Development of a framework to describe patient and family harm from disrespect and promote improvements in quality and safety: a scoping review.

Autor:	Sokol-Hessner L; Department of Health Care Quality, Beth Israel Deaconess Medical Center, Boston, MA, USA.; Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA., Kane GJ; Admissions Office, Boston University School of Public Health, Boston, MA, USA., Annas CL; Department of Health Care Quality, Beth Israel Deaconess Medical Center, Boston, MA, USA.; Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, MA, USA., Coletti M; Knowledge Services, Beth Israel Deaconess Medical Center, Boston, MA, USA., Sarnoff Lee B; Department of Social Work and Patient-Family Engagement, Beth Israel Deaconess Medical Center, Boston, MA, USA., Thomas EJ; Department of Internal Medicine, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX, USA.; University of Texas at Houston-Memorial Hermann Center for Healthcare Quality and Safety, McGovern Medical School at the University of Texas Health Sciences Center at Houston, TX, USA., Bell S; Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA., Folcarelli P; Department of Health Care Quality, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Jazyk:	angličtina
Zdroj:	International journal for quality in health care : journal of the International Society for Quality in Health Care [Int J Qual Health Care] 2019 Nov 30; Vol. 31 (9), pp. 657-668.
DOI:	10.1093/intqhc/mzy231
Abstrakt:	Purpose: Patients and families may experience 'non-physical' harm from interactions with the healthcare system, including emotional, psychological, socio-behavioral or financial harm, some of which may be related to experiences of disrespect. We sought to use the current literature to develop a practical, improvement-oriented framework to recognize, describe and help prevent such events. Data Sources: Searches were performed in PubMed, Embase, PsychINFO, CINAHL, Health Business Elite and ProQuest Dissertations & Theses: Global: Health & Medicine, from their inception through July 2017. Study Selection: Two authors reviewed titles, abstracts, full texts, references and cited-by lists to identify articles describing approaches to understanding patient/family experiences of disrespect. Data Extraction: Findings were evaluated using integrative review methodology. Results of Data Synthesis: Three-thousand eight hundred and eighty two abstracts were reviewed. Twenty three articles were identified. Components of experiences of disrespect included: (1) numerous care processes; (2) a wide range of healthcare professional and organizational behaviors; (3) contributing factors, including patient- and professional-related factors, the environment of work and care, leadership, policies, processes and culture; (4) important consequences of disrespect, including behavioral changes and health impacts on patients and families, negative effects on professionals' subsequent interactions, and patient attrition from organizations and (5) factors both intrinsic and extrinsic to patients that can modify the consequences of disrespect. Conclusion: A generalizable framework for understanding disrespect experienced by patients/families in healthcare may help organizations better prevent non-physical harms. Future work should prospectively test and refine the framework we described so as to facilitate its integration into organizations' existing operational systems. (© The Author(s) 2019. Published by Oxford University Press in association with the International Society for Quality in Health Care.)
Databáze:	MEDLINE
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