we think about healthcare improvement

            Complexity science offers ways to change our collective mindset about healthcare systems, enabling us to improve performance that is otherwise stagnant, argues Jeffrey Braithwaite
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              Elder abuse prevalence in community settings: a systematic review and meta-analysis.

              Elder abuse is recognised worldwide as a serious problem, yet quantitative syntheses of prevalence studies are rare. We aimed to quantify and understand prevalence variation at the global and regional levels.
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                Author and article information

                Contributors
                anita.duffy1@ucdconnect.ie
                Journal
                J Adv Nurs
                J Adv Nurs
                10.1111/(ISSN)1365-2648
                JAN
                Journal of Advanced Nursing
                John Wiley and Sons Inc. (Hoboken )
                0309-2402
                1365-2648
                28 June 2024
                January 2025
                : 81
                : 1 ( doiID: 10.1111/jan.v81.1 )
                : 181-197
                Affiliations
                [ 1 ] UCD School of Nursing, Midwifery and Health Sciences UCD Dublin Ireland
                [ 2 ] Our Lady's Hospice & Care Services Dublin Ireland
                Author notes
                [*] [* ] Correspondence

                Anita Duffy, UCD School of Nursing, Midwifery and Health Sciences, UCD, Dublin, Ireland.

                Email: anita.duffy1@ 123456ucdconnect.ie

                Author information
                https://orcid.org/0000-0003-4020-4238
                https://orcid.org/0000-0002-8370-629X
                https://orcid.org/0000-0002-6602-1803
                Article
                JAN16306 JAN-2023-3229.R2
                10.1111/jan.16306
                11638518
                38943338
                f18b08fc-9e29-4e28-b435-1e6dee400cea
                © 2024 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 07 June 2024
                : 22 December 2023
                : 15 June 2024
                Page count
                Figures: 2, Tables: 4, Pages: 17, Words: 10500
                Categories
                Concept
                Concept
                Custom metadata
                2.0
                January 2025
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.5.1 mode:remove_FC converted:13.12.2024

                Nursing
                abuse,concept analysis,nursing,safeguarding adults
                Nursing
                abuse, concept analysis, nursing, safeguarding adults

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