Añel Rodríguez R M
Medicina Familiar y Comunitaria, Unidad de Atención Primaria de Durango, Organización Sanitaria Integrada Barrualde-Galdakao, Osakidetza - Servicio Vasco de Salud, Durango, Bizkaia, España; Máster Universitario en Participación y Desarrollo Comunitario, Euskal Herriko Unibertsitatea - Universidad del País Vasco, Lejona, Bizkaia, España.
J Healthc Qual Res. 2019 Jan-Feb;34(1):3-11. doi: 10.1016/j.jhqr.2018.10.009. Epub 2019 Jan 31.
Examine the effects of an educational intervention to improve patients' level of activation and promote their participation improving their safety during health system pathway.
Selection and study of the care process on which to apply the research. Design and edition the audiovisual educational material. Intentional sampling of patients on the waiting list for scheduled operation by the Traumatology Service. Telephone collection through study's explanatory script. Realization of two focus groups, with heterogeneous distribution by gender, age and level of studies. Visualization of the educational video and exploration of aspects of interest through semi-structured questions script, based on the research objectives. Recording and transcription of generated speeches. Qualitative analysis of resulting information.
Patients are aware that failures and errors occur, and recognize the weaknesses of the system and professionals. The educational activity brings more value to people with less previous experience or less knowledge about the dynamics of the health system. The interaction between people with different experiences entails an exchange of knowledge, enhancing the educational effect of the intervention. The level of knowledge and the degree of activation increases in all participants, regardless of their starting situation.
Strengthening the role of the patient as a safety barrier through an educational intervention of an audiovisual nature is feasible in real conditions and useful for the objective pursued.
研究一项教育干预措施对提高患者的参与度以及在医疗系统流程中提升其安全性的效果。
选择并研究应用该研究的护理流程。设计并编辑视听教育材料。对创伤科服务部门安排手术的候诊名单上的患者进行立意抽样。通过研究的解释脚本进行电话收集。开展两个焦点小组，按性别、年龄和学历进行异质性分布。播放教育视频，并根据研究目标通过半结构化问题脚本探索感兴趣的方面。记录并转录生成的发言。对所得信息进行定性分析。
患者意识到会出现失误和错误，并认识到系统和专业人员的弱点。教育活动给之前经验较少或对医疗系统动态了解较少的人带来更多价值。不同经历的人之间的互动会带来知识交流，增强干预的教育效果。所有参与者的知识水平和参与度都有所提高，无论其初始情况如何。
通过视听性质的教育干预来强化患者作为安全屏障的作用在实际情况下是可行的，且有助于实现所追求的目标。
