The views and experiences of patients and health-care professionals on the disclosure of adverse events: A systematic review and qualitative meta-ethnographic synthesis
| Autor: | Rebecca Lawton, Raabia Sattar, Judith Johnson |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Health Personnel
education MEDLINE review Qualitative property CINAHL PsycINFO Disclosure meta‐ethnography patients 03 medical and health sciences 0302 clinical medicine Nursing systematic review Intervention (counseling) Health care Humans 030212 general & internal medicine Anthropology Cultural Qualitative Research lcsh:R5-920 business.industry lcsh:Public aspects of medicine 030503 health policy & services Public Health Environmental and Occupational Health lcsh:RA1-1270 Dissent and Disputes adverse events Original Research Paper Critical appraisal health‐care professionals lcsh:Medicine (General) 0305 other medical science Psychology business Original Research Papers Qualitative research |
| Zdroj: | Health Expectations : An International Journal of Public Participation in Health Care and Health Policy Health Expectations, Vol 23, Iss 3, Pp 571-583 (2020) |
| ISSN: | 1369-7625 1369-6513 |
| Popis: | Objective To synthesize the literature on the views and experiences of patients/family members and health‐care professionals (HCPs) on the disclosure of adverse events. Methods Systematic review of qualitative studies. Searches were conducted in MEDLINE, Embase, PubMed, CINAHL and PsycINFO. Study quality was evaluated using the Critical Appraisal Skills Programme tool. Qualitative data were analysed using a meta‐ethnographic approach, comprising reciprocal syntheses of ‘patient’ and ‘health‐care professional’ studies, combined to form a lines‐of‐argument synthesis embodying both perspectives. Results Fifteen studies were included in the final syntheses. The results highlighted that there is a difference in attitudes and expectations between patients and HCPs regarding the disclosure conversation. Patients/family members expressed a need for information, the importance of sincere regret and a promise of improvement. However, HCPs faced several barriers, which hindered appropriate disclosure practices. These included difficulty of disclosure in a blame culture, avoidance of litigation, lack of skills on how to conduct disclosure and inconsistent guidance. A lines‐of‐argument synthesis is presented that identified both the key elements of an ideal disclosure desired by patients and the facilitators for HCPs, which can increase the likelihood of this taking place. Conclusions Although patients/family members and HCPs both advocate disclosure, several barriers prevent HCPs from conducting disclosure effectively. Both groups have different needs for disclosure. To meet patients’ requirements, training on disclosure for HCPs and the development of an open, transparent culture within organizations are potential areas for intervention. |
| Databáze: | OpenAIRE |
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