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Journal of Nursing ›› 2020, Vol. 27 ›› Issue (10): 36-42.doi: 10.16460/j.issn1008-9969.2020.10.036

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Qualitative Study on Knowledge-attitude-practice of Patients' Participation in Patients' Safety: A Systematic Review

ZHAN Yu-xin1a, YANG Zhong-shan1b, MO Meng-yan2, LI Su-yun1a, YU Jiao-hua1a   

  1. 1a. Dept. of Nursing Administration; 1b. Dept. of Neurosurgery, Union Hospital, Tongji Medical College,Huazhong University of Science and Technology, Wuhan 430022, China;
    2. Dept. of Neurosurgery,Heping Hospital Affiliated of Changzhi Medical College, Changzhi 046000, China
  • Received:2020-01-07 Online:2020-05-25 Published:2020-07-15

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Abstract: Objective To conduct a systematic review of patients' knowledge-attitude-practice in participating in patient safety, and provide basis for promoting patients' participation in patients' safety management. Methods We searched PubMed, CINAHL, Web of Science, CNKI, Wanfang Database, VIP Database and Chinese Biomedical Literature Database for qualitative research on patients' knowledge-attitude-practice in participating in patients' safety. The retrieval time was from the inception of the database to August 2019. After evaluating the quality of literature using the Australian Evidence-based Health Care Center (JBI-QARI, 2017 edition) qualitative research quality evaluation criteria, meta-integration was carried out by using aggregative integration method, and the results were compared, analyzed, summarized, interpreted and synthesized. Results Twelve studies were included, and 42 results were extracted. Eight categories were summarized and integrated into three results including cognitive attitudes towards patients' participation, barriers to patients' participation, and expectations of patients' needs for participation. Conclusion Medical institutions and staffs should attach great importance to the organizational and practical management of patients' participation in patients' safety, and guide patients to improve their participation cognition, belief and action from different perspectives, so as to ensure patients' safety and medical safety.

Key words: patients' participation in patients' safety, knowledge-attitude-practice, qualitative research, systematic review

CLC Number: 

  • R47
[1] Florin J,Ehrenberg A, Ehnfors M.Patients’ and Nurses’ Perceptions of Nursing Problems in An Acute Care Setting[J]. J Adv Nurs, 2005,51(2):140-149.DOI:10.1111/j.1365-2648.2005.03477.x.
[2] Pronovost PJ, Bo-Linn GW.Preventing Patient Harms Through Systems of Care[J]. JAMA, 2012, 308(8):769-770. DOI:10.1001/jama.2012.9537.
[3] World Health Organization. WHO Calls for Urgent Action to Reduce Patient Harm in Healthcare[EB/OL].(2019-09-13)[2020-03-18].https://www.who.int/news-room/detail/13-09-2019-who-calls-for-urgent-action-to-reduce-patient-harm-in-healthcare.
[4] World Health Organisation. Patients for Patient Safety Partnerships for Safer Health Care.[EB/OL].(2013-02-28)[2020-03-18].https://www.who.int/patientsafety/patients_for_patient/PFPS_brochure_2013.pdf?ua=1.
[5] Berger Z, Flickinger TE, Pfoh E, et. Promoting Engagement by Patients and Families to Reduce Adverse Events in Acute Care Settings: A Systematic Review[J]. BMJ Qual Saf, 2014, 23(7):548-555. DOI:10.1136/bmjqs-2012-001769.
[6] 王雅星,徐蕊芳,关志,等. 痴呆患者参与决策及决策辅助的研究进展[J]. 护理学报,2019,26(13):38-43. DOI:10.16460/j.issn1008-9969.2019.13.038.
[7] 苑娜,刘春娥,于蕾,等. 外科手术患者参与手术决策的现状及影响因素分析[J]. 护理学报, 2017, 24(4):47-50. DOI:10.16460/j.issn1008-9969.2017.04.047.
[8] Duhn L, Medves J.A 5-facet Framework to Describe Patient Engagement in Patient Safety[J]. Health Expect, 2018, 21(6):1122-1133. DOI:10.1111/hex.12815.
[9] 叶旭春,刘朝杰,刘晓虹. 患者对患者安全感知的质性研究[J]. 中华现代护理杂志, 2013, 19(25):3029-3032. DOI:10.3760/cma.j.issn.1674-2907.2013.25.002.
[10] Martin HM, Navne LE, ipczak H. Involvement of Patients with Cancer in Patient Safety: A Qualitative Study of Current Practices,Potentials and Barriers[J].BMJ Quality Safety,2013,22(10):836-842.DOI:10.1136/bmjqs-2012-001447.
[11] Rainey H, Ehrich K, Mackintosh N, et al.The role of Patients and Their Relatives in ‘Speaking Up’ about Their Own Safety-a Qualitative Study of Acute Illness[J]. Health Expectations, 2015, 18(3):392-405. DOI:10.1111/hex.12044.
[12] Bishop, Andrea C, Macdonald, et al. Patient Involvement in Patient Safety: A Qualitative Study of Nursing Staff and Patient Perceptions[J]. J Patient Saf, 2014(2):1-6. DOI:10.1097/PTS.0000000000000123.
[13] 李宁,李艳鑫,杨柳. 心脏外科患者对参与患者安全管理认知的质性研究[J]. 中国实用护理杂志, 2015, 31(12): 874-877. DOI:10.3760/cma.j.issn.1672-7088.2015.12.005.
[14] 朱琴,颜巧元,张蓓蓓. 住院患者参与患者安全真实体验的质性研究[J]. 现代临床护理,2017,17(12):46-51. DOI:10.3969/j.issn.1671-8283.2017.12.012.
[15] Burrows Walters C, Duthie E.Patients’ Perspectives of Engagement as a Safety Strategy[J]. Oncology Nursing Forum, 2017, 44(6):712-718. DOI:10.1188/17.ONF.712-718.
[16] Ringdal M, Chaboyer W, Ulin K, et al.Patient Preferences for Participation in Patient Care and Safety Activities in Hospitals[J]. BMC Nursing, 2017, 16(1):69-76.DOI:10.1186/s12912-017-0266-7.
[17] De Brún Aoife, Heavey E, Waring J, et al.PReSaFe: A Model of Barriers and Facilitators to Patients Providing Feedback on Experiences of Safety[J]. Health Expectations, 2017, 20:770-771. DOI:10.1111/hex.12516.
[18] 朱琴,颜巧元. 乳腺癌化疗患者参与患者安全感知的质性研究[J]. 齐鲁护理杂志, 2018, 24(1):29-32.
[19] Schenk EC, Bryant RA, Van SCR, et al.Perspectives on Patient and Family Engagement With Reduction in Harm[J]. Journal of Nursing Care Quality,2018:1-7.DOI:10.1097/NCQ.0000000000000333.
[20] New L, Goodridge D, Kappel J, et al.“I Just Have to Take It”-patient safety in Acute Care: Perspectives and Experiences of Patients with Chronic Kidney Disease[J]. BMC Health Services Research, 2019, 19:199-209.DOI:10.1186/s12913-019-4014-4.
[21] The Joanna Briggs Institute. Criticl Appraisal Checklist for Qualitative Research[EB/OL].(2019-05-28)[2019-09-18].https://joannabriggs.org/sites/default/files/2019-05/JBI_Crit-ical_Appraisal-Checklist_for_Qualitative_Research2017_0.pdf.
[22] 王灿,蒋艳余. 临床护理用药管理及用药差错预防的研究进展[J].护理学报, 2017, 24(4):30-34.DOI:10.16460/j.issn1008-9969.2017.04.030.
[23] James JT.A New,Evidence-based Estimate of Patient Harms Associated with Hospital Care[J]. J Patient Saf, 2013, 9:122-128.DOI:10.1097/PTS.0b013e3182948a69.
[24] 詹昱新,喻姣花,李凌志,等.医务人员对患者参与患者安全知信行质性研究的Meta整合[J]. 护理学杂志, 2019, 34(24):52-56. DOI:10.3870/j.issn.1001-4152.2019.24.00.
[25] 朱琴,颜巧元. 患者参与患者安全标准化管理方案的研究现状及启示[J]. 中华护理杂志,2018, 53(7):127-130.DOI:10.3761/j.issn.0254-1769.2018.07.027.
[26] 金环,喻姣花,李鑫,等. 护理不良事件人因可靠性数据库的设计与应用[J]. 护理学报, 2019, 26(3):13-16. DOI:10.16460/j.issn1008-9969.2019.03.008.
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