A qualitative exploration of patient safety in a hospital setting in Spain: Policy and practice recommendations on patients' and companions' participation
Abstract Introduction Patients' and companions' participation in healthcare could help prevent adverse events, which are a significant cause of disease and disability. Before designing interventions to increase participation, it is first necessary to identify attitudes to patient safety. T...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-08-01
|
| Series: | Health Expectations |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/hex.13758 |
| _version_ | 1797626803785826304 |
|---|---|
| author | Daniel G. Abiétar Laia Domingo Laura Medina‐Perucha Nuria Saavedra Anna Berenguera Laia Lacueva Marta Hurtado Xavier Castells María Sala |
| author_facet | Daniel G. Abiétar Laia Domingo Laura Medina‐Perucha Nuria Saavedra Anna Berenguera Laia Lacueva Marta Hurtado Xavier Castells María Sala |
| author_sort | Daniel G. Abiétar |
| collection | DOAJ |
| description | Abstract Introduction Patients' and companions' participation in healthcare could help prevent adverse events, which are a significant cause of disease and disability. Before designing interventions to increase participation, it is first necessary to identify attitudes to patient safety. This study aimed to explore patients' and companions' perceptions, attitudes and experiences of patient safety, taking into account contextual factors, such as cultural background, which are not usually captured in the literature. Methods We conducted a qualitative study with a theoretical sampling of 13 inpatients and 3 companions in a university hospital in Barcelona, Spain. Information was obtained from individual and triangular interviews. A descriptive thematic content analysis was conducted by four analysts and a consensus was reached within the research team on the key categories that were identified. We also conducted a card‐sorting exercise. Results All informants emphasized the role of good communication with health professionals, a calm environment and the need for patient education. Discursive positions differed by cultural background. Informants from a Pakistani–Bangladeshi background emphasized language barriers, while those from European and Latin‐American backgrounds stressed health professionals' lack of time and the need for more interdisciplinary teamwork. The card‐sorting exercise identified several opportunities to enhance participation: checking patient identification and medication dispensation, and maintaining personal and environmental hygiene. Conclusion This exploration of informants' discourse on patient safety identified a wide variety of categories not usually considered from institutional perspectives. The findings of this study could enrich interventions in areas with diverse cultural backgrounds, as well as current frameworks based exclusively on institutional perspectives. Patient or Public Contribution The results of the study were communicated to patients and accompanying persons via telephone or email. Similarly, a focus group was held with a patient forum to comment on the results. In the design of subsequent interventions to improve patient safety at the hospital, the proposals of patients and companions for their participation will be included together with healthcare professionals' opinions. |
| first_indexed | 2024-03-11T10:15:24Z |
| format | Article |
| id | doaj.art-0fab41c536c34607b7bf30aa789a01a4 |
| institution | Directory Open Access Journal |
| issn | 1369-6513 1369-7625 |
| language | English |
| last_indexed | 2024-03-11T10:15:24Z |
| publishDate | 2023-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Expectations |
| spelling | doaj.art-0fab41c536c34607b7bf30aa789a01a42023-11-16T08:25:35ZengWileyHealth Expectations1369-65131369-76252023-08-012641536155010.1111/hex.13758A qualitative exploration of patient safety in a hospital setting in Spain: Policy and practice recommendations on patients' and companions' participationDaniel G. Abiétar0Laia Domingo1Laura Medina‐Perucha2Nuria Saavedra3Anna Berenguera4Laia Lacueva5Marta Hurtado6Xavier Castells7María Sala8Servicio de Epidemiología y Evaluación Hospital del Mar Barcelona SpainServicio de Epidemiología y Evaluación Hospital del Mar Barcelona SpainRed de Investigación en Cronicidad Atención Primaria y Promoción de la Salud (RICAPPS) Madrid SpainUnidad de enfermería de Cirugía Ortopédica y Traumatología Hospital del Mar Barcelona SpainRed de Investigación en Cronicidad Atención Primaria y Promoción de la Salud (RICAPPS) Madrid SpainServicio de Metodología y Calidad en Cuidados Enfermeros Hospital del Mar Barcelona SpainServicio de Atención a la Ciudadanía Hospital del Mar Barcelona SpainServicio de Epidemiología y Evaluación Hospital del Mar Barcelona SpainServicio de Epidemiología y Evaluación Hospital del Mar Barcelona SpainAbstract Introduction Patients' and companions' participation in healthcare could help prevent adverse events, which are a significant cause of disease and disability. Before designing interventions to increase participation, it is first necessary to identify attitudes to patient safety. This study aimed to explore patients' and companions' perceptions, attitudes and experiences of patient safety, taking into account contextual factors, such as cultural background, which are not usually captured in the literature. Methods We conducted a qualitative study with a theoretical sampling of 13 inpatients and 3 companions in a university hospital in Barcelona, Spain. Information was obtained from individual and triangular interviews. A descriptive thematic content analysis was conducted by four analysts and a consensus was reached within the research team on the key categories that were identified. We also conducted a card‐sorting exercise. Results All informants emphasized the role of good communication with health professionals, a calm environment and the need for patient education. Discursive positions differed by cultural background. Informants from a Pakistani–Bangladeshi background emphasized language barriers, while those from European and Latin‐American backgrounds stressed health professionals' lack of time and the need for more interdisciplinary teamwork. The card‐sorting exercise identified several opportunities to enhance participation: checking patient identification and medication dispensation, and maintaining personal and environmental hygiene. Conclusion This exploration of informants' discourse on patient safety identified a wide variety of categories not usually considered from institutional perspectives. The findings of this study could enrich interventions in areas with diverse cultural backgrounds, as well as current frameworks based exclusively on institutional perspectives. Patient or Public Contribution The results of the study were communicated to patients and accompanying persons via telephone or email. Similarly, a focus group was held with a patient forum to comment on the results. In the design of subsequent interventions to improve patient safety at the hospital, the proposals of patients and companions for their participation will be included together with healthcare professionals' opinions.https://doi.org/10.1111/hex.13758companionshospital settingpatient participationpatient safety |
| spellingShingle | Daniel G. Abiétar Laia Domingo Laura Medina‐Perucha Nuria Saavedra Anna Berenguera Laia Lacueva Marta Hurtado Xavier Castells María Sala A qualitative exploration of patient safety in a hospital setting in Spain: Policy and practice recommendations on patients' and companions' participation Health Expectations companions hospital setting patient participation patient safety |
| title | A qualitative exploration of patient safety in a hospital setting in Spain: Policy and practice recommendations on patients' and companions' participation |
| title_full | A qualitative exploration of patient safety in a hospital setting in Spain: Policy and practice recommendations on patients' and companions' participation |
| title_fullStr | A qualitative exploration of patient safety in a hospital setting in Spain: Policy and practice recommendations on patients' and companions' participation |
| title_full_unstemmed | A qualitative exploration of patient safety in a hospital setting in Spain: Policy and practice recommendations on patients' and companions' participation |
| title_short | A qualitative exploration of patient safety in a hospital setting in Spain: Policy and practice recommendations on patients' and companions' participation |
| title_sort | qualitative exploration of patient safety in a hospital setting in spain policy and practice recommendations on patients and companions participation |
| topic | companions hospital setting patient participation patient safety |
| url | https://doi.org/10.1111/hex.13758 |
| work_keys_str_mv | AT danielgabietar aqualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT laiadomingo aqualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT lauramedinaperucha aqualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT nuriasaavedra aqualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT annaberenguera aqualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT laialacueva aqualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT martahurtado aqualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT xaviercastells aqualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT mariasala aqualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT danielgabietar qualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT laiadomingo qualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT lauramedinaperucha qualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT nuriasaavedra qualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT annaberenguera qualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT laialacueva qualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT martahurtado qualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT xaviercastells qualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation AT mariasala qualitativeexplorationofpatientsafetyinahospitalsettinginspainpolicyandpracticerecommendationsonpatientsandcompanionsparticipation |