School of Nursing, Queen's University, Kingston, ON, Canada.
Health Expect. 2020 Oct;23(5):979-991. doi: 10.1111/hex.13117. Epub 2020 Aug 5.
To improve harm prevention, patient engagement in safety at the direct care level is advocated. For patient safety to most effectively include patients, it is critical to reflect on existing evidence, to better position future research with implications for education and practice.
As part of a multi-phase study, which included a qualitative descriptive study (Duhn & Medves, 2018), a scoping review about patient engagement in safety was conducted. The objective was to review papers about patients' attitudes and behaviours concerning their involvement in ensuring their safe care. The databases searched included MEDLINE, CINAHL and EMBASE (year ending 2019).
This review included 35 papers about "Patient Attitudes" and 125 papers about "Patient Behaviours"-indicative of growing global interest in this field. Several patterns emerged from the review, including that most investigators have focused on a particular dimension of harm prevention, such as asking about provider handwashing, and there is less known about patients' opinions about their role in safety generally and how to actualize it in a way that is right for them. While patients may indicate favourable attitudes toward safety involvement generally, intention to act or actual behaviours may be quite different.
This review, given its multi-focus across the continuum of care, is the first of its kind based on existing literature. It provides an important international "mapping" of the initiatives that are underway to engage patients in different elements of safety and their viewpoints, and identifies the gaps that remain.
为了加强伤害预防，提倡在直接护理层面让患者参与安全工作。为了让患者安全更有效地将患者纳入其中，关键是要反思现有证据，为未来具有教育和实践意义的研究做好定位。
作为多阶段研究的一部分，包括一项定性描述性研究（Duhn 和 Medves，2018 年），对患者参与安全工作进行了范围综述。目的是回顾关于患者对参与确保其安全护理的态度和行为的论文。搜索的数据库包括 MEDLINE、CINAHL 和 EMBASE（截止 2019 年）。
本综述共纳入 35 篇关于“患者态度”的论文和 125 篇关于“患者行为”的论文，表明全球对这一领域的兴趣日益浓厚。综述中出现了几种模式，包括大多数研究人员都集中在伤害预防的特定方面，例如询问提供者的洗手情况，而对患者对安全角色的总体看法以及如何以适合他们的方式实现这一角色的了解较少。尽管患者可能对参与安全工作总体持有利态度，但意图采取行动或实际行为可能大不相同。
鉴于本综述涵盖了护理连续体的多个重点，它是基于现有文献的首例综述。它提供了一个重要的国际“映射”，展示了正在进行的让患者参与安全工作的不同元素和他们的观点的倡议，并确定了仍然存在的差距。
