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Patient participation in patient safety and nursing input – a systematic review

Author

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  • Mojtaba Vaismoradi
  • Sue Jordan
  • Mari Kangasniemi

Abstract

Aims and objectives This systematic review aims to synthesise the existing research on how patients participate in patient safety initiatives. Background Ambiguities remain about how patients participate in routine measures designed to promote patient safety. Design Systematic review using integrative methods. Methods Electronic databases were searched using keywords describing patient involvement, nursing input and patient safety initiatives to retrieve empirical research published between 2007 and 2013. Findings were synthesized using the theoretical domains of Vincent's framework for analysing risk and safety in clinical practice: “patient”, “healthcare provider”, “task”, “work environment”, “organisation & management”. Results We identified 17 empirical research papers: four qualitative, one mixed‐method and 12 quantitative designs. All 17 papers indicated that patients can participate in safety initiatives. Conclusions Improving patient participation in patient safety necessitates considering the patient as a person, the nurse as healthcare provider, the task of participation and the clinical environment. Patients' knowledge, health conditions, beliefs and experiences influence their decisions to engage in patient safety initiatives. An important component of the management of long‐term conditions is to ensure that patients have sufficient knowledge to participate. Healthcare providers may need further professional development in patient education and patient care management to promote patient involvement in patient safety, and ensure that patients understand that they are ‘allowed’ to inform nurses of adverse events or errors. A healthcare system characterised by patient‐centredness and mutual acknowledgement will support patient participation in safety practices. Further research is required to improve international knowledge of patient participation in patient safety in different disciplines, contexts and cultures. Relevance to clinical practice Patients have a significant role to play in enhancing their own safety while receiving hospital care. This review offers a framework for clinicians to develop comprehensive practical guidelines to support patient involvement in patient safety.

Suggested Citation

  • Mojtaba Vaismoradi & Sue Jordan & Mari Kangasniemi, 2015. "Patient participation in patient safety and nursing input – a systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(5-6), pages 627-639, March.
  • Handle: RePEc:wly:jocnur:v:24:y:2015:i:5-6:p:627-639
    DOI: 10.1111/jocn.12664
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    References listed on IDEAS

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    1. Johnstone, Megan-Jane & Kanitsaki, Olga, 2009. "Engaging patients as safety partners: Some considerations for ensuring a culturally and linguistically appropriate approach," Health Policy, Elsevier, vol. 90(1), pages 1-7, April.
    2. Doherty, Carole & Stavropoulou, Charitini, 2012. "Patients' willingness and ability to participate actively in the reduction of clinical errors: A systematic literature review," Social Science & Medicine, Elsevier, vol. 75(2), pages 257-263.
    3. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
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    Cited by:

    1. Madeline Sands & Robert Aunger, 2020. "Determinants of hand hygiene compliance among nurses in US hospitals: A formative research study," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-29, April.
    2. Mojtaba Vaismoradi & Susanna Tella & Patricia A. Logan & Jayden Khakurel & Flores Vizcaya-Moreno, 2020. "Nurses’ Adherence to Patient Safety Principles: A Systematic Review," IJERPH, MDPI, vol. 17(6), pages 1-15, March.
    3. Beatriz Vallina Acha & Estrella Durá Ferrandis & Mireia Ferri Sanz & Maite Ferrando García, 2021. "Engaging People and Co-Producing Research with Persons and Communities to Foster Person-Centred Care: A Meta-Synthesis," IJERPH, MDPI, vol. 18(23), pages 1-25, November.
    4. Jimson Joseph Chumbula & Umoh, Edet O. (PhD) & Endra, Michael & Otosi, Okosienen & Anake, Monday & Nkanga, Dominic & Unwana, Udomoh & Usani, Patrick & Ejoh, Vincent & Amu, Denis, 2020. "Patients’ Relative Satisfaction with Nursing Care: A Case Study of Federal Neuro-Psychiatric Hospital, Calabar," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 4(12), pages 163-172, December.
    5. Anne Clancy & Marianne Mahler, 2016. "Nursing staffs’ attentiveness to older adults falling in residential care – an interview study," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(9-10), pages 1405-1415, May.
    6. Mojtaba Vaismoradi & Flores Vizcaya-Moreno & Sue Jordan & Ingjerd Gåre Kymre & Mari Kangasniemi, 2020. "Disclosing and Reporting Practice Errors by Nurses in Residential Long-Term Care Settings: A Systematic Review," Sustainability, MDPI, vol. 12(7), pages 1-14, March.
    7. Mamdooh Alzyood & Debra Jackson & Joanne Brooke & Helen Aveyard, 2018. "An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1329-1345, April.
    8. Elise van Belle & Sandra M G Zwakhalen & Josien Caris & Ann Van Hecke & Getty Huisman‐de Waal & Maud Heinen, 2018. "Tailoring of the Tell‐us Card communication tool for nurses to increase patient participation using Intervention Mapping," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(3-4), pages 621-630, February.

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