综合回顾探讨了患者和医疗保健专业人员对患者参与促进医院环境中手部卫生合规性的看法。
An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting.
机构信息
Faculty of Health and Life Sciences, Oxford Institute of Nursing, Midwifery, and Allied Health Research (OxINMAHR), Oxford Brookes University, Oxford, UK.
出版信息
J Clin Nurs. 2018 Apr;27(7-8):1329-1345. doi: 10.1111/jocn.14305.
AIMS AND OBJECTIVES
To review patients' and healthcare professionals' perceptions of patient involvement in promoting hand hygiene compliance in the hospital setting.
BACKGROUND
Initiatives continue to emphasise the importance of involving patients in their safety at the point of care. A patient-centred care approach aimed to empower patients to become active members of the healthcare team. However, understanding the perceptions of patients and healthcare professionals of patient involvement in promoting hand hygiene compliance among healthcare professionals has yet to be fully explored.
DESIGN
Integrative literature review.
METHODS
A five-stage review process informed by Whittemore and Knafl's methodology was conducted. MEDLINE and CINAHL were searched for papers published between January 2009-July 2017. Data were extracted manually, organised using NVivo 11 and analysed using thematic analysis.
RESULTS
From an identified 240 papers, 19 papers were included in this review. Thematic analysis revealed two main themes with three related subthemes. Patients were willing to remind healthcare professionals (especially nurses) to wash their hands, healthcare professionals perception towards patients' involvement varied from one study to another. However, an overall positive attitude towards patient involvement was related to how patients asked and how healthcare professionals responded to being asked.
CONCLUSION
There is limited evidence regarding patients' actual intention to ask healthcare professionals to wash their hands, and some evidence that patients are reluctant to do so. Further research is required to understand this area thoroughly, including which situations patients would feel more empowered to speak up.
RELEVANCE TO CLINICAL PRACTICE
Simple messages promoting patient involvement may lead to complex reactions in both patients and healthcare professionals. It is unclear, yet how patients and staff react to such messages in clinical practice. There is a need for a deeper understanding of how they can work together to support harm free care.
目的
回顾患者和医疗保健专业人员对患者参与促进医院环境中手部卫生依从性的看法。
背景
各项举措继续强调让患者在护理点参与自身安全的重要性。以患者为中心的护理方法旨在使患者能够成为医疗团队的积极成员。然而，对于患者和医疗保健专业人员对患者参与促进医疗保健专业人员手部卫生依从性的看法，仍有待充分探索。
设计
综合文献回顾。
方法
根据 Whittemore 和 Knafl 的方法，采用五阶段审查流程进行。在 2009 年 1 月至 2017 年 7 月期间，在 MEDLINE 和 CINAHL 上搜索已发表的论文。手动提取数据，使用 NVivo 11 组织数据，并使用主题分析进行分析。
结果
从确定的 240 篇论文中，有 19 篇论文被纳入本综述。主题分析揭示了两个主要主题，三个相关子主题。患者愿意提醒医疗保健专业人员（尤其是护士）洗手，医疗保健专业人员对患者参与的看法因研究而异。然而，对患者参与的总体积极态度与患者询问的方式以及医疗保健专业人员对被询问的反应方式有关。
结论
关于患者实际要求医疗保健专业人员洗手的意愿，仅有有限的证据，而且有证据表明患者不愿意这样做。需要进一步研究以彻底了解这一领域，包括患者在哪些情况下会感到更有能力发言。
临床相关性
促进患者参与的简单信息可能会导致患者和医疗保健专业人员产生复杂的反应。目前尚不清楚患者和医务人员在临床实践中如何对这些信息做出反应。需要更深入地了解他们如何共同努力支持无伤害护理。
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