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Mapping a Research Agenda for Home Care Safety: Perspectives from Researchers, Providers, and Decision Makers*

Published online by Cambridge University Press:  25 May 2011

Marilyn Macdonald*
School of Nursing at Dalhousie University
Ariella Lang
Research Scientist Victorian Order of Nurses Canada
Jo-Anne MacDonald
St. F.X. University
Correspondence and requests for offprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Marilyn Macdonald, R.N., Ph.D. Associate Professor School of Nursing at Dalhousie University Halifax, Nova Scotia (


The purpose of this qualitative interpretive design was to explore the perspectives of researchers, health care providers, policy makers, and decision makers on key risks, concerns, and emerging issues related to home care safety that would inform a line of research inquiry. Defining safety specifically in this home care context has yet to be described; consequently, gaining insight from various stakeholders about safety issues relevant to the home care sector is necessary in order to inform strategic directions for future research. To begin to map a research agenda, a three-part environmental scan was conducted: (a) a pilot study with home care recipients and providers; (b) key informant interviews with researchers, health care providers, policy makers, and decision makers; and (c) a review of literature in three topic areas. Only the results of the key informant interviews are reported here.


Le but de cette conception qualitative et interprétative était d’examiner les perspectives des chercheurs, des pourvoyeurs de soins de santé et et des décideurs aux sujets des risques principaux, des préoccupations et des problèmes émergents rattachées à la sécurité de soins à domicile qui informerait une ligne d’enquête de recherche. La sécurité, tel qu’elle s’applique spécifiquement à ce context des soins à domicile, n’a pas encore été définie. Par conséquent, afin de profiter de diverses parties prenantes sur les questions de securité relatives aux soins à domicile est nécessaire afin d’informer les orientations stratégiques pour la recherche future. Afin de commencer à tracer un programme de recherche, une analyse en trois parties de l’environnement a été realisée: (a) une étude pilote avec les bénéficiaires et les fournisseurs de soins à domicile; (b) des entretiens avec des informateurs clés, les chercheurs, les fournisseurs de soins de santé, et les décideurs; et (c) une revue de la littérature dans trois domaines thématiques. Seulement les résultats des entrevues des informateurs clés sont présentés ici.

Copyright © Canadian Association on Gerontology 2011

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This study was funded by the Canadian Patient Safety Institute (CPSI). Ariella Lang is currently supported as a Chercheure Boursière by Fonds de la Recherche en Santé Québec (FRSQ). We extend thanks to Serena Corsini-Munt for her help as project coordinator and for her skill in helping with the key informant interviews. We thank Farraminah Francis for her hard work and help with the analysis of the interview transcripts. We also thank the other members of the research team – Jan Storch, Lynn Stevenson, Susan Donaldson, Hélène LaCroix, and the advisory committee – for their time, support, and feedback. The authors declare that they have no competing interests. MM prepared the research proposal, conducted interviews, analyzed the data, and revised the manuscript as needed for publication. AL prepared the research proposal, conducted interviews, analyzed the data, and edited several editions of the final manuscript. JM prepared the initial draft manuscript for submission.


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