Yes, what are nurse’s experiences and perceptions about patient involvement in regards to patient safety. Yes, the patient observes and has their own perspective of the whole care process and mo
Yes, what are nurse’s experiences and perceptions about patient involvement in regards to patient safety.
Yes, the patient observes and has their own perspective of the whole care process and most research to date on the subject gives little insight into the healthcare worker’s view on patient participation in regards to safety.
Did the author clearly articulate the research purpose? What was the purpose of the research?
Yes, to identify the nurse’s experiences and perceptions about patient involvement in regards to patient safety.
Identify the study methodology.
The study included conducting interviews with 11 RN’s and 8 nurse assistants from 2015-2016. Nurses were recruited from 5 different healthcare units in Sweden. The material was analyzed using conventional content analysis.
Did the article include a relevant review of the literature? Explain.
Yes, “Research indicates that there is a potential for patients to improve safety (Davis, Jacklin, Sevdalis, & Vincent, 2007; Vincent & Coulter, 2002) and that patients are willing and able to be involved in safety??related work (Waterman et al., 2006 Wright et al., 2016). However, several barriers to involving patients in improving patient safety has been identified and organized into three key barriers: (i) patients are not always willing or prepared to commit their time and energy to improve their care because they have enough to worry about being ill; (ii) healthcare professionals represent traditional medical authority and questioning or advising professionals about what they do is unacceptable for many patients; and (iii) patients may be apprehensive about reporting problems in their care when providers’ responses are unappreciative or when the patients believe that their feedback may jeopardize the providers’ goodwill towards the patient (Iedema, Allen, Britton, & Gallagher, 2012). Organizational factors such as a busy setting, lack of continuity of care and patients being unaware of incident reporting systems have also been identified as barriers to active patient participation (Doherty & Stavropoulou, 2012).” (Skagerstrom et al., 2017)
Describe the theoretical framework for the research study?
The qualitative descriptive study is based on the assumption that human beings construct the meaning of their experiences in social interaction with their environment.
Identify the components of the qualitative research study.
The study setting was in Sweden using a qualitative approach using standardized open-ended interviews regarding the explorative aim of the study. A purposeful sampling strategy was employed to achieve a heterogenous sample of nurses working in different facilities, with patients who varied in terms of health status, length of stay in healthcare, and age. The nurses were recruited using an email that briefly described the study and interviews were scheduled. “The interview guide used in the study was developed by the authors and concerned the nurses’ experiences and perceptions regarding patient involvement of relevance for patient safety. There were general questions on patient involvement of relevance for patient safety. There were also specific questions on the respondent’s own experiences and examples of patients who have observed and highlighted something of importance for patient safety. The interview guide ended with questions on existing routines to account for patients’ views and experiences and on the nurses’ suggestions on how patient involvement for safer care can be achieved.” (Skagerstrom et al., 2017). Data was analyzed using content analysis. Analysis was data driven and based on participant’s perspectives.
Describe the results of the study along with identified strengths and limitations.
Include appropriate terms for rigor in qualitative research
“Analysis of the data yielded four categories related to patient involvement for enhanced patient safety: healthcare professionals’ ways of influencing patient involvement for safer care; patients’ ways of influencing patient involvement for safer care; barriers to patient involvement for safer care; and relevance of patient involvement for safer care.” (Skagerstrom et al., 2017). Nurses believed that workers and patients share responsibility for patient participation to occur. Nurses emphasized the importance of their own initiatives to achieve patient participation in safety by initiating dialogue and inviting the patients to ask questions. The nurses expressed barriers to achieve patient participation were seen both within patients, healthcare professionals, and the healthcare system.
Strength: the research findings can be used to better relationships between providers and healthcare workers while increasing safety for the patients. The heterogenity of the study increases the possibility of viewing patient involvement in safety from different angles.
Limitation: The recruitment could lead to bias towards participation by the nurses who were more interested in patient involvement and/or safety.
Discuss the findings including relevancy to clinical practice.
These findings show that including patients in ownership of their safety may better provider-patient relationship. This could lower incidents of safety issues within the healthcare system, such as falls.
Permalink for the article selected.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5653393/
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