Effects of a Family Involvement Program in Patients With Central-Line Insertion

Tan, Shu Hwa; Lee, Kwo Chen; Chao, Yann Fen C.; Hsu, Li Fang; Lin, Pi Chu

doi:10.1177/1054773813516789

Cited by 4 publications

(2 citation statements)

References 11 publications

(13 reference statements)

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“…When engaging patients and families in an interdisciplinary task or at the organization level (Ahmadi et al., 2022; Dunn et al., 2017; Lawton et al., 2017), it is efficient and necessary to implement interventions through multidisciplinary teamwork. Some other studies were carried out by other unconventional stakeholders, such as trained research assistants, investigators or volunteers (Cho & Lee, 2021; See et al., 2011; Shin et al., 2021; Tan et al., 2015), but it is difficult to integrate these interventions into routine medical practice and achieve ongoing PFE. Finally, adequate preparation and training for involved HCPs prior to engaging patients and families can assure effective PFE (Cox et al., 2017; Opsahl et al., 2017), but now only one in four studies reported that they conducted this work.…”

Section: Discussionmentioning

confidence: 99%

Patient and family engagement interventions for hospitalized patient safety: A scoping review

Cai,

Liu,

Wang

et al. 2024

Journal of Clinical Nursing

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AimTo summarize existing studies that focused on improving hospitalized patient safety through patient and family engagement interventions to identify priorities and gaps.DesignA scoping review.MethodsEight databases and citations of important reviews were searched on 30 September 2022. Two researchers independently screened the records. Then, two researchers extracted the data and cross‐checked. The results were synthesized narratively, and a comparison was performed for studies from China and those from other countries.ResultsNinety‐eight studies were included. The results indicated that patient and family engagement interventions were applied to decrease the incidence of patient safety incidents, and to improve the healthcare providers' and patients' knowledge, attitude or practice of patient safety. Most studies only engaged patients and families at the direct care level, and the engagement strategies at the organization and health system levels were insufficient. For stakeholders, many studies failed to consider patients' perspectives in intervention design and report taking staff training as a supportive strategy. Healthcare providers, especially nurses, were the main implementers of current interventions. Certain differences were observed between studies from China and those from other countries in the above aspects.ConclusionsInternational interest in engaging patient and family for patient safety is growing. Future studies should enhance the patient and family engagement as a partner in various patient safety at the direct care level, and further explore the engagement at the organization and health system levels.Relevance to Clinical PracticeNurses, as the main formal caregivers for patients, should promote patient and family engagement in patient safety, especially at direct care level. Nurse should also incorporate the perspectives of patients in the design and implementation of interventions.Reporting MethodPRISMA‐ScR Checklist.

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Section: Discussionmentioning

confidence: 99%

Patient and family engagement interventions for hospitalized patient safety: A scoping review

Cai,

Liu,

Wang

et al. 2024

Journal of Clinical Nursing

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“…Although limited data exist regarding central venous catheter issues in those with AKI-D, much can be learned from investigations in other populations with central venous catheters. 47 , 48 Patients with AKI-D should receive training about vein preservation. Delivery of these educational components is an excellent example of an important and easy quality measure for health systems and dialysis facilities to track.…”

Section: Statement 1: To Optimize the Care Of Patients With Aki Or Akmentioning

confidence: 99%

Quality of Care for Acute Kidney Disease: Current Knowledge Gaps and Future Directions

Mehta

Rosner

Koyner

et al. 2020

Kidney International Reports

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Acute kidney injury (AKI) and acute kidney disease (AKD) are common complications in hospitalized patients and are associated with adverse outcomes. Although consensus guidelines have improved the care of patients with AKI and AKD, guidance regarding quality metrics in the care of patients after an episode of AKI or AKD is limited. For example, few patients receive follow-up laboratory testing of kidney function or post-AKI or AKD care through nephrology or other providers. Recently, the Acute Disease Quality Initiative developed a consensus statement regarding quality improvement goals for patients with AKI or AKD specifically highlighting efforts regarding quality and safety of care after hospital discharge after an episode of AKI or AKD. The goal is to use these measures to identify opportunities for improvement that will positively affect outcomes. We recommend that health care systems quantitate the proportion of patients who need and actually receive follow-up care after the index AKI or AKD hospitalization. The intensity and appropriateness of follow-up care should depend on patient characteristics, severity, duration, and course of AKI of AKD, and should evolve as evidence-based guidelines emerge. Quality indicators for discharged patients with dialysis requiring AKI or AKD should be distinct from end-stage renal disease measures. Besides, there should be specific quality indicators for those still requiring dialysis in the outpatient setting after AKI or AKD. Given the limited preexisting data guiding the care of patients after an episode of AKI or AKD, there is ample opportunity to establish quality measures and potentially improve patient care and outcomes. This review will provide specific evidence-based and expert opinionbased guidance for the care of patients with AKI or AKD after hospital discharge.

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Implementing Patient and Family Involvement Interventions for Promoting Patient Safety: A Systematic Review and Meta-Analysis

Giap

Park

2020

J Patient Saf

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Objective The aims of the study were to evaluate and to quantify the effects of patient and family involvement (PFI) interventions on patient safety by synthesizing the available global data. Methods Four databases were searched to identify relevant studies that have assessed the impact of PFI on patient safety up to March 2019. Reference lists of potential selected articles were also used to identify additional relevant studies. Effect sizes (ESs) were calculated using random and fixed effects models. Statistical heterogeneity was measured using the I 2 test. Results Twenty-two studies met the review criteria. The meta-analysis showed that PFI were beneficial in significantly reducing adverse events (ES = −0.240, P < 0.001), decreasing the length of hospital stay (ES = −0.122, P < 0.001), increasing patient safety experiences (ES = 0.630, P = 0.007), and improving patient satisfaction (ES = 0.268, P = 0.004). However, the PFI interventions did not significantly enhance the perception of patient safety (ES = 0.205, P = 0.09) or the quality of life (ES = 0.057, P = 0.61). Moreover, moderate-to-high heterogeneity was found for all impacts except adverse events (I 2 = 0%) and length of hospital stay (I 2 = 35%). A funnel plot indicated a low degree of publication bias for the adverse event outcome. Conclusions The synthesized evidence in this review demonstrates the benefits of PFI for promoting patient safety. However, further studies should extend the research scope to fill the existing gaps for both the type of PFI interventions and the patient safety outcomes.

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Effects of a Family Involvement Program in Patients With Central-Line Insertion

Cited by 4 publications

References 11 publications

Patient and family engagement interventions for hospitalized patient safety: A scoping review

Patient and family engagement interventions for hospitalized patient safety: A scoping review

Quality of Care for Acute Kidney Disease: Current Knowledge Gaps and Future Directions

Implementing Patient and Family Involvement Interventions for Promoting Patient Safety: A Systematic Review and Meta-Analysis

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