Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Ylä-Savo SOTE Joint Municipal Authority, Iisalmi, Finland.
J Nurs Manag. 2019 Jan;27(1):84-92. doi: 10.1111/jonm.12651. Epub 2018 Aug 20.
To study how internal medicine patients experienced patient safety during their recent periods of care and to identify explanatory factors for patient participation.
Patient participation is recognized as one of the main factors promoting quality and safety and the identification of effective interventions that encourage safe care.
A cross-sectional survey of patients (n = 462) in the internal medicine wards (n = 18) of all five Finnish university hospitals. Data were analysed using principal component analysis and multiple linear regression.
Most patients (78%) assessed the level of patient safety on their ward as "very good" or "excellent," 20% of patients assessed it as acceptable or worse. The following were considered to be the most important factors explaining higher patient participation: informing patients about the research and encouraging them to participate (β = 0.378, p < 0.001), providing necessary information promptly and comprehensibly (β = 0.393, p < 0.001), and enhancing patients' ability to identify patient safety incident(s) (β = 0.186, p < 0.001).
Healthcare workers must improve by encouraging patient participation and providing relevant information to patients.
Nursing leaders must be competent to support, lead, and allocate resources for the creation of an environment where patient participation can occur and is valued by health care workers.
研究内科患者在最近的护理期间对患者安全的体验，并确定促进患者参与的解释因素。
患者参与被认为是提高质量和安全性的主要因素之一，也是确定鼓励安全护理的有效干预措施的关键。
对所有五家芬兰大学医院的内科病房（n=18）的 462 名患者（n=462）进行横断面调查。使用主成分分析和多元线性回归对数据进行分析。
大多数患者（78%）评估其病房的患者安全水平为“非常好”或“优秀”，20%的患者评估为可接受或更差。以下被认为是解释患者参与度更高的最重要因素：告知患者有关研究并鼓励他们参与（β=0.378，p<0.001），及时且全面地提供必要信息（β=0.393，p<0.001），并增强患者识别患者安全事件的能力（β=0.186，p<0.001）。
医疗保健工作者必须通过鼓励患者参与和向患者提供相关信息来改进。
护理领导者必须有能力支持、领导和分配资源，以创造一个能够让患者参与并被医疗保健工作者重视的环境。
