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住院患者作为捷克共和国安全护理调查的合作伙伴。

The hospitalized patient as a partner in the survey on safe care in the Czech Republic.

作者信息

Bártlová Sylva, Tóthová Valérie, Brabcová Iva, Prokešová Radka, Kimmer David

机构信息

University of South Bohemia in České Budějovice, Faculty of Health and Social Studies, Department of Nursing and Midwifery, České Budějovice, Czech Republic.

出版信息

Neuro Endocrinol Lett. 2014;35 Suppl 1:5-10.

Abstract

OBJECTIVES

The study examined the extent to which patients in the Czech Republic are involved in decisions regarding their treatment and whether they are interested in ensuring safety during hospitalization.

METHODS

Patients were interviewed to determine their perspectives regarding the previously stated objectives. The sample consisted of 514 patients who had been admitted to hospital for a minimum of three days.

RESULTS

It is clear that patients in the Czech Republic are unaware of safety issues associated with provided care, but 52.2% of respondents expressed a desire to be more involved in decisions pertaining to their treatment. Widowed patients, as well as those hospitalized for more than six days, expressed less of a desire for such involvement. Half of the patients enrolled in the study stated that health care professionals had encouraged them to ask questions about their treatment. With regard to errors associated with surgical reversals, 58.3% of respondents stated that nursing staff had performed checkups to avoid confusion in surgery. Another patient safety issue is nosocomial infection acquired through improper hand-washing techniques of medical personnel. 73.5% of patients said they would not have the courage to ask medical staff (doctors or nurses) whether they had washed their hands prior to examination.

CONCLUSION

Patients in the Czech Republic are unaware of the safety issues associated with provided care, but more than half expressed a desire to be more involved in decisions that pertain their treatment.

摘要

目的

该研究考察了捷克共和国的患者在多大程度上参与有关其治疗的决策,以及他们是否有兴趣在住院期间确保安全。

方法

对患者进行访谈,以确定他们对先前所述目标的看法。样本包括514名已住院至少三天的患者。

结果

很明显,捷克共和国的患者并未意识到与所提供护理相关的安全问题,但52.2%的受访者表示希望更多地参与与其治疗相关的决策。丧偶患者以及住院超过六天的患者对这种参与的意愿较低。参与该研究的患者中有一半表示,医护人员鼓励他们询问有关其治疗的问题。关于与手术反转相关的错误,58.3%的受访者表示护理人员进行了检查以避免手术中的混淆。另一个患者安全问题是通过医务人员不当洗手技术获得的医院感染。73.5%的患者表示他们没有勇气询问医护人员(医生或护士)在检查前是否洗手。

结论

捷克共和国的患者并未意识到与所提供护理相关的安全问题,但超过一半的患者表示希望更多地参与与其治疗相关的决策。

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