Ringdal Mona, Chaboyer Wendy, Ulin Kerstin, Bucknall Tracey, Oxelmark Lena
Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Box 457, 40530 Gothenburg, SE Sweden.
Department of Anaesthesiology and Intensive Care, Kungälvs hospital, Kungälv, Sweden.
BMC Nurs. 2017 Nov 21;16:69. doi: 10.1186/s12912-017-0266-7. eCollection 2017.
Active patient participation is a patient safety priority for health care. Yet, patients and their preferences are less understood. The aim of the study was to explore hospitalised patients' preferences on participation in their care and safety activities in Sweden.
Exploratory qualitative study. Data were collected over a four-month period in 2013 and 2014. Semi-structured interviews were conducted with 20 patients who were admitted to one of four medical wards at a university hospital in Sweden. Data were analysed using thematic analysis.
Nine men and eleven women, whose median age was 72 years (range 22-89), were included in the study. Five themes emerged with the thematic analysis: endorsing participation; understanding enables participation; enacting patient safety by participation; impediments to participation; and the significance of participation. This study demonstrated that patients wanted to be active participants in their care and safety activities by having a voice and being a part of the decision-making process, sharing information and possessing knowledge about their conditions. These factors were all enablers for patient participation. However, a number of barriers hampered participation, such as power imbalances, lack of patient acuity and patient uncertainty. Patients' participation in care and patient safety activities seemed to determine whether patients were feeling safe or ignored.
This study contributes to the existing literature with fundamental evidence of patients' willingness to participate in care and safety activities. Promoting patient participation begins by understanding the patients' unique preferences and needs for care, establishing a good relationship and paying attention to each patient's ability to participate despite their illness.
患者积极参与是医疗保健中患者安全的一项优先事项。然而，对患者及其偏好的了解却较少。本研究的目的是探讨瑞典住院患者对参与其护理及安全活动的偏好。
探索性定性研究。在2013年和2014年的四个月期间收集数据。对瑞典一家大学医院四个内科病房之一收治的20名患者进行了半结构式访谈。采用主题分析法对数据进行分析。
本研究纳入了9名男性和11名女性，他们的年龄中位数为72岁（范围22 - 89岁）。主题分析得出了五个主题：认可参与；理解促进参与；通过参与实现患者安全；参与的障碍；以及参与的重要性。本研究表明，患者希望通过表达意见并参与决策过程、分享信息以及了解自身病情，成为其护理及安全活动的积极参与者。这些因素都是患者参与的促成因素。然而，一些障碍阻碍了参与，如权力失衡、患者病情严重程度不足以及患者的不确定性。患者参与护理及患者安全活动似乎决定了患者是感到安全还是被忽视。
本研究为现有文献提供了关于患者参与护理及安全活动意愿的基础证据。促进患者参与首先要了解患者对护理的独特偏好和需求，建立良好的关系，并关注每位患者尽管患病但仍具备的参与能力。
