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Background <p>Safety risks in residential long-term care arise from complex care situations and the vulnerability of residents. Simulation-based methods, such as a&#xa0;room of horrors (RoH) intervention, can enhance staff awareness of these risks. This study aimed to investigate how staff attitudes toward resident safety in long-term care develop in the context of a&#xa0;RoH intervention.</p> Method <p>A&#xa0;written standardized pre-post survey with 176 participants was conducted, measuring attitudes toward safety risks using the German short version of the attitudes to patient safety questionnaire (G-APSQshort).</p> Results <p>The G‑APSQshort score significantly increased from 5.4&#xa0;to 5.6&#xa0;points (<i>p</i> &lt; 0.001), with care assistants showing the greatest improvement (<i>p</i> &lt; 0.001). Additionally, 77.3% of participants would recommend the RoH concept further and 80.2% expressed a&#xa0;desire for regular RoH interventions.</p> Conclusion <p>The RoH intervention enhances staff awareness and attitudes toward resident safety, fostering a&#xa0;safety culture and improving care quality in long-term care; however, the practical relevance of the findings requires further evaluation.</p>

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Room of Horrors: Einfluss auf die Haltung zur Bewohner*innensicherheit – Eine Prä-post-Studie

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年7月31日

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  • Graciana-Virginye Versteeg,
  • Theresa A. Forbrig,
  • Johannes Gräske

摘要

Background

Safety risks in residential long-term care arise from complex care situations and the vulnerability of residents. Simulation-based methods, such as a room of horrors (RoH) intervention, can enhance staff awareness of these risks. This study aimed to investigate how staff attitudes toward resident safety in long-term care develop in the context of a RoH intervention.

Method

A written standardized pre-post survey with 176 participants was conducted, measuring attitudes toward safety risks using the German short version of the attitudes to patient safety questionnaire (G-APSQshort).

Results

The G‑APSQshort score significantly increased from 5.4 to 5.6 points (p < 0.001), with care assistants showing the greatest improvement (p < 0.001). Additionally, 77.3% of participants would recommend the RoH concept further and 80.2% expressed a desire for regular RoH interventions.

Conclusion

The RoH intervention enhances staff awareness and attitudes toward resident safety, fostering a safety culture and improving care quality in long-term care; however, the practical relevance of the findings requires further evaluation.