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为了患者安全和员工福祉而发声:一项定性研究。

'Speaking Up' for patient safety and staff well-being: a qualitative study.

机构信息

Educator Clinical Skills & Simulation, Education Department, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

Associate Professor for Nursing and Clinical Academic Nurse, Centre for Care Excellence, University Hospitals Coventry and Warwickshire and Centre for Healthcare Research, Coventry University, Coventry, UK.

出版信息

BMJ Open Qual. 2023 May;12(2). doi: 10.1136/bmjoq-2022-002047.

Abstract

BACKGROUND

Freedom To Speak Up Guardians (FTSUGs) and Confidential Contacts (CCs) were appointed nationally following the Mid Staffordshire inquiry to listen to and support staff who were unable to address concerns through normal channels of communication.

AIM

Explore perceptions of an FTSUG and CCs through shared experiences and personal stories.

OBJECTIVES

(1) Explore perceptions of an FTSUG and CCs. (2) Consider how individuals can be best supported. (3) Improve staff knowledge on speaking up. (4) Understand factors influencing reflections around patient safety. (5) Share exemplars of good practice through use of personal stories to promote a culture of openness to raise concerns.

METHOD

A focus group of eight participants, namely the FTSUG and CCs working within one large National Health Service (NHS) trust, was used to gather data. Data were collated and organised using a created table. Thematic analysis enabled each theme to emerge and be identified.

CONCLUSION

(1) An innovative approach to the introduction, development and implementation of an FTSUG and CC roles and responsibilities in healthcare. (2) To gain insight into the personal experiences of a FTSUG and CCs working within one large NHS trust. (3) To be supportive of culture change with committed leadership responsiveness.

摘要

背景

在米德尔塞克斯郡调查之后,英国全国各地任命了“言论自由守护者”(FTSUG)和“机密联系人”(CC),旨在倾听和支持那些无法通过正常沟通渠道表达关切的员工。

目的

通过共同的经验和个人故事探讨对 FTSUG 和 CC 的看法。

目标

(1)探讨对 FTSUG 和 CC 的看法。(2)考虑如何最好地支持员工。(3)提高员工对发言的认识。(4)了解影响对患者安全的反思的因素。(5)通过使用个人故事分享良好实践的范例,以促进开放文化,提高关注问题的意识。

方法

使用一个由八名参与者组成的焦点小组,即一个大型国民保健制度(NHS)信托机构中的 FTSUG 和 CC,来收集数据。使用创建的表格对数据进行整理和组织。主题分析使每个主题都能够显现出来并被识别。

结论

(1)在医疗保健中引入、发展和实施 FTSUG 和 CC 角色和职责的创新方法。(2)深入了解一个大型 NHS 信托机构中 FTSUG 和 CC 的个人经历。(3)通过承诺的领导层响应,支持文化变革。

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