Perspectives on Patient and Family Engagement With Reduction in Harm: The Forgotten Voice
| Autor: | Elizabeth Schenk, Catherine Van Son, Tamara Odom-Maryon, Ruth A Bryant |
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| Rok vydání: | 2018 |
| Předmět: |
Health Personnel
MEDLINE 03 medical and health sciences 0302 clinical medicine Nursing Harm Reduction Patient-Centered Care Humans Family 030212 general & internal medicine Patient participation General Nursing Qualitative Research Harm reduction 030504 nursing Communication Patient Acuity Focus Groups Focus group Harm Thematic analysis Patient Participation 0305 other medical science Psychology Attitude to Health Qualitative research |
| Zdroj: | Journal of nursing care quality. 34(1) |
| ISSN: | 1550-5065 |
| Popis: | Background Despite continued efforts to improve safety in hospitals, hospital-acquired harm persists. Strategies have been identified to establish patient-centered care and improve patient engagement with care. However, the relationship of patient and family engagement to reduction of harm is not well understood, with limited findings available in current literature. Purpose This qualitative study explored the perceptions and attitudes of patients and family members and several clinical disciplines toward patient engagement in reducing preventable harm in hospitalized patients. Methods We conducted 8 focus groups at 2 nonprofit hospitals with several constituencies: patients/families, registered nurses, physician hospitalists, and pharmacists/physical therapists. Results Thematic analysis of transcripts revealed multiple themes from different perspectives, including: family presence increases safety, the hospital environment is intimidating, and communication is essential, but I am not being heard. Conclusions The rich data suggest a significant opportunity for reducing risk and harm by more actively engaging patients and families in the effort. Increasing patient acuity and complexity of care furthers the need for partnering with patients and families more intentionally for increased safety. |
| Databáze: | OpenAIRE |
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