Bishop Andrea C, Baker G Ross, Boyle Todd A, MacKinnon Neil J
Department of Psychology, Saint Mary's University, Halifax, NS, Canada.
Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Health Expect. 2015 Dec;18(6):3019-33. doi: 10.1111/hex.12286. Epub 2014 Oct 10.
With the knowledge that patient safety incidents can significantly impact patients, providers and health-care organizations, greater emphasis on patient involvement as a means to mitigate risks warrants further research.
To understand whether patient perceptions of patient safety play a role in patient involvement in factual and challenging patient safety practices and whether the constructs of the Health Belief Model (HBM) help to explain such perceptions.
Partial least squares (PLS) analysis of survey data.
Four inpatient units located in two tertiary hospitals in Atlantic Canada. Patients discharged from participating units between November 2010 and January 2011.
None.
A total of 217 of the 587 patient surveys were returned for a final response rate of 37.0%. The PLS analysis revealed relationships between patient perceptions of threat and self-efficacy and the performance of factual and challenging patient safety practices, explaining 46 and 42% of the variance, respectively.
The results from this study provide evidence for the constructs and relationships set forth by the HBM. Perceptions of patient safety were shown to influence patient likelihood for engaging in selected patient safety practices. While perceptions of barriers and benefits and threats were found to be a contributing factor to patient involvement in patient safety practices, self-efficacy plays an important role as a mediating factor.
Overall, the use of the HBM within patient safety provides for increased understanding of how such perceptions can be influenced to improve patient engagement in promoting safer health care.
鉴于患者安全事件会对患者、医护人员及医疗保健机构产生重大影响，进一步研究更加强调患者参与作为降低风险手段的情况值得关注。
了解患者对患者安全的认知是否在患者参与实际的和具有挑战性的患者安全实践中发挥作用，以及健康信念模式（HBM）的构成要素是否有助于解释此类认知。
对调查数据进行偏最小二乘法（PLS）分析。
位于加拿大大西洋地区的两家三级医院的四个住院科室。2010年11月至2011年1月期间从参与科室出院的患者。
无。
587份患者调查问卷共收回217份，最终回复率为37.0%。PLS分析揭示了患者对威胁和自我效能的认知与实际的和具有挑战性的患者安全实践表现之间的关系，分别解释了46%和42%的方差。
本研究结果为HBM提出的构成要素和关系提供了证据。患者对患者安全的认知被证明会影响患者参与特定患者安全实践的可能性。虽然对障碍、益处和威胁的认知被发现是患者参与患者安全实践的一个促成因素，但自我效能作为一个中介因素发挥着重要作用。
总体而言，在患者安全中使用HBM有助于更好地理解如何影响此类认知，以提高患者在促进更安全医疗保健方面的参与度。
