PDF(Pubmed)
Abstract：
BACKGROUND: Recent research within the context of Obstetrics shows the added value of patient participation in in-hospital patient safety. Notwithstanding these benefits, recent research within an Obstetrics department shows that four different negative effects of patient participation in patient safety have emerged. However, the approach to addressing these negative effects within the perspective of patient participation in patient safety is currently lacking. For this reason, the aim of this study is to generate an overview of actions that could be taken to mitigate the negative effects of patient participation in patient safety within an Obstetrics department.
METHODS: This study was conducted in the Obstetrics Department of a tertiary academic center. An explorative qualitative interview study included sixteen interviews with professionals (N = 8) and patients (N = 8). The actions to mitigate the negative effects of patient participation in patient safety, were analyzed and classified using a deductive approach.
RESULTS: Eighteen actions were identified that mitigated the negative effects of patient participation in patient safety within an Obstetrics department. These actions were categorized into five themes: \'structure\', \'culture\', \'education\', \'emotional\', and \'physical and technology\'. These five categories reflect the current approach to improving patient safety which is primarily viewed from the perspective of professionals rather than of patients.
CONCLUSIONS: Most of the identified actions are linked to changing the culture to generate more patient-centered care and change the current reality, which looks predominantly from the perspective of the professionals and too little from that of the patients. Furthermore, none of the suggested actions fit within a sixth anticipated category, namely, \'politics\'. Future research should explore ways to implement a patient-centered care approach based on these actions. By doing so, space, money and time have to be created to elaborate on these actions and integrate them into the organizations\' structure, culture and practices.
METHODS: This study was conducted in the Obstetrics Department of a tertiary academic center. An explorative qualitative interview study included sixteen interviews with professionals (N = 8) and patients (N = 8). The actions to mitigate the negative effects of patient participation in patient safety, were analyzed and classified using a deductive approach.
RESULTS: Eighteen actions were identified that mitigated the negative effects of patient participation in patient safety within an Obstetrics department. These actions were categorized into five themes: \'structure\', \'culture\', \'education\', \'emotional\', and \'physical and technology\'. These five categories reflect the current approach to improving patient safety which is primarily viewed from the perspective of professionals rather than of patients.
CONCLUSIONS: Most of the identified actions are linked to changing the culture to generate more patient-centered care and change the current reality, which looks predominantly from the perspective of the professionals and too little from that of the patients. Furthermore, none of the suggested actions fit within a sixth anticipated category, namely, \'politics\'. Future research should explore ways to implement a patient-centered care approach based on these actions. By doing so, space, money and time have to be created to elaborate on these actions and integrate them into the organizations\' structure, culture and practices.
摘要：
背景：产科背景下的最新研究表明，患者参与住院患者安全具有附加价值。尽管有这些好处，产科最近的研究表明，患者参与对患者安全的四种不同的负面影响已经出现。然而,目前缺乏从患者参与患者安全的角度解决这些负面影响的方法.出于这个原因,本研究的目的是概述可以采取的措施,以减轻患者参与产科患者安全的负面影响.
方法：本研究在某三级学术中心的产科进行。一项探索性定性访谈研究包括对专业人士（N=8）和患者（N=8）的16次访谈。减轻患者参与患者安全的负面影响的行动，使用演绎方法进行了分析和分类。
结果：发现18项措施减轻了患者参与产科患者安全的负面影响。这些行动分为五个主题：\'结构\'，\'文化\',\'教育\',\'情感\',和“物理和技术”。这五个类别反映了当前改善患者安全的方法，主要是从专业人员而不是患者的角度来看。
结论：大多数确定的行动与改变文化有关，以产生更多的以患者为中心的护理并改变当前的现实。这主要是从专业人士的角度来看，而从患者的角度来看太少。此外，建议的行动都不符合第六个预期类别，即,\'政治\'。未来的研究应该探索基于这些行动实施以患者为中心的护理方法的方法。通过这样做,空间,必须创造金钱和时间来阐述这些行动，并将它们整合到组织结构中，文化和实践。
方法：本研究在某三级学术中心的产科进行。一项探索性定性访谈研究包括对专业人士（N=8）和患者（N=8）的16次访谈。减轻患者参与患者安全的负面影响的行动，使用演绎方法进行了分析和分类。
结果：发现18项措施减轻了患者参与产科患者安全的负面影响。这些行动分为五个主题：\'结构\'，\'文化\',\'教育\',\'情感\',和“物理和技术”。这五个类别反映了当前改善患者安全的方法，主要是从专业人员而不是患者的角度来看。
结论：大多数确定的行动与改变文化有关，以产生更多的以患者为中心的护理并改变当前的现实。这主要是从专业人士的角度来看，而从患者的角度来看太少。此外，建议的行动都不符合第六个预期类别，即,\'政治\'。未来的研究应该探索基于这些行动实施以患者为中心的护理方法的方法。通过这样做,空间,必须创造金钱和时间来阐述这些行动，并将它们整合到组织结构中，文化和实践。
