Safeguarding adults: A concept analysis.
Anita Duffy, Freda Browne, Michael Connolly
PMID 38943338WHAT IT FOUND
Adult safeguarding has no internationally agreed definition.
The review proposes 12 principles, including empowerment, prevention, protection, proportionality, partnership, accountability, care, compassion, courage, communication, competence, and critical reflection.
Key findings
01Adult safeguarding has no internationally agreed definition, and reporting thresholds vary across cultures, healthcare systems and individuals.
02Being an adult at risk because of care or support needs, and diminished or fluctuating capacity, were identified as antecedents to safeguarding.
03The analysis proposed an operational definition with 12 core principles, including care, compassion, courage, communication, competence and critical reflection.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The paper analysed concepts from published literature, not patients or clinical outcomes. It included only 10 articles, and five of the 10 did not offer a definition. The included literature came from the UK, Sweden and the USA. It was limited to English publications and excluded grey literature. It was conducted by a small team as part of a larger Ph.D. study. The model case is fictional, so it illustrates the concept but does not test it.
The easy way to misread this
Do not treat the 12 principles as a tested safeguarding intervention. The study analysed published concepts and a fictional model case, not patient outcomes.