目的:从父母的角度确定和总结儿科患者在医院安全的证据。
方法:混合方法系统综述。
■ID号CRD42023453626。
方法:PubMed,Scopus,ScienceDirect,2023年7月搜索了Cochrane图书馆和Wiley数据库。
方法:两名研究人员独立应用资格标准,选择研究并进行了质量评估。采用基于数据的融合综合和主题内容分析。
结果:包括12项研究:8项定性研究,两项横断面研究,一项非随机实验研究和一项混合方法研究。结果分为两个主题-父母对纳入儿科患者安全的看法和父母对排除儿科患者安全的看法-包括七个主要的子主题:沟通中的舒适度,父母的参与,沟通困难,退出活动,对可用信息的不确定性和对患者安全的威胁。
结论:父母愿意从事护理工作,但需要医疗保健专业人员的支持,因为他们经常担心孩子的状况和他们认为可能有帮助的行动。他们需要被视为有价值的合作伙伴,并参与沟通和决策过程。
结论:制定和实施涉及父母的干预措施,以确保住院儿科患者的安全,这应该是医疗机构的重中之重。作为整个纳入研究的共同主题,需要改善与父母的沟通并承认父母是盟友。
■遵循系统审查和荟萃分析(PRISMA)清单的首选报告项目。
■没有患者或公共捐款。
OBJECTIVE: To identify and summarize evidence on paediatric patient safety in a hospital setting from parents\' point of view.
METHODS: A mixed-methods systematic
review.
UNASSIGNED: ID number CRD42023453626.
METHODS: PubMed, Scopus, ScienceDirect, the Cochrane Library and the Wiley database were searched in July 2023.
METHODS: Two researchers independently applied eligibility criteria, selected studies and conducted a quality appraisal. Data-based convergent synthesis and thematic content analysis were employed.
RESULTS: Twelve studies were included: eight qualitative research studies, two cross-sectional studies, one non-randomized experimental study and one mixed-methods study. The results were grouped into two themes-parental perceptions of inclusion in paediatric patient safety and parental perceptions of exclusion from paediatric patient safety-and comprised seven main subthemes: comfort in communication, parental engagement, communication difficulties, withdrawal from activity, uncertainty about available information and threats to patient safety.
CONCLUSIONS: Parents are willing to be engaged in care but require support from healthcare professionals, as they are often anxious about the condition of their children and actions they believe might be helpful. They need to be treated as valuable partners and be engaged in communication and decision processes.
CONCLUSIONS: The development and implementation of interventions involving parents in ensuring the safety of hospitalized paediatric patients should be of the utmost priority to healthcare organizations, as the common theme throughout the included studies was the need for improved communication with and recognition of parents as allies.
UNASSIGNED: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist was followed.
UNASSIGNED: No Patient or Public Contribution.