Factors influencing the perception of feeling safe in pre-hospital emergency care: A mixed-methods systematic review.
emergency medical services
feeling safe
feeling unsafe
patient safety
pre-hospital emergency care
related factors
systematic review
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
revised:
09
11
2022
received:
15
06
2022
accepted:
14
11
2022
medline:
7
7
2023
pubmed:
1
12
2022
entrez:
30
11
2022
Statut:
ppublish
Résumé
To systematically describe the factors influencing the perception of feeling safe among patients receiving pre-hospital emergency care. Patient safety is a top priority worldwide. Little is known about how patients perceive safety during emergency health care and what the related factors are. A mixed-methods systematic review. Six databases were searched to December 2021. Inclusion criteria were as follows: studies with patients of any age, framed in pre-hospital emergency care settings, referring to patient safety, addressing the perception of safety, and with a quantitative or qualitative research design. Exclusion criteria were as follows: conference records, abstracts, supplements, letters, editorials and reviews. The quality of the evidence was assessed with the Joanna Briggs Institute (JBI) checklists. A convergent integrated approach was followed according to the JBI methodology. The protocol was registered on PROSPERO (CRD42022306337). PRISMA 2020 guidelines were followed in reporting this review. Among the 5223 records identified, the whole texts of 35 articles were reviewed. Ten studies were relevant to the research question. Seven followed a qualitative methodology, with interviews or focus group. Three involved a quantitative methodology, with questionnaires or validated measures. The 74 findings were organised into 11 categories and then grouped into four dimensions: 'receiving a satisfying response from healthcare professionals when I need it', 'EMS personnel's professional competence', 'the variable and unfamiliar settings of pre-hospital emergencies', and 'patients' personal characteristics'. The perception of safety is influenced by many factors, which can be grouped into four independent dimensions. Quantitative and qualitative studies can provide us with complementary findings. Awareness of these factors enables us to act upon them. When patients feel safe their health outcomes improve, their anxiety decreases and they collaborate more actively. Patients and caregivers shared their experiences in the articles included.
Sections du résumé
AIMS
OBJECTIVE
To systematically describe the factors influencing the perception of feeling safe among patients receiving pre-hospital emergency care.
BACKGROUND
BACKGROUND
Patient safety is a top priority worldwide. Little is known about how patients perceive safety during emergency health care and what the related factors are.
DESIGN
METHODS
A mixed-methods systematic review.
METHODS
METHODS
Six databases were searched to December 2021. Inclusion criteria were as follows: studies with patients of any age, framed in pre-hospital emergency care settings, referring to patient safety, addressing the perception of safety, and with a quantitative or qualitative research design. Exclusion criteria were as follows: conference records, abstracts, supplements, letters, editorials and reviews. The quality of the evidence was assessed with the Joanna Briggs Institute (JBI) checklists. A convergent integrated approach was followed according to the JBI methodology. The protocol was registered on PROSPERO (CRD42022306337). PRISMA 2020 guidelines were followed in reporting this review.
RESULTS
RESULTS
Among the 5223 records identified, the whole texts of 35 articles were reviewed. Ten studies were relevant to the research question. Seven followed a qualitative methodology, with interviews or focus group. Three involved a quantitative methodology, with questionnaires or validated measures. The 74 findings were organised into 11 categories and then grouped into four dimensions: 'receiving a satisfying response from healthcare professionals when I need it', 'EMS personnel's professional competence', 'the variable and unfamiliar settings of pre-hospital emergencies', and 'patients' personal characteristics'.
CONCLUSIONS
CONCLUSIONS
The perception of safety is influenced by many factors, which can be grouped into four independent dimensions. Quantitative and qualitative studies can provide us with complementary findings.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
Awareness of these factors enables us to act upon them. When patients feel safe their health outcomes improve, their anxiety decreases and they collaborate more actively.
NO PATIENT OR PUBLIC CONTRIBUTION
UNASSIGNED
Patients and caregivers shared their experiences in the articles included.
Types de publication
Systematic Review
Journal Article
Review
Langues
eng
Pagination
4473-4491Subventions
Organisme : Instituto de Salud Carlos III. Ministry of Science and Innovation, Spain
ID : PI19/00385
Informations de copyright
© 2022 John Wiley & Sons Ltd.
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