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患者参与患者安全:医疗专业人员的视角。

Patient involvement in patient safety: the health-care professional's perspective.

机构信息

Imperial College London, Clinical Safety Research Unit, Department of Surgery and Cancer, St. Mary's Hospital, London, UK.

出版信息

J Patient Saf. 2012 Dec;8(4):182-8. doi: 10.1097/PTS.0b013e318267c4aa.

DOI:10.1097/PTS.0b013e318267c4aa
PMID:23007240
Abstract

BACKGROUND

Despite increasing recognition that patients could play an important role in promoting the safety of their care, little is known on this issue regarding health-care professionals' (HCPs') attitudes toward patient involvement.

OBJECTIVES

To investigate physicians' and nurses' attitudes toward patient involvement in safety-related behaviors, both through their eyes as a health-care professional and as a potential patient.

DESIGN

Cross-sectional exploratory study using 2 surveys. Survey 1 addressed HCPs' attitudes toward supporting patient participation in safety-related behaviors. Survey 2 addressed HCPs' reported willingness to participate in safety-related behaviors (as a patient).

PARTICIPANTS

Eighty health-care professionals (40 physicians and 40 nurses) from an inner city London teaching hospital.

FINDINGS

Attitudes were affected by the type of behavior, who the HCP is interacting with, and the participants own professional role. Overall, both professions held positive attitudes toward patient involvement, although in general, nurses versus physicians were more willing to both support patient involvement and participate themselves as a patient.

CONCLUSION

Compared with other research on "lay" patients' attitudes, our data suggest that when HCPs are patients in hospital, they may be more willing to participate in safety-related behaviors. Promisingly, our data also suggest HCPs are willing to support patient involvement in safety-related behaviors, which may suggest they are happy to participate in interventions aimed at encouraging patient involvement in this area. Further in-depth research is needed to investigate the roles that HCPs (as both a patient and HCP) believe are appropriate for patients to participate in, under what circumstances and why.

摘要

背景

尽管越来越多的人认识到患者在促进医疗安全方面可以发挥重要作用,但对于医疗保健专业人员(HCPs)对患者参与的态度,人们对此知之甚少。

目的

调查医生和护士对患者参与安全相关行为的态度,既从医疗保健专业人员的角度,也从潜在患者的角度。

设计

使用 2 个调查进行横断面探索性研究。调查 1 旨在了解 HCPs 对支持患者参与安全相关行为的态度。调查 2 旨在了解 HCPs 报告的参与安全相关行为(作为患者)的意愿。

参与者

来自伦敦市中心教学医院的 80 名医疗保健专业人员(40 名医生和 40 名护士)。

发现

态度受到行为类型、HCP 与之互动的对象以及参与者自身的专业角色的影响。总体而言,两种职业都对患者参与持有积极的态度,尽管总体而言,护士比医生更愿意支持患者参与,并且更愿意自己作为患者参与。

结论

与其他关于“非专业”患者态度的研究相比,我们的数据表明,当 HCP 成为医院中的患者时,他们可能更愿意参与安全相关行为。有希望的是,我们的数据还表明 HCP 愿意支持患者参与安全相关行为,这可能表明他们愿意参与旨在鼓励患者在这方面参与的干预措施。需要进一步深入研究,以调查 HCP(作为患者和 HCP)认为患者在哪些情况下以及为什么适合参与哪些角色。

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