Patient Involvement in Patient Safety: Current experiences, insights from the wider literature, promising opportunities?

Sutton, Elizabeth; Eborall, Helen; Martin, Graham

doi:10.1080/14719037.2014.881538

Cited by 41 publications

(83 citation statements)

References 57 publications

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“…Improvement of patient safety culture requires strengthening leadership (Kristensen et al, 2016). However, health care organisations (HCOs) often have many competing priorities and lack a quality improvement infrastructure and supporting values (Sutton et al, 2015). These traits can lead to situations in which patient safety is a rare subject of communication between patients and professionals in everyday clinical practice (Martin, Navne, & Lipzak, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…Multiple factors, such as patient-related, health care worker (HCW)-related, organisation-related and society-related factors, influence patients' opportunities, willingness, and ability to participate to a given degree and at a given level (e.g., Bishop, Baker, Boyle, & MacKinnon, 2015;Davis, Vincent, & Sevdalis, 2015;Ringdahl et al, 2017;Sutton, Eborall, & Martin, 2015). Little is known about the factors that explain a patient's decision to participate (Davis et al, 2015).…”

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confidence: 99%

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Patient participation in patient safety-An exploration of promoting factors

et al. 2018

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Patient participation in patient safety-An exploration of promoting factors

et al. 2018

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“…Our study highlights the tensions evident in the operationalizing the aspiration of IPC as "everybody's business" through involving patients and relatives in the co-production of safer health care: between the moral imperative to empower patients as partners in their health care, 31 and the risk of over-burdening vulnerable patients and shifting responsibility from the professional onto the patient. 16,17,20 Our study is limited in that it included only two hospital sites, but participants were sampled to ensure a range of job roles and experience. The discussion was focused on potential interventions, but the majority of staff had experienced one of more of the interventions in practice, and were also able to discuss other approaches to involving patients and relatives in IPC that they had experienced.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Making infection prevention and control everyone's business? Hospital staff views on patient involvement

Sutton

Brewster

Tarrant

2019

Health Expectations

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Context Ensuring an infection‐free environment is increasingly seen as requiring the contribution of staff, patients and visitors. There is limited evidence, however, about how staff feel about collaborating with patients and relatives to co‐produce that environment. Aims This study aims to understand how hospital staff perceive the involvement of patients and relatives in infection prevention and control (IPC) and the main challenges for staff in working together with patients and relatives to reduce the threat of infection. Methods Qualitative semi‐structured interviews were conducted with 35 frontline health‐care professionals and four executive staff, from two hospital trusts. Findings We found that staff were more supportive of approaches that encourage co‐operation from patients and relatives, than of interventions that invoked confrontation. We identified challenges to involvement arising from staff concerns about shifting responsibility for IPC onto patients. Staff were not always able to work with patients to control infection risks as some patients themselves created and perpetuated those risks. Conclusions Our work highlights that IPC has particular features that impact on the possibilities for involving patients and relatives at the point of care. Staff acknowledge tensions between the drive to involve patients and respect their autonomy, and their duty to protect patients from risk of unseen harm. The role that patients and relatives can play in IPC is fluctuating and context dependent. Staff responsibility for protecting patients from the risk of infection may sometimes need to take priority over prerogatives to involve patients and relatives in the co‐production of IPC.

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“…A common method for answering calls for patient involvement is to collect patient feedback on their experiences of care through surveys and interviews, whether retrospective (Sutton, Eborall, & Martin, 2015;The Health Foundation, 2013) or current (Giles, Lawton, Din, & McEachan, 2013;Lawton et al, 2015). However, we also find methodologies that use face-to-face dialogue as a springboard for collaborative service design, notably "experience-based codesign" (EBCD; e.g., Larkin, Boden, & Newton, 2015).…”

Section: Prioritizing Complexity and Affect In Patient Involvement Rementioning

confidence: 99%

Patient Involvement Can Affect Clinicians’ Perspectives and Practices of Infection Prevention and Control

Wyer

Iedema

Hor

et al. 2017

International Journal of Qualitative Methods

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This study, set in a mixed, adult surgical ward of a metropolitan teaching hospital in Sydney, Australia, used a novel application of video-reflexive ethnography (VRE) to engage patients and clinicians in an exploration of the practical and relational complexities of patient involvement in infection prevention and control (IPC). This study included individual reflexive sessions with eight patients and six group reflexive sessions with 35 nurses. VRE usually involves participants reflecting on video footage of their own (and colleagues') practices in group reflexive sessions. We extended the method here by presenting, to nurses, video clips of their clinical interactions with patients, in conjunction with footage of the patients themselves analyzing the videos of their own care, for infection risks. We found that this novel approach affected the nurses' capacities to recognize, support, and enable patient involvement in IPC and to reflect on their own, sometimes inconsistent, IPC practices from patients' perspectives. As a "post-qualitative" approach, VRE prioritizes participants' roles, contributions, and learning. Invoking affect as an explanatory lens, we theorize that a "safe space" was created for participants in our study to reflect on and reshape their assumptions, positionings, and practices.

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Patient Involvement in Patient Safety: Current experiences, insights from the wider literature, promising opportunities?

Cited by 41 publications

References 57 publications

Patient participation in patient safety-An exploration of promoting factors

Patient participation in patient safety-An exploration of promoting factors

Making infection prevention and control everyone's business? Hospital staff views on patient involvement

Patient Involvement Can Affect Clinicians’ Perspectives and Practices of Infection Prevention and Control

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