通过手术患者的镜头观察患者安全文化:一种定性研究
Magnhild Vikan1, Arvid S Haugen2,3, Berit T Valeberg2
1Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, St. Olavs Place, P.O. Box 4, 0130, Oslo, Norway. magnhil@oslomet.no.
BMC health services research
|February 7, 2025
概括
前外科患者强调,个性化的护理,可预测的途径和开放的沟通提高了患者的安全性,并减少了不良事件. 障碍包括效率要求和专业层次结构,需要开放和和解的文化.
科学领域:
- 医疗保健的质量和安全
- 外科手术患者的经验
- 患者参与 患者参与
背景情况:
- 患者参与和从经验中学习对于提高患者安全和减少不良事件至关重要,特别是在手术中.
- 一个积极的患者安全文化与改善患者结果密切相关.
- 了解患者对不良事件和安全文化的看法对于质量改善至关重要.
研究的目的:
- 探索前手术患者对不良事件和患者安全文化的看法.
- 确定与不良事件的原因相关的主题.
- 在外科护理途径中为质量改进项目提供信息.
主要方法:
- 使用绑架方法进行定性,探索性研究.
- 14个半结构面试与前手术患者 (57%男性,43%女性,年龄在35-64岁) 进行.
- 基于布劳恩和克拉克的方法来识别意义模式的反思性主题分析.
主要成果:
- 主题1:个性化护理和可预测的途径显著增加了患者的安全感.
- 主题2:患者希望参与他们的护理作为资源,而不是威胁.
- 主题3:促进改进和和解的文化对于患者的福祉至关重要.
结论:
- 患者重视可预测的护理计划,量身定制的信息,个性化的护理和公平的对话.
- 效率要求,专业层次和权威可以阻碍患者的参与和安全.
- 建议采取促进开放,心理安全和组织学习的干预措施,以提高患者和专业人员的安全.
- 对不良事件的认可,明确的信息和随访对患者和家庭的康复至关重要.
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