Centre for Care Research, Faculty of Health and Sports Sciences, University of Agder, Box 509, 4898, Grimstad, Norway.
Department of Health and Nursing Science, Faculty of Health and Sports Sciences, University of Agder, Box 422, 4604, Kristiansand, Norway.
J Clin Nurs. 2023 Sep;32(17-18):5816-5835. doi: 10.1111/jocn.16704. Epub 2023 Mar 28.
Narratives of negative patient experiences expressed in complaints can help health care professionals reflect on their practices.
To synthesise evidence from qualitative primary studies on patients' negative experiences with different health care settings and to obtain a detailed picture of what patients find problematic while receiving health care.
Metasynthesis inspired by Sandelowski and Barroso.
A protocol was published in the International Prospective Register of Systematic Reviews (PROSPERO). A systematic search was conducted in CINAHL (EBSCOhost), MEDLINE (EBSCOhost), PsycInfo (Ovid) and Scopus, on 20.04.2021. Backward and forward citations of included reports were searched for relevant studies and the search was completed in March 2022. Two researchers independently screened and appraised the included reports. A metasynthesis using reflexive thematic analysis and a metasummary were conducted.
Twenty-four reports were included, and four main themes were extracted from the metasynthesis: (1) problems with access to health care services; (2) failure to acquire information about diagnosis, treatment and the expected patient role; (3) experiencing inappropriate care and bad treatment; (4) problems with trusting health care service providers.
Negative patient experiences impact patients' physical and psychological health, leading to suffering and hampering patients from involving themselves in their health care.
Narratives of negative patient experiences aggregated from the findings provide knowledge about what patients need and expect from health care providers. These narratives can help health care professionals reflect on the way they interact with patients and improve their practice. Health care organisations need to prioritise patient participation.
Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed.
Findings were presented and discussed in a meeting with a reference group representing patients, health care professionals and the public.
患者在投诉中表达的负面体验叙述可以帮助医疗保健专业人员反思自己的实践。
综合不同医疗环境下患者对负面体验的定性原始研究证据，并详细了解患者在接受医疗保健时遇到的问题。
受 Sandelowski 和 Barroso 启发的元综合。
在国际前瞻性系统评价注册库（PROSPERO）中发表了方案。于 2021 年 4 月 20 日在 CINAHL（EBSCOhost）、MEDLINE（EBSCOhost）、PsycInfo（Ovid）和 Scopus 中进行了系统检索。对纳入报告的回溯和前向引文进行了搜索，以查找相关研究，并于 2022 年 3 月完成了检索。两名研究人员独立筛选和评估了纳入的报告。采用反思性主题分析和元综述进行元综合。
纳入了 24 份报告，从元综合中提取了四个主要主题：（1）获得医疗服务的问题；（2）无法获取有关诊断、治疗和预期患者角色的信息；（3）经历不适当的护理和不良治疗；（4）对医疗服务提供者信任的问题。
患者的负面体验会影响他们的身心健康，导致痛苦，并阻碍患者参与自己的医疗保健。
从研究结果中综合的患者负面体验叙述提供了关于患者对医疗保健提供者的需求和期望的知识。这些叙述可以帮助医疗保健专业人员反思他们与患者互动的方式，并改进他们的实践。医疗保健组织需要优先考虑患者的参与。
遵循系统评价和荟萃分析的首选报告项目（PRISMA）指南。
在与代表患者、医疗保健专业人员和公众的参考小组举行的会议上介绍和讨论了研究结果。
