■回顾和综合探索患者安全体验的定性研究,并构建一个模型来呈现障碍和促进者,让患者感到安全。
■定性综合。
■我们对五个数据库中的英文文章进行了系统的电子搜索,没有日期限制(OvidMEDLINE,EMBASE,WebofScience,CINAIL通过EBSCO,和PsyINFO),2023年5月。考虑了侧重于住院患者安全体验的定性研究。系统搜索产生了8132项研究,其中包括16篇文章。两名审阅者独立地提取和分析数据。通过对原文逐行编码进行定性元合成,将代码组织成描述性主题,并产生分析主题。
■我们确定了四个主题和11个子主题。在四个主题中,控制包括一个障碍(不确定性)和两个促进者(患者参与和安全护理);负责者包括三个促进者(对职业的信心,关心,和反应灵敏);尊严包括两个障碍(隐私和忽视);稳定性包括一个障碍(潜在风险),和两个促进者(和谐和安全的文化)。我们构建了一个模型来展示这些主题与相关障碍和促进者之间的逻辑联系。
■住院患者感到安全是一种复杂的感觉,包括四个主题:控制,负责任,尊严,和稳定性。围绕四个主题和相关障碍和促进者,我们概述了创建安全环境的原则,并提出了改善患者住院体验和确保患者安全的策略。
■这篇综述提供了对临床实践和卫生政策的宝贵见解,并帮助医务人员识别和克服在安全护理中实施干预措施的潜在障碍。此外,该模型全面描述了安全感的性质和维度,为高质量的护理服务和相关研究提供信息。
■标识符,CRD42023435489。
To review and synthesize qualitative research exploring patients\' safe experience and construct a model to present barriers and facilitators to feeling safe for inpatients.
A qualitative met-synthesis.
We conducted a systematic electronic search of articles published in English with no date limitation across five databases (Ovid MEDLINE, EMBASE, Web of Science, CINAIL via EBSCO, and PsyINFO) in May 2023. Qualitative research focused on the safe experiences of inpatients was considered. Systematic searches yielded 8,132 studies, of which 16 articles were included. Two reviewers independently extracted and analyzed data. Qualitative meta-synthesis was performed through line-by-line coding of original texts, organizing codes into descriptive themes, and generating analytical themes.
We identified four themes and 11 sub-themes. Across the four themes, control included a barrier (Uncertainty) and two facilitators (Patient participation and safe care); responsible included three facilitators (Confidence in the profession, care for, and responsive); dignity included two barriers (Privacy and Neglect); stability included a barrier (Potential risk), and two facilitators (Harmonious and safe culture). We constructed a model to present the logical connection between these themes and related barriers and facilitators.
Feeling safe for inpatients is a complex perception, including four themes: control, responsible, dignity, and stability. Surrounding four themes and related barriers and facilitators, we outline principles for creating a safe environment and present strategies for improving patients\' hospitalization experience and ensuring patient safety.
This review provides valuable insight into the clinical practice and health policy and helps medical staff to identify and overcome the potential barriers to implementing interventions in safe care. In addition, the model comprehensively describes the nature and dimensions of feeling safe, informing high-quality care service and related research.
Identifier, CRD42023435489.