Kenward Linda, Whiffin Charlotte, Spalek Basia
Principal Lecturer in Nursing, University of Cumbria.
Lecturer in Pre-Qualifying Healthcare, University of Derby.
Br J Nurs. 2017 Feb 9;26(3):143-149. doi: 10.12968/bjon.2017.26.3.143.
This literature review aimed to discover the factors that contribute to patients feeling unsafe in the healthcare setting. Electronic searches were undertaken using three databases to examine publications from 2002 to 2016. The design used a modified Cooper's (1982) five-stage integrative review method. Fourteen articles were identified, producing seven themes: information and communication, loss of control, staff presence, impersonal care, patients' vulnerable emotional and physical state, not being taken seriously, and the patient perception of of a lack of staff experience, knowledge, proactivity and interest. The findings suggest that, in maintaining a quality service for patients, nurses can contribute to the reduction of patients' feelings of being unsafe and vulnerable. Patients do not just feel unsafe when errors occur, but also when service quality is noticeably poor. Where lack of quality is perceived as an indication of potential threat, this lack may contribute to patients feeling unsafe within the healthcare setting.
这篇文献综述旨在找出导致患者在医疗环境中感到不安全的因素。利用三个数据库进行了电子检索，以查阅2002年至2016年的出版物。该研究采用了经修改的库珀（1982年）五阶段综合 review 方法。共识别出14篇文章，产生了七个主题：信息与沟通、失去控制、工作人员在场情况、缺乏人情味的护理、患者脆弱的情绪和身体状态、未被认真对待以及患者认为工作人员缺乏经验、知识、主动性和兴趣。研究结果表明，在为患者维持优质服务方面，护士可以有助于减少患者的不安全和脆弱感。患者不仅在出现错误时感到不安全，而且在服务质量明显较差时也会有此感受。当质量缺乏被视为潜在威胁的迹象时，这种缺乏可能会导致患者在医疗环境中感到不安全。
