Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: A qualitative study
Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: A qualitative study
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DOI：
10.1002/nop2.411
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发表时间：
2019-11-25
期刊：
影响因子：
2.3
通讯作者：
Pouraghaei, Mahboub
中科院分区：
文献类型：
--
作者：
Chegini, Zahra;Janati, Ali;Pouraghaei, Mahboub
目的调查患者参与安全医院护理的障碍。设计定性探索性研究。方法2019年2月至4月对35名伊朗卫生专业人员进行质性研究，采用半结构化访谈法听取他们的意见。采用MAXQDA 11软件进行数据管理，采用框架分析法对数据进行分析。结果：障碍可能对患者参与提供更安全的护理产生负面影响，这些障碍被分为四个主题。第一类包括与病人有关的障碍，如卫生知识水平低、教育无效、病人不愿意和文化障碍。第二类障碍包括与工作人员有关的障碍，例如对让患者参与与患者安全有关的事务存在消极态度、沟通无效、工作量大以及医生不愿与患者接触。资源有限和大学和工作场所提供的培训不足造成的障碍是第三类，与社区有关的障碍，如通过大众传播媒介传播信息不足和缺乏社区服务是第四类。结论：研究结果表明，患者参与安全护理的重大障碍具有多层性质，并反映了要克服这些障碍，需要护理接受者、研究人员、护理提供者和政策制定者之间的合作方法。
AimTo investigate barriers to patient engagement in the delivery of safe hospital care.DesignQualitative exploratory study.MethodsA qualitative study with 35 Iranian health professionals was conducted from February to April 2019 using semi-structured interviews to elicit their opinions. MAXQDA 11 software was used for data management, and the data were analysed using framework analysis.ResultsBarriers, which potentially have negative impact on patient engagement in the delivery of safer care, were categorized into four themes. The first category included patient-related barriers such as low levels of health literacy, ineffective education, patient unwillingness and cultural barriers. The second category included staff-related barriers such as the existence of negative attitudes towards engaging patients in matters relating to patient safety, ineffective communication, high workload and the reluctance on the part of physicians to engage with patients. Barriers created by limited resources and inadequate training provided by universities and in the workplace formed the third category and community-related barriers such as the inadequate dissemination of information via the mass media and a lack of community-based services formed the fourth category.ConclusionResults demonstrate the multilayered nature of the significant barriers to the engagement of patients in the delivery of safe care and reflect the need for a collaborative approach between the recipients of care, researchers, care providers and policy makers if these are to be overcome.