Professionals’ beliefs in patient involvement for hospital safety (original) (raw)

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...

Engaging Patients for Patient Safety: A Qualitative Study on Healthcare Recipients’ Perspectives

Jurnal Administrasi Kesehatan Indonesia

Background: Patient safety (PS) is a global priority for achieving quality healthcare. Although patient engagement (PE) is a crucial risk-reduction strategy, research on this subject in Indonesia is scarce. Aim: This study aims to explore healthcare recipients’ (HCRs’) perspectives and their potential role in PS. Methods: Exploratory qualitative research was conducted with in-depth interviews (IDIs). This study purposively selected fourteen patients and fifteen caretakers in chronic wards. Content analysis was subjected to the IDIs data that has been transcribed verbatim. Results: HCRs showed inadequate knowledge, perception, and willingness to engage in patient safety. Four themes were identified from data analysis: (1) complexity barriers to PE Implementation; (2) enabling factors for PE; (3) HCRs' expectations; and (4) existing and potential HCRs' roles in PS. HCRs' roles were still limited to communication, positive attitude and behavior, aided healthcare process, an...

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.

Determinants of patient participation for safer care: A qualitative study of physicians' experiences and perceptions

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.

Patient participation in hospital care: Nursing staffs' point of view

International Journal of Nursing Practice, 2014

The aim was to investigate nursing staff’s perceptions related to patient participation and the parameters affecting it during nursing care. A cross-sectional study with both a quantitative and qualitative orientation was conducted. The sample consisted of all nursing staff working in medical and surgical wards in three Greek hospitals. A questionnaire was developed and the data were analysed with exploratory factor analysis, whereas content analysis was used for qualitative data. Nursing staff perceived participation as the process of information giving to patients, communication of symptoms by patients and compliance with the staff’s orders. ‘Information providing’ and ‘ability to influence and responsibility’ were significant aspects of the content of participation, whereas the parameters affecting participation were related to patients, nursing staff and the care context. These results support patient engagement in dialogue and shared decisionmaking, while highlighting the need to implement participation systematically and stimulate changes in nursing care organization.

Surgical patients’ perception of safety and their involvement in health care

2020

Objective: to investigate surgical patients’ perceptions of patient safety, and their involvement in health care during hospitalization. Method: in this qualitative, exploratory study of 14 postoperative patients, data were obtained by semistructured interview in 2016 at a rehabilitation hospital, and analyzed taking Bardin as the theoretical framework. Results: the participants associated safety with physical structure, institutional trust, the health team’s training, and humanized care. They were involved mainly in the medication administration process and in situations that diverged from the care plan known to the patient. Conclusion: patients' perceptions of health care safety and health care errors were associated with situations they experienced or which were broadcast in the media. Patient involvement occurred in actions constituted as barriers to the occurrence of health care errors, thus legitimizing their role as co-responsible for safe care. Descriptors: Patient Safet...