发声:探讨心理健康护理工作者的患者安全问题
概括
精神卫生保健工作者 (MHCWs) 分享了谈论患者安全的经验. 犹不决地表达担忧可能会导致不良事件和错过的安全改进.
科学领域:
- 精神病学护理 精神病学护理
- 患者安全 患者安全
- 医疗保健通讯 医疗保健通讯
背景情况:
- 有效的沟通对于精神卫生保健机构的患者安全至关重要.
- 了解心理健康护理工作者 (MHCWs) 关于报告安全问题的观点,对于改善护理质量至关重要.
研究的目的:
- 探讨心理健康护理工作者 (MHCWs) 在谈论患者安全问题方面的经验和观点.
- 确定影响MHCW报告安全问题的意愿的障碍和促进者.
主要方法:
- 一项定性研究,利用与23个MHCW进行半结构面试.
- 目的性采样是在伊朗Farshchian (Sina) 医院的住院精神病房进行的.
- 传统的内容分析被用来分析采访数据.
主要成果:
- 三个主要主题出现了:"表达对日常安全的担忧"",大声说出拯救未来生命"和"犹不决".
- 副主题包括日常安全检查,防止患者受到伤害,举报,领导层参与,沟通开放,报告的无效性和不愿意发言.
- 许多MHCW表达了一系列的担忧,这些担忧影响了他们发言或保持沉默的决定.
结论:
- 医疗保健工作者面临复杂的决策,涉及报告患者安全问题,平衡潜在风险和益处.
- 沉默或MHCW的无效沟通可能导致患者不良事件和错过了改善系统的机会.
- 解决MHCW的担忧和促进开放的沟通环境对于提高心理健康护理中的患者安全至关重要.
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