It is necessary to evaluate progress in the area of patient safety. However, although there has been an increase in number of quality and safety related studies have increased, the topics of patient involvement and pa...It is necessary to evaluate progress in the area of patient safety. However, although there has been an increase in number of quality and safety related studies have increased, the topics of patient involvement and patient safety are not automatically linked. The aim of this systematic review was to identify and evaluate the evidence contributed by studies of patient involvement in the provision of safe care. Inclusion criteria were studies undertaken to promote involvement in safety, covering patients’ attitudes, unsafe and safe care, risk reduction and handover practices during discharge from hospital to primary care. The results revealed three themes: satisfaction with and need for knowledge about healthcare and the health system, sharing responsibility and accountability for safety and the need to overcome language barriers to prevent harm and error. In conclusion, there is an increased focus on the role of the patient in the provision of safe care. Existing evidence is related to medication rather than patients’ capability and willingness to be involved. It is recommended that patient participation in the provision of safe care should be explored in relation to phenomena such as trust, responsibility, shared decision-making and powerlessness. It is also important to investigate the patient’s role with respect to patient rights.展开更多
The aim was to evaluate the current state of knowledge pertaining to patient safety and its link to person-centred care. The international relevance of patient safety has expanded, as have the models of person-centred...The aim was to evaluate the current state of knowledge pertaining to patient safety and its link to person-centred care. The international relevance of patient safety has expanded, as have the models of person-centred care. Inspired by this new trend, we collated and summarized the literature for evidence of the two topics. The study was guided by Russell, Whittemore and Knafl’s integrative review framework. An electronic database search was conducted for relevant articles from 2005 to 2016. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The structure and process of the evaluation of the evidence are described and the findings interpreted by means of a thematic synthesis. One theme emerged: trustful, safe communication in the relationship between the patient, family members and healthcare professionals and two domains;safety culture and multidisciplinary capacity building. The dominant dimension in the safety culture domain is respectful communication, which implies sharing experiences that lead to a sense of control during labour and birth and is related to the women’s feeling of personal capacity. The dominant dimensions in the multidisciplinary capacity building domain are collaborative teamwork, coordination and risk management, knowledge sharing and patient-centred communication. In conclusion, to enhance patient safety, it is necessary to develop patient-focused, evidence-based skills and guidelines as well as a supportive organization. Due to their interaction with patients, midwives’ communication competence on the part of midwives is essential for supporting the birth and fulfilling the women’s needs and expectations.展开更多
Hemodialysis is the main alternative therapy for patients with end-stage renal disease;most of the hemodialysis centers in China are not designed together with the inpatient ward.During the hospitalization period,hemo...Hemodialysis is the main alternative therapy for patients with end-stage renal disease;most of the hemodialysis centers in China are not designed together with the inpatient ward.During the hospitalization period,hemodialysis patients often move back and forth between wards and hemodialysis rooms because of the treatment needed.Hemodialysis patients are a special group of hospitalized patients,most of them are elderly patients.The overall basic diseases of the patients vary very much,and the cause of the disease is complex.Moreover,the chronic inflammation progresses slowly,and immune function declines.Some of the patient are seriously ill or even hav organ failure.All these factors affect the patients in general.Therefore,the transfer safety of patients during hospitalization is facing great challenges.The researchers reviewed the status of transshipment research in Chinese hemodialysis patients and laid the foundation for the research and development of related handover tools and perfect handover mode in the future.展开更多
The objective of this literature review was to identify and examine research where Patient Participation was used as a part of intervention targeting general life style among patients who comes in contact with a nurse...The objective of this literature review was to identify and examine research where Patient Participation was used as a part of intervention targeting general life style among patients who comes in contact with a nurse. A literature search were conducted and included papers where judged by the researcher using recommendation from The Danish Centre for Clinical Guidelines. Analysis of the papers was carried out using Per?kyl? and Ruusuvauoris five components of Patient Participation as a theoretical template. It was concluded that the clinical effects of Patient Participation still needs to be clarified.展开更多
目的对加强医疗质量与患者安全的团队策略和工具(Team Strategies and Tools to Enhance Performance and Patient Safety,TeamSTEPPS)在护理安全教育中的应用研究进行范围审查,为未来TeamSTEPPS在护理安全教育中的应用提供参考。方法以...目的对加强医疗质量与患者安全的团队策略和工具(Team Strategies and Tools to Enhance Performance and Patient Safety,TeamSTEPPS)在护理安全教育中的应用研究进行范围审查,为未来TeamSTEPPS在护理安全教育中的应用提供参考。方法以Arksey和O’Malley的范围综述方法为框架,检索万方、中国知网、维普、中国生物医学文献数据库、PubMed、CINAHL、Web of Science、Scopus和Cochrane Library数据库中TeamSTEPPS在护理安全教育中应用的文献,检索时限为建库至2023年4月18日,按照纳入和排除标准筛选文献,对所纳入文献的信息进行汇总分析。结果共检索出858篇文献,最终纳入18篇文献;TeamSTEPPS的教育对象以临床护士为主(n=12),教学实施形式主要包括工作坊、角色扮演、情景演练、团建活动等,TeamSTEPPS在护理安全教育中应用的局限性包括样本量小、应用时长较短、缺乏统一可靠的教学效果评价工具等。结论TeamSTEPPS在护理安全教育中的教学实施形式灵活,能够满足受训者个性化教学需求,提升其安全知识和安全技能。未来需要进一步拓展教育对象和教学场景,应用患者安全结局相关评价指标,全方位评估TeamSTEPPS在护理安全教育中的应用效果。展开更多
文摘It is necessary to evaluate progress in the area of patient safety. However, although there has been an increase in number of quality and safety related studies have increased, the topics of patient involvement and patient safety are not automatically linked. The aim of this systematic review was to identify and evaluate the evidence contributed by studies of patient involvement in the provision of safe care. Inclusion criteria were studies undertaken to promote involvement in safety, covering patients’ attitudes, unsafe and safe care, risk reduction and handover practices during discharge from hospital to primary care. The results revealed three themes: satisfaction with and need for knowledge about healthcare and the health system, sharing responsibility and accountability for safety and the need to overcome language barriers to prevent harm and error. In conclusion, there is an increased focus on the role of the patient in the provision of safe care. Existing evidence is related to medication rather than patients’ capability and willingness to be involved. It is recommended that patient participation in the provision of safe care should be explored in relation to phenomena such as trust, responsibility, shared decision-making and powerlessness. It is also important to investigate the patient’s role with respect to patient rights.
基金supported by the Japan Society for Promotion of Science(ID No.S15190)and awards to Professor Elisabeth Severinsson for her work at the Department of Midwifery and Women’s Health at The University of Tokyosupported by a grant from the University College of Southeast Norway.
文摘The aim was to evaluate the current state of knowledge pertaining to patient safety and its link to person-centred care. The international relevance of patient safety has expanded, as have the models of person-centred care. Inspired by this new trend, we collated and summarized the literature for evidence of the two topics. The study was guided by Russell, Whittemore and Knafl’s integrative review framework. An electronic database search was conducted for relevant articles from 2005 to 2016. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The structure and process of the evaluation of the evidence are described and the findings interpreted by means of a thematic synthesis. One theme emerged: trustful, safe communication in the relationship between the patient, family members and healthcare professionals and two domains;safety culture and multidisciplinary capacity building. The dominant dimension in the safety culture domain is respectful communication, which implies sharing experiences that lead to a sense of control during labour and birth and is related to the women’s feeling of personal capacity. The dominant dimensions in the multidisciplinary capacity building domain are collaborative teamwork, coordination and risk management, knowledge sharing and patient-centred communication. In conclusion, to enhance patient safety, it is necessary to develop patient-focused, evidence-based skills and guidelines as well as a supportive organization. Due to their interaction with patients, midwives’ communication competence on the part of midwives is essential for supporting the birth and fulfilling the women’s needs and expectations.
基金project was supported by Health and Family Planning Commission of Chongqing Medical Research Project(No.2016ZDXM008)the outstanding young nurses in Second Hospital Affiliated to Chongqing Medical University(No.201707)Hospital Research and Construction Project of Chinese Medical Doctor Association(No.201522)
文摘Hemodialysis is the main alternative therapy for patients with end-stage renal disease;most of the hemodialysis centers in China are not designed together with the inpatient ward.During the hospitalization period,hemodialysis patients often move back and forth between wards and hemodialysis rooms because of the treatment needed.Hemodialysis patients are a special group of hospitalized patients,most of them are elderly patients.The overall basic diseases of the patients vary very much,and the cause of the disease is complex.Moreover,the chronic inflammation progresses slowly,and immune function declines.Some of the patient are seriously ill or even hav organ failure.All these factors affect the patients in general.Therefore,the transfer safety of patients during hospitalization is facing great challenges.The researchers reviewed the status of transshipment research in Chinese hemodialysis patients and laid the foundation for the research and development of related handover tools and perfect handover mode in the future.
文摘The objective of this literature review was to identify and examine research where Patient Participation was used as a part of intervention targeting general life style among patients who comes in contact with a nurse. A literature search were conducted and included papers where judged by the researcher using recommendation from The Danish Centre for Clinical Guidelines. Analysis of the papers was carried out using Per?kyl? and Ruusuvauoris five components of Patient Participation as a theoretical template. It was concluded that the clinical effects of Patient Participation still needs to be clarified.
文摘目的对加强医疗质量与患者安全的团队策略和工具(Team Strategies and Tools to Enhance Performance and Patient Safety,TeamSTEPPS)在护理安全教育中的应用研究进行范围审查,为未来TeamSTEPPS在护理安全教育中的应用提供参考。方法以Arksey和O’Malley的范围综述方法为框架,检索万方、中国知网、维普、中国生物医学文献数据库、PubMed、CINAHL、Web of Science、Scopus和Cochrane Library数据库中TeamSTEPPS在护理安全教育中应用的文献,检索时限为建库至2023年4月18日,按照纳入和排除标准筛选文献,对所纳入文献的信息进行汇总分析。结果共检索出858篇文献,最终纳入18篇文献;TeamSTEPPS的教育对象以临床护士为主(n=12),教学实施形式主要包括工作坊、角色扮演、情景演练、团建活动等,TeamSTEPPS在护理安全教育中应用的局限性包括样本量小、应用时长较短、缺乏统一可靠的教学效果评价工具等。结论TeamSTEPPS在护理安全教育中的教学实施形式灵活,能够满足受训者个性化教学需求,提升其安全知识和安全技能。未来需要进一步拓展教育对象和教学场景,应用患者安全结局相关评价指标,全方位评估TeamSTEPPS在护理安全教育中的应用效果。
基金supported by the Chinese Research Hospital Association Research Funding(Y2022FHHLJY05-01)the Union Hospital of Tongji Medical College of Huazhong University of Science and Technology Research Funding(P016.01003.22003.100).
