目的:举报,这涉及到对不法行为的担忧,尽管存在风险,但对于确保孕产妇和新生儿医疗保健环境中卫生服务使用者的安全至关重要。目前,对在这种情况下进行举报的医疗保健专业人员的经验的了解有限。
背景:涉及产妇服务的值得注意的询问,例如Ockenden和Kirkup以及英国的LucyLetby案报道的那些询问,在国际上引起了人们对举报失败的关注。
目的:确定和综合现有的文献,这些文献涉及医疗保健专业人员在孕产妇和新生儿护理环境中进行举报的经验。
方法:此范围审查遵循Arksey和O'Malley的框架。系统地搜索了5个学术数据库,以查找2013年1月至2023年10月之间发布的文档,并进一步搜索了GoogleScholar和相关参考列表。
结果:虽然确定了35篇来自国际来源的论文,大多数起源于英国,最近发生了备受瞩目的事件。专题分析确定了三个主要主题:“结构力量”,\'完美主义\'和\'勇敢,希望与失望每个都有子主题。
结论:举报通常是分层系统中的利他行为。它暴露了不良做法,扰乱了电力动态,尤其是在具有挑战性的职场文化中。公开披露,然而,需要心理安全。障碍依然存在,强调需要一种由体现所需价值观的个人领导的信任和透明文化。
结论:关于孕产妇和新生儿医疗保健环境中举报的主要研究是有限的。这项研究揭示了功率动力学和影响举报的因素。
OBJECTIVE: Whistleblowing, which involves raising concerns about wrongdoing, carries risks yet can be crucial to ensuring the safety of health service users in maternal and newborn healthcare settings. Understanding of the experiences of health care professionals that enact
whistleblowing in this context is currently limited.
BACKGROUND: Notable inquiries involving maternity services such as those reported upon by Ockenden and Kirkup and the Lucy Letby case in the United Kingdom have shone an international spotlight on whistleblowing failures.
OBJECTIVE: To identify and synthesise available literature addressing the experiences of healthcare professionals enacting whistleblowing in maternal and newborn care settings.
METHODS: This scoping review followed Arksey and O\'Malley\'s framework. Five academic databases were systematically searched for documents published between January 2013 and October 2023 with additional searches of Google Scholar and related reference lists.
RESULTS: Whilst 35 papers from international sources were identified, the majority originated from the United Kingdom, where recent high-profile incidents have occurred. Thematic analysis identified three main themes: \'Structural Power\', \'Perfectionism\' and \'Bravery, Hope and Disappointment\', each with sub-themes.
CONCLUSIONS: Whistleblowing is frequently an altruistic act in a hierarchical system. It exposes poor practices and disrupts power dynamics, especially in challenging workplace cultures. Open disclosure, however, requires psychological safety. Obstacles persist, emphasising the need for a culture of trust and transparency led by individuals who embody the desired values.
CONCLUSIONS: Primary research on
whistleblowing in maternal and newborn healthcare settings is limited. This study sheds light on power dynamics and factors that affect
whistleblowing.