Promoting the Health, Safety and Well-being of Home Care and Health Care Workforce
Our research promotes practices, products, and policies that address occupational safety, environmental safety, and patient safety in both home care and hospitals.
What's New
The Safe Home Care Project is excited to present the following materials from our current research on interventions to improve safety for home care workers and their clients/consumers.
- A 31-page safety handbook designed to guide home care clients/consumers through the process of preparing their homes and understanding their role in creating the good working relationships that make it possible to get the most out of their home care visits
This safety handbook, created in collaboration with twelve research partners from the Massachusetts home care community, can be downloaded for printing services or distributed electronically in its entirety.
- A video prepared in partnership with the Betsy Lehman Center for Patient Safety to accompany the safety handbook.
- Preparing Your Home for Safe Home Care (4 minute video)
This video features animated illustrations from the safety handbook as well as interviews with home care aides who share reasons why they are committed to the field of care work and the well-being of their clients, and some features of the home care visit that help them do their best.
- An online training course for Care Managers introducing the concepts of Motivational Interviewing and its application in coaching clients so they can take steps to improve safety when receiving care at home.
- Motivational Interviewing to Improve Safety in Home Care (45 minute online course)
This course provides a certificate for 1 CEU in professional development training for nurses.
- An online training course introducing the concepts of managing occupational safety and health in home care to identify and eliminate or reduce or hazards in the client home environment. Improving the safety of the aide will often improve client safety. This training is designed for home care agency managers and their employees, unions and the workforce they represent.
- Practicing Occupational Safety and Health in Home Care (20 minute online course)
This course introduces concepts of occupational hazards, hazard identification and strategies for reducing or eliminating hazards using the NIOSH hierarchy of controls model. In public health, the discipline that addresses the health and safety of working people is referred to as “occupational safety and health.” The central occupational safety and health hazard prevention model is called the “hierarchy of controls.” The model is often illustrated by an inverted pyramid-shaped scale with the base representing the most effective way to control a hazard, which eliminates hazards from the working environment, and the peak representing the least effective way to control a hazard, which focuses on controlling hazards at the individual level.
- A brochure summarizing the findings of the most recent phase of our Safe Home Care Intervention study using figures and non-technical language. Overall, the intervention package raised client awareness about aide safety and affected change in some homes.
This brochure, in a printable center-folding format, provides the most impactful initial study findings to guide practice improvements for home care providers. Our research continues on fully evaluating the Safe Home Care Intervention package for publication in peer-reviewed scientific journals.
Selected Publications
For a list of all publications see the "Publications page" in the navigation menu.
- The Safe Home Care Intervention Study: Implementation Methods and Effectiveness Evaluation - Journal of Applied Gerontology in April 2024
- Coaching Home Care Clients to Prepare Their Homes for Safe Care Visits: A Mixed-Methods Study to Evaluate a Nurse-Led Educational Intervention Process - International Journal of Environmental Research and Public Health in March 2024
- Aide and Client Safety “Should Go Hand-In-Hand”: Qualitative Findings From Home Care Aides, Clients, and Agency Leaders - Journal of Applied Gerontology in December 2022
- Work as a Root Cause of Home Health Workers' Poor Health - American Journal of Public Health in January 2022.
- “It changed everything”: The Safe Home Care qualitative study of the COVID-19 pandemic’s impact on home care aides, clients, and managers - BMC Health Services Research in October 2021.
- Assessment of home care aides’ respiratory exposure to total volatile organic compounds and chlorine during simulated bathroom cleaning: An experimental design with conventional and “green” products - Journal of Occupational and Environmental Hygiene in May 2021.
- Healthy Aging Requires a Healthy Home Care Workforce: the Occupational Safety and Health of Home Care Aides - Current Environmental Health Reports in May 2021.
- Impacts of the COVID-19 pandemic on home health and home care agency managers, clients, and aides: A cross-sectional survey, March to June, 2020 – Home Health Care Management & Practice in December 2020.
- “That’s not my job”: A mixed methods study of challenging client behaviors, boundaries, and home care aide occupational safety and health - American Journal of Industrial Medicine in December 2019.
- Home care aides' experiences of verbal abuse: a survey of characteristics and risk factors - Journal of Occupational and Environmental Medicine in July 2019.
- Ergonomic evaluation of slide boards used by home care aides to assist client transfers - Ergonomics in July 2018.
- Cleaning and disinfection in home care: A comparison of 2 commercial products with potentially different consequences for respiratory health - American Journal of Infection Control in April 2018.
- Risk of Sharps Injuries to Home Care Nurses and Aides: A Systematic Review and Meta-Analysis - Journal of Occupational and Environmental Medicine in November 2017.
- Safety Risks Among Home Infusion Nurses and Other Home Health Care Providers - Journal of Infusion Nursing in July/August 2017.
- Risk of sharps injuries among home care aides: Results of the Safe Home Care survey - American Journal of Infection Control in April 2017.
- Occupational health of home care aides: results of the safe home care survey (pdf) - Occupational and Environmental Medicine in April 2016.