Abstract：
OBJECTIVE: To explore how patients with hospital experience construct patient safety, from the identification of a patient safety risk to the decision to file a complaint.
BACKGROUND: Patients play an important role in the prevention of adverse events in hospitals, but the ability of patients to act and influence their own safety is still challenged by multiple factors. Understanding how patients perceive risk and act to prevent harm may shed light on how to enhance patients\' opportunities to participate in patient safety.
METHODS: The research design of this study is qualitative and exploratory.
METHODS: Twelve participants who had experienced Swedish hospital care were interviewed between June 2022 and July 2023. The method of analysis was constructivist grounded theory, focusing on social processes. The COREQ checklist for qualitative research was followed.
RESULTS: Four categories were constructed: (1) defining the boundary between one\'s own capacity and that of the hospital, (2) acting to minimize the impact on one\'s safety, (3) finding oneself in the hands of healthcare professionals and (4) exploring the boundaries between normality and abnormality of the situation. This process was captured in the core category of navigating the path of least suffering. This illustrated how the participants constructed meaning about patient safety risks and showed that they prevented multiple adverse events.
CONCLUSIONS: Provided that participants were able to act independently, they avoided a multitude of adverse events. When they were dependent on healthcare professionals, their safety became more vulnerable. Failure to respond to the participants\' concerns could lead to long-term suffering.
CONCLUSIONS: By responding immediately to patients\' concerns about their safety, healthcare professionals can help prevent avoidable suffering and exhaustive searching for someone in the healthcare system who will take their needs seriously.
UNASSIGNED: A member check was performed with the help of one of the participants who read the findings to confirm familiarity.
BACKGROUND: Patients play an important role in the prevention of adverse events in hospitals, but the ability of patients to act and influence their own safety is still challenged by multiple factors. Understanding how patients perceive risk and act to prevent harm may shed light on how to enhance patients\' opportunities to participate in patient safety.
METHODS: The research design of this study is qualitative and exploratory.
METHODS: Twelve participants who had experienced Swedish hospital care were interviewed between June 2022 and July 2023. The method of analysis was constructivist grounded theory, focusing on social processes. The COREQ checklist for qualitative research was followed.
RESULTS: Four categories were constructed: (1) defining the boundary between one\'s own capacity and that of the hospital, (2) acting to minimize the impact on one\'s safety, (3) finding oneself in the hands of healthcare professionals and (4) exploring the boundaries between normality and abnormality of the situation. This process was captured in the core category of navigating the path of least suffering. This illustrated how the participants constructed meaning about patient safety risks and showed that they prevented multiple adverse events.
CONCLUSIONS: Provided that participants were able to act independently, they avoided a multitude of adverse events. When they were dependent on healthcare professionals, their safety became more vulnerable. Failure to respond to the participants\' concerns could lead to long-term suffering.
CONCLUSIONS: By responding immediately to patients\' concerns about their safety, healthcare professionals can help prevent avoidable suffering and exhaustive searching for someone in the healthcare system who will take their needs seriously.
UNASSIGNED: A member check was performed with the help of one of the participants who read the findings to confirm familiarity.
摘要：
目的：探讨患者如何结合医院经验构建患者安全，从确定患者安全风险到提出投诉的决定。
背景：患者在预防医院不良事件中起着重要作用，但是，患者采取行动和影响自身安全的能力仍然受到多种因素的挑战。了解患者如何感知风险并采取行动预防伤害可能会阐明如何增加患者参与患者安全的机会。
方法：本研究的研究设计是定性和探索性的。
方法：在2022年6月至2023年7月期间，对12名经历过瑞典医院护理的参与者进行了采访。分析方法是建构主义扎根理论，关注社会进程。遵循定性研究的COREQ检查表。
结果：构建了四个类别：（1）定义自己的能力与医院的能力之间的界限，(2)尽量减少对个人安全的影响，（3）在医疗保健专业人员的手中找到自己；（4）探索情况的正常和异常之间的界限。这一过程被记录在导航痛苦最小的道路的核心类别中。这说明了参与者如何构建关于患者安全风险的含义，并表明他们预防了多个不良事件。
结论：只要参与者能够独立行动，他们避免了许多不良事件。当他们依赖医疗保健专业人员时，他们的安全变得更加脆弱。未能对参与者的担忧做出回应可能会导致长期的痛苦。
结论：通过立即回应患者对其安全性的担忧，医疗保健专业人员可以帮助防止可避免的痛苦，并在医疗保健系统中寻找能够认真对待他们需求的人。
■在阅读调查结果以确认熟悉程度的参与者之一的帮助下进行了成员检查。
背景：患者在预防医院不良事件中起着重要作用，但是，患者采取行动和影响自身安全的能力仍然受到多种因素的挑战。了解患者如何感知风险并采取行动预防伤害可能会阐明如何增加患者参与患者安全的机会。
方法：本研究的研究设计是定性和探索性的。
方法：在2022年6月至2023年7月期间，对12名经历过瑞典医院护理的参与者进行了采访。分析方法是建构主义扎根理论，关注社会进程。遵循定性研究的COREQ检查表。
结果：构建了四个类别：（1）定义自己的能力与医院的能力之间的界限，(2)尽量减少对个人安全的影响，（3）在医疗保健专业人员的手中找到自己；（4）探索情况的正常和异常之间的界限。这一过程被记录在导航痛苦最小的道路的核心类别中。这说明了参与者如何构建关于患者安全风险的含义，并表明他们预防了多个不良事件。
结论：只要参与者能够独立行动，他们避免了许多不良事件。当他们依赖医疗保健专业人员时，他们的安全变得更加脆弱。未能对参与者的担忧做出回应可能会导致长期的痛苦。
结论：通过立即回应患者对其安全性的担忧，医疗保健专业人员可以帮助防止可避免的痛苦，并在医疗保健系统中寻找能够认真对待他们需求的人。
■在阅读调查结果以确认熟悉程度的参与者之一的帮助下进行了成员检查。
