Patient participation in patient safety-An exploration of promoting factors.
cross sectional survey
internal medicine
patient participation
patient safety
perceptions
Journal
Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
10
07
2017
revised:
02
04
2018
accepted:
14
04
2018
pubmed:
22
8
2018
medline:
23
4
2019
entrez:
22
8
2018
Statut:
ppublish
Résumé
To study how internal medicine patients experienced patient safety during their recent periods of care and to identify explanatory factors for patient participation. Patient participation is recognized as one of the main factors promoting quality and safety and the identification of effective interventions that encourage safe care. A cross-sectional survey of patients (n = 462) in the internal medicine wards (n = 18) of all five Finnish university hospitals. Data were analysed using principal component analysis and multiple linear regression. Most patients (78%) assessed the level of patient safety on their ward as "very good" or "excellent," 20% of patients assessed it as acceptable or worse. The following were considered to be the most important factors explaining higher patient participation: informing patients about the research and encouraging them to participate (β = 0.378, p < 0.001), providing necessary information promptly and comprehensibly (β = 0.393, p < 0.001), and enhancing patients' ability to identify patient safety incident(s) (β = 0.186, p < 0.001). Healthcare workers must improve by encouraging patient participation and providing relevant information to patients. Nursing leaders must be competent to support, lead, and allocate resources for the creation of an environment where patient participation can occur and is valued by health care workers.
Sections du résumé
AIMS
OBJECTIVE
To study how internal medicine patients experienced patient safety during their recent periods of care and to identify explanatory factors for patient participation.
BACKGROUND
BACKGROUND
Patient participation is recognized as one of the main factors promoting quality and safety and the identification of effective interventions that encourage safe care.
METHODS
METHODS
A cross-sectional survey of patients (n = 462) in the internal medicine wards (n = 18) of all five Finnish university hospitals. Data were analysed using principal component analysis and multiple linear regression.
RESULTS
RESULTS
Most patients (78%) assessed the level of patient safety on their ward as "very good" or "excellent," 20% of patients assessed it as acceptable or worse. The following were considered to be the most important factors explaining higher patient participation: informing patients about the research and encouraging them to participate (β = 0.378, p < 0.001), providing necessary information promptly and comprehensibly (β = 0.393, p < 0.001), and enhancing patients' ability to identify patient safety incident(s) (β = 0.186, p < 0.001).
CONCLUSIONS
CONCLUSIONS
Healthcare workers must improve by encouraging patient participation and providing relevant information to patients.
IMPLICATION FOR NURSING MANAGEMENT
CONCLUSIONS
Nursing leaders must be competent to support, lead, and allocate resources for the creation of an environment where patient participation can occur and is valued by health care workers.
Types de publication
Journal Article
Langues
eng
Pagination
84-92Subventions
Organisme : Foundation for Nurse Education
Organisme : University of Eastern Finland
Organisme : Research Committee of the Kuopio University Hospital Catchment Area for the State Research Funding
Organisme : European Science Foundation Research Network Programme
ID : REFLECTION´-09-RNP-049
Informations de copyright
© 2018 John Wiley & Sons Ltd.