Institute for Patient Safety (IfPS), University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Department of Psychology, University of Innsbruck, Innsbruck, Austria.
BMC Health Serv Res. 2024 Sep 11;24(1):1052. doi: 10.1186/s12913-024-11495-x.
Despite increasing calls for more patient engagement in patient safety, limited knowledge remains on what actually motivates key stakeholders in healthcare to promote patient engagement. We therefore set out to survey key stakeholders of patient engagement in patient safety (i.e., patients, healthcare professionals, and managers). We aimed to identify and explore stakeholder's distinct and shared motives for patient engagement.
A stepwise Delphi method was applied, utilizing semi-structured online interviews for determination of stakeholder motives for patient engagement in patient safety. In a subsequent online survey, statements were evaluated and identified. 34 subject-matter experts from all relevant stakeholder groups completed the online interviews and 33 the online survey. We used content analysis approaches for qualitative and descriptive analyses for quantitative measures. Further, we evaluated the consensus on distinct and shared motives across stakeholder groups.
Seven key motives for patient engagement in patient safety were identified. Major motives attributed to patients were: (1) To improve experiences and care outcomes for oneself, as well as (2) for future patients, (3) to express gratitude and appreciation, (4) to cope successfully with treatment-related emotions. A motive shared by patients and professionals was (5) to contribute actively to improved delivery of healthcare. To optimize patient safety, costs, and care processes (6) was shared by professionals and managers. Lastly, (7) to improve patient-provider relationships was jointly shared by all stakeholder groups. For four motives (1, 2, 6, 7) consensus was established.
In order to unlock the full potential of future interventions in patient engagement, a deeper understanding of stakeholder motives is essential. We identified a set of distinct and shared motives for patient engagement across relevant stakeholder groups. Our findings may inform future interventions in patient engagement that take account of the motivational foundations and aspirations of all stakeholders who are key for the success for collaborative patient safety and care improvements.
ID DRKS00031837 (Date May 8, 2023).
尽管越来越多的人呼吁让患者更多地参与患者安全，但对于医疗保健中的关键利益相关者推动患者参与的动机，我们的了解仍然有限。因此，我们着手调查患者安全中的患者参与的关键利益相关者（即患者、医疗保健专业人员和管理人员）。我们旨在确定和探讨利益相关者推动患者参与的不同和共同动机。
采用逐步德尔菲法，利用半结构化在线访谈确定利益相关者推动患者参与患者安全的动机。在随后的在线调查中，对陈述进行评估和确定。来自所有相关利益相关者群体的 34 名主题专家完成了在线访谈，33 名完成了在线调查。我们使用内容分析方法进行定性和描述性分析，以及对定量措施进行分析。此外，我们评估了不同利益相关者群体对不同和共同动机的共识。
确定了推动患者安全参与的七个关键动机。患者归因的主要动机是：（1）改善自身的体验和护理结果，以及（2）为未来患者，（3）表达感激和赞赏，（4）成功应对与治疗相关的情绪。患者和专业人员共同的动机是（5）积极为改善医疗保健服务做出贡献。为了优化患者安全、成本和护理流程（6）是专业人员和管理人员共同的动机。最后，（7）改善医患关系是所有利益相关者群体共同的动机。对于四个动机（1、2、6、7），达成了共识。
为了充分发挥未来患者参与干预的潜力，必须深入了解利益相关者的动机。我们确定了一组不同和共同的患者参与动机，涉及相关利益相关者群体。我们的研究结果可以为未来的患者参与干预提供信息，这些干预措施考虑了所有利益相关者的动机基础和愿望，这对于成功改善合作患者安全和护理至关重要。
DRKS00031837（日期为 2023 年 5 月 8 日）。
