Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: A qualitative study

被引:34
作者
Chegini, Zahra [1 ]
Janati, Ali [1 ,2 ]
Babaie, Javad [1 ]
Pouraghaei, Mahboub [3 ]
机构
[1] Tabriz Univ Med Sci, Fac Management & Med Informat, Dept Hlth Serv Management, Tabriz, Iran
[2] Tabriz Univ Med Sci, Iranian Ctr Excellence Hlth Management, Sch Management & Med Informat, Tabriz, Iran
[3] Tabriz Univ Med Sci, Fac Med, Emergency Med Res Team, Tabriz, Iran
关键词
expert opinion; Iran; nurses; patient engagement; patient involvement; patient participation; patient safety; qualitative research; PATIENTS ATTITUDES; ENGAGING PATIENTS; DECISION-MAKING; HEALTH LITERACY; PARTICIPATION; INVOLVEMENT; NURSES; COMMUNICATION; DOCTORS; CANCER;
D O I
10.1002/nop2.411
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
AimTo investigate barriers to patient engagement in the delivery of safe hospital care. DesignQualitative exploratory study. MethodsA qualitative study with 35 Iranian health professionals was conducted from February to April 2019 using semi-structured interviews to elicit their opinions. MAXQDA 11 software was used for data management, and the data were analysed using framework analysis. ResultsBarriers, which potentially have negative impact on patient engagement in the delivery of safer care, were categorized into four themes. The first category included patient-related barriers such as low levels of health literacy, ineffective education, patient unwillingness and cultural barriers. The second category included staff-related barriers such as the existence of negative attitudes towards engaging patients in matters relating to patient safety, ineffective communication, high workload and the reluctance on the part of physicians to engage with patients. Barriers created by limited resources and inadequate training provided by universities and in the workplace formed the third category and community-related barriers such as the inadequate dissemination of information via the mass media and a lack of community-based services formed the fourth category. ConclusionResults demonstrate the multilayered nature of the significant barriers to the engagement of patients in the delivery of safe care and reflect the need for a collaborative approach between the recipients of care, researchers, care providers and policy makers if these are to be overcome.
引用
收藏
页码:457 / 465
页数:9
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