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Patient Involvement in Patient Safety: A Qualitative Study of Nursing Staff and Patient Perceptions
Journal of Patient Safety (06/01/2017) Vol. 13, No. 2, P. 82; Bishop, Andrea; Macdonald, Marilyn

In a recent study, Canadian investigators sought to describe patient involvement in patient safety practices by examining patient and nursing staff perceptions of safety. Qualitative focus groups were conducted involving a convenience sample of nursing staff and patients who had previously completed a patient safety survey in two tertiary hospital sites in Eastern Canada. The researchers identified four themes: wanting control, feeling connected, encountering roadblocks, and sharing responsibility for safety. Both patient and nursing staff participants noted the importance of building a personal connection as a precursor to ensuring that patients are involved in their care and safety. Yet perceptions of provider stress and nursing staff workload often affected the ability of the nursing staff and patient participants to connect with one another and promote involvement. According to the authors, current strategies designed to increase patient awareness of patient safety may not be sufficient. They said the findings indicate that providing the context for interaction to occur between nursing staff and patients as well as targeted interventions aimed at increasing patient control may be required to ensure patient involvement in patient safety.

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