Mixed-method investigation of health consumers’ perception and experience of participation in patient safety activities (original) (raw)
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Engaging Patients for Patient Safety: A Qualitative Study on Healthcare Recipients’ Perspectives
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Patient involvement in patient safety: what factors influence patient participation and engagement?
Health Expectations, 2007
Background Patients can play an important role in improving patient safety by becoming actively involved in their health care. However, there is a paucity of empirical data on the extent to which patients take on such a role. In order to encourage patient participation in patient safety we first need to assess the full range of factors that may be implicated in such involvement.
Health Science Reports, 2018
Objective: There is a paucity of research on physicians' perspectives on involving patients to achieve safer care. This study aims to explore determinants of patient participation for safer care, according to physicians in Swedish health care. Methods: We used a deductive descriptive design, applying qualitative content analysis based on the Capability-Opportunity-Motivation-Behaviour framework. Semistructured interviews were conducted with 13 physicians in different types of health care units, to achieve a heterogeneous sample. The main outcome measure was barriers and facilitators to patient participation of potential relevance for patient safety. Results: Analysis of the data yielded 14 determinants (ie, subcategories) functioning as barriers and/or facilitators to patient participation of potential relevance for patient safety. These determinants were mapped to five categories: physicians' capability to involve patients in their care; patients' capability to become involved in their care, as perceived by the physicians; physicians' opportunity to achieve patient participation in their care; physicians' motivation to involve patients in their care; and patients' motivation to become involved in their care, as perceived by the physicians. Conclusion: There are many barriers to patient participation to achieve safer care. There are also facilitators, but these tend to depend on initiatives of individual physicians and patients, because organizational-level support may be lacking. Many of the determinants are interdependent, with physicians' perceived time constraints influencing other barriers.
Background: The study focused on the perception of health care professionals on compliance of organization of healthcare systems. The aim of the study was to examine the effects of healthcare compliance with regard to patient safety. The study uses a qualitative design based on focus group discussions (FGD) to explore perceptions regarding the health care system and health service. This study presents the aggregated opinions, expectations and priorities of professionals along some main dimensions of quality in health care. Methods: As a part of the research project, a FGD has been conducted with hospital staff on the research topic of compliance with safety practices among hospital professionals. Through FGD, we attempted to explore the degree of compliance with safety practices and its determinants. The FGD questions were open-ended questions in order to get reliable answers from the participants. The data sets collected during the focus group discussions were evaluated using the method of thematic analysis. Results: The participants to the FGD were from different departments of a Malaysian private hospital. Together with three-member research team, seven hospital workers attended the discussion. The focus group panels included the following: representatives from Quality, Pharmacy, Nursing, Rehabilitation, Imaging, Nursing Education and Security departments. This study shows that incompliance in healthcare procedures that can often have an effect on patient safety. Findings of the thematic analysis were summarized along organizational safety climate. Conclusion: This study shows opinion of professionals working in the healthcare. It serves as source of criteria with relevance to everyday practice. Hence, healthcare compliance has to start with awareness programs focusing on duty of care.
Patient preferences for participation in patient care and safety activities in hospitals
BMC nursing, 2017
Active patient participation is a patient safety priority for health care. Yet, patients and their preferences are less understood. The aim of the study was to explore hospitalised patients' preferences on participation in their care and safety activities in Sweden. Exploratory qualitative study. Data were collected over a four-month period in 2013 and 2014. Semi-structured interviews were conducted with 20 patients who were admitted to one of four medical wards at a university hospital in Sweden. Data were analysed using thematic analysis. Nine men and eleven women, whose median age was 72 years (range 22-89), were included in the study. Five themes emerged with the thematic analysis: endorsing participation; understanding enables participation; enacting patient safety by participation; impediments to participation; and the significance of participation. This study demonstrated that patients wanted to be active participants in their care and safety activities by having a voice ...
Patient participation in care safety: Primary Health Care professionals' perception
Revista brasileira de enfermagem, 2021
OBJECTIVES to analyze health professionals' perception about the meaning and practice of patient involvement in care safety in Primary Health Care. METHODS this is an exploratory, qualitative study, developed with 22 professionals in the Federal District, Brazil. A semi-structured interview was conducted between October and November/2018. Content analysis was carried out according to Bardin. RESULTS nurses, physicians, dentists, among others, participated. The following categories emerged: Meaning of patient involvement in care safety; Factors intervening in patient involvement in care safety; Strategies for patient involvement in care safety; Qualification for patient involvement in care safety. FINAL CONSIDERATIONS the meaning of patient involvement for care safety was associated with co-responsibility and patient-centered care. Professionals' practice revealed intervening factors and the use of involvement strategies. A gap was identified in training on patient involvemen...
ABSTRACT Patients’ rights have been formulated in a number of documents and guidelines from various international bodies. Laws and declarations on patients’ rights do not automatically make health care safer, but can help to empower patients. Empowered patients are in a better position to manage their own health and health care and to participate in efforts to improve safety. "e report presents an overview of legal aspects influencing patient safety and describes examples of patient involvement. It highlights the need to strengthen a continuum of information between various levels of care, including patient experiences, health literacy and engagement. "e work is expected to contribute to the wider process of evidence collation aimed at finding effeceint ways to build realistic and informed expectations of health care, while encouraging patients to be vigilant and knowledgeable to ensure maximum safety standards. Recommendations are formulated with respect to the macro, meso and micro levels of health service delivery.
Patient Safety: A Consumer's Perspective
Qualitative Health Research, 2011
In this article we provide a reconceptualization of patient-centered health care practice through a collaborative person-centered model for enhanced patient safety. Twenty-one participants were selected and interviewed from the internationally diverse population of individuals attending the Chicago Patient Safety Workshop (CPSW) sponsored by Consumers Advancing Patient Safety (CAPS). Analysis of the participant transcripts revealed three findings related to patient experience: the impact and meaning of communication and relationship within the health care setting, trust and expectation for the patient and family with the health care provider, and the meaning and application of patientcenteredness. Researchers concluded that successful planning toward enhanced patient-centered care requires multiple perspectives, including the voices of the patient and family members who have experienced the trauma of preventable medical error. Collaborative initiatives such as the CPSW and CAPS offer a positive way forward for enhanced patient safety and quality of care.