Understanding healthcare professionals' responses to patient complaints in secondary and tertiary care in the UK: A systematic review and behavioural analysis using the Theoretical Domains Framework.

Autor: Antonopoulou V; Centre for Behaviour Change (CBC), Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK. v.antonopoulou@ucl.ac.uk.; NIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK. v.antonopoulou@ucl.ac.uk., Meyer C; Centre for Behaviour Change (CBC), Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.; NIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK.; School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia., Chadwick P; Centre for Behaviour Change (CBC), Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.; NIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK., Gibson B; NIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK.; Faculty of Health and Life Sciences, Northumbria University, Newcastle, UK., Sniehotta FF; NIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK.; Faculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Baddiley-Clark Building, Newcastle upon Tyne, NE2 4AX, UK.; Department of Public Health, Preventive and Social Medicine, Center for Preventive Medicine and Digital Health Baden-Wuerttemberg, Heidelberg University, Heidelberg, Germany., Vlaev I; NIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK.; Warwick Business School, University of Warwick, Coventry, UK., Vassova A; Centre for Behaviour Change (CBC), Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK., Goffe L; NIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK.; Faculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Baddiley-Clark Building, Newcastle upon Tyne, NE2 4AX, UK.; NIHR Health Determinants Research Collaboration, Gateshead Council, Gateshead, NE8 1HH, UK., Lorencatto F; Centre for Behaviour Change (CBC), Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.; NIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK., McKinlay A; Centre for Behaviour Change (CBC), Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.; NIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK., Chater AM; Centre for Behaviour Change (CBC), Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.; NIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK.; Centre for Health, Wellbeing and Behaviour Change, University of Bedfordshire, Polhill Avenue, Bedford, MK41 9EA, UK.
Jazyk: angličtina
Zdroj: Health research policy and systems [Health Res Policy Syst] 2024 Oct 01; Vol. 22 (1), pp. 137. Date of Electronic Publication: 2024 Oct 01.
DOI: 10.1186/s12961-024-01209-4
Abstrakt: Background: The path of a complaint and patient satisfaction with complaint resolution is often dependent on the responses of healthcare professionals (HCPs). It is therefore important to understand the influences shaping HCP behaviour. This systematic review aimed to (1) identify the key actors, behaviours and factors influencing HCPs' responses to complaints, and (2) apply behavioural science frameworks to classify these influences and provide recommendations for more effective complaints handling behaviours.
Methods: A systematic literature review of UK published and unpublished (so-called grey literature) studies was conducted (PROSPERO registration: CRD42022301980). Five electronic databases [Scopus, MEDLINE/Ovid, Embase, Cumulated Index to Nursing and Allied Health Literature (CINAHL) and Health Management Information Consortium (HMIC)] were searched up to September 2021. Eligibility criteria included studies reporting primary data, conducted in secondary and tertiary care, written in English and published between 2001 and 2021 (studies from primary care, mental health, forensic, paediatric or dental care services were excluded). Extracted data included study characteristics, participant quotations from qualitative studies, results from questionnaire and survey studies, case studies reported in commentaries and descriptions, and summaries of results from reports. Data were synthesized narratively using inductive thematic analysis, followed by deductive mapping to the Theoretical Domains Framework (TDF).
Results: In all, 22 articles and three reports met the inclusion criteria. A total of 8 actors, 22 behaviours and 24 influences on behaviour were found. Key factors influencing effective handling of complaints included HCPs' knowledge of procedures, communication skills and training, available time and resources, inherent contradictions within the role, role authority, HCPs' beliefs about their ability to handle complaints, beliefs about the value of complaints, managerial and peer support and organizational culture and emotions. Themes mapped onto nine TDF domains: knowledge, skills, environmental context and resources, social/professional role and identity, social influences, beliefs about capability, intentions and beliefs about consequences and emotions. Recommendations were generated using the Behaviour Change Wheel approach.
Conclusions: Through the application of behavioural science, we identified a wide range of individual, social/organizational and environmental influences on complaints handling. Our behavioural analysis informed recommendations for future intervention strategies, with particular emphasis on reframing and building on the positive aspects of complaints as an underutilized source of feedback at an individual and organizational level.
(© 2024. The Author(s).)
Databáze: MEDLINE
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