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家庭对患者安全的贡献。

The Family's Contribution to Patient Safety.

作者信息

Correia Tânia, Martins Maria Manuela, Barroso Fernando, Pinho Lara, Longo João, Valentim Olga

机构信息

Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto (UP), 4050-313 Porto, Portugal.

CINTESIS@RISE, Nursing School of Porto (ESEP), 4200-450 Porto, Portugal.

出版信息

Nurs Rep. 2023 Apr 7;13(2):634-643. doi: 10.3390/nursrep13020056.

Abstract

BACKGROUND

Person- and family-centered care is one of the recommendations to achieve quality of care and patient safety. However, many health professionals associate the family with insecurity in care.

OBJECTIVE

To analyze, based on nurses' statements, the advantages and disadvantages of the family's presence in hospitals for the safety of hospitalized patients.

METHODS

This was a qualitative interpretative study based on James Reason's risk model, conducted through semi-structured interviews with 10 nurses selected by convenience. A content analysis was performed using Bardin's methodology and MAXQDA Plus 2022 software.

RESULTS

We identified 17 categories grouped according to the representation of the family in patient safety: The family as a Potentiator of Security Failures (7) and Family as a Safety Barrier (10).

CONCLUSIONS

The higher number of categories identified under Family as a Safety Barrier shows that nurses see strong potential in the family's involvement in patient safety. By identifying the need to intervene with and for families so that their involvement is safe, we observed an increase in the complexity of nursing care, which suggests the need to improve nursing ratios, according to the participants.

摘要

背景

以患者和家庭为中心的护理是实现护理质量和患者安全的建议之一。然而,许多卫生专业人员将家庭与护理中的不安全因素联系起来。

目的

基于护士的陈述,分析家庭在医院陪伴住院患者对患者安全的利弊。

方法

这是一项基于詹姆斯·瑞森风险模型的定性解释性研究,通过对10名方便选取的护士进行半结构化访谈来开展。使用巴丁的方法和MAXQDA Plus 2022软件进行内容分析。

结果

我们确定了17个类别,根据家庭在患者安全中的表现进行分组:家庭作为安全失败的强化因素(7个)和家庭作为安全屏障(10个)。

结论

在“家庭作为安全屏障”类别下确定的类别数量更多,这表明护士认为家庭参与患者安全具有巨大潜力。通过确定需要对家庭进行干预并为家庭提供支持,以使他们的参与是安全的,我们观察到护理工作的复杂性增加,根据参与者的说法,这表明需要提高护理人员配比。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e4/10123717/77d5a71be7a2/nursrep-13-00056-g001.jpg

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