From the University of Leeds, Leeds.
University of York, York.
J Patient Saf. 2022 Dec 1;18(8):779-787. doi: 10.1097/PTS.0000000000001031. Epub 2022 Jun 14.
Cancer patients and their carers face a multitude of challenges in the treatment journey; the full scope of how they are involved in promoting safety and supporting resilient healthcare is not known.
The study aimed to undertake a scoping review to explore, document, and understand existing research, which explores what cancer patients and their carers do to support the safety of their treatment and care.
This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. Five online databases were searched from 2000 to 2021 to identify primary literature exploring perspectives on patient and caregiver involvement in maintaining their safety during cancer care. Narrative synthesis was then conducted on the included literature.
Of the 1582 results generated from the initial search, 16 studies were included in the review. Most consisted of qualitative semistructured interviews with patients, as well as carers and healthcare professionals (HCP). Four narrative themes were identified: patient perception of safety and their involvement; patients take charge of their own care and well-being; safety as a dynamic collective responsibility; and carers are an undersupported asset. Patients and their carers involve themselves in a variety of behaviors in physical care, well-being, communication, and care coordination to ensure safety and support system resilience. This review adds a novel perspective on cancer patient and caregiver involvement in supporting resilient healthcare.
Patients and their carers play an important role in promoting safe cancer care and healthcare system resilience. Further research is recommended to realize the full extent of the system gaps encountered and mediated by patients and their carers.
癌症患者及其护理人员在治疗过程中面临着诸多挑战；他们在促进安全和支持有弹性的医疗保健方面的参与程度尚不清楚。
本研究旨在进行范围综述，以探索、记录和了解现有研究，探讨癌症患者及其护理人员为支持治疗和护理安全所做的工作。
本范围综述遵循系统评价和荟萃分析扩展的首选报告项目，用于范围综述指南。从 2000 年到 2021 年，在五个在线数据库中搜索了探索患者和护理人员在癌症护理期间参与维护自身安全的观点的主要文献。然后对纳入的文献进行叙述性综合。
从最初的搜索中产生的 1582 个结果中，有 16 项研究被纳入综述。大多数研究是对患者、护理人员和医疗保健专业人员进行定性半结构化访谈。确定了四个叙述性主题：患者对安全的感知及其参与；患者负责自己的护理和福祉；安全是一种动态的集体责任；护理人员是支持不足的资产。患者及其护理人员参与各种行为，包括身体护理、健康、沟通和护理协调，以确保安全并支持系统弹性。本综述为癌症患者和护理人员在支持有弹性的医疗保健方面的参与提供了一个新的视角。
患者及其护理人员在促进安全的癌症护理和医疗保健系统弹性方面发挥着重要作用。建议进一步研究，以了解患者及其护理人员所遇到的系统差距的全部程度，并对其进行调解。
