Patient motivational dialogue: A novel approach to improve hand hygiene through patient empowerment in ambulatory care

Grota, Patti G.; Eng, Tony Y.; Jenkins, Carol

doi:10.1016/j.ajic.2019.11.024

Cited by 7 publications

(7 citation statements)

References 6 publications

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“…Findings regarding the facilitators of patient engagement between papers in this review were consistent, confirming recent research seeking to empower patients to raise safety issues within a supportive culture. 15 , 16 , 22 , 61 , 62 The importance of agency sponsorship of a collaborative culture for engagement has long been emphasized in the change management and person‐centred care literature. 63 Staff identified that agency support is required to address the potential impact of engagement on the patient/provider relationship and workload.…”

Section: Discussionmentioning

confidence: 99%

“…12 With growing recognition of the value of engaging patients in healthcare design and delivery, and the susceptibility that some specific population groups have to adverse events, the need for better data about facilitating engagement is imperative. The literature identifies various system, service and clinical factors that support effective patient engagement such as education about their condition, 13,14 empowerment to engage 15,16 and the willingness and ability of clinicians and patients to communicate about safety. [17][18][19][20] The extent to which an organisation is committed to patient engagement is a measure in most organisational safety culture surveys, but there is little evidence of the enablers and system prerequisites to facilitate effective engagement.…”

Section: Introductionmentioning

confidence: 99%

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Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety

Newman

Joseph

Chauhan

et al. 2021

Health Expectations

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Background: Patients are increasingly being asked for feedback about their healthcare and treatment, including safety, despite little evidence to support this trend. This review identifies the strategies used to engage patients in safety during direct care, explores who is engaged and determines the mechanisms that impact effectiveness. Methods: A systematic review was performed of seven databases (CINAHL, Cochrane, Cochrane-Central, Embase, ISI Web of Science, Medline, PsycINFO) that included research published between 2010 and 2020 focused on patient engagement interventions to increase safety during direct care and reported using PRISMA.All research designs were eligible; two reviewers applied criteria independently to determine eligibility and quality. A narrative review and realist synthesis were conducted.Results: Twenty-six papers reporting on twenty-seven patient engagement strategies were included and classified as consultation (9), involvement (7) and partnership (11). The definitions of 'patient engagement' varied, and we found limited details about participant characteristics or interactions between people utilizing strategies.Collaborative strategy development, a user-friendly design, proactive messaging and agency sponsorship were identified as mechanisms to improve engagement about safety at the point of direct care.Conclusions: Agency sponsorship of collaboration between staff and patients is essential in the development and implementation of strategies to keep patients safe during direct care. Insufficient details about participant characteristics and patient-provider interactions limit recommendations for practice change. MoreThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety

Newman

Joseph

Chauhan

et al. 2021

Health Expectations

View full text Add to dashboard Cite

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“…When the action was not observed, patients were instructed to remind the HCP to perform the task, then document their perceptions of the providers’ reactions to the reminder, as well as their personal reactions to providing the reminder. To assess patient knowledge throughout the study time period, patients’ base hand hygiene knowledge and beliefs were acquired and compared pre and post-study using a nominal scale survey developed and published previously by the study authors (Grota et al, 2020) (see Table 1).…”

Section: Methodsmentioning

confidence: 99%

“Did you wash your hands?”: a prospective study of patient empowerment to prompt hand washing by healthcare providers

Eng

Jenkins

et al. 2021

Journal of Infection Prevention

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Background: Hand hygiene is paramount in preventing the spread of healthcare-associated infections especially during disease epidemics. Compliance rates with hand hygiene policies remain below 50% internationally and may be lower in the outpatient care setting. This study assessed the impact of the patient empowerment model on hand hygiene compliance among healthcare providers. Methods: From October 2016 to May 2017, patients from a large ambulatory oncology centre were prospectively enrolled. Patients were instructed to observe healthcare providers for hand hygiene compliance and to remind healthcare providers where it was not observed during at least three consecutive encounters. Healthcare provider reactions to this intervention were rated by patients. Patients’ hand hygiene knowledge and beliefs were objectively elicited pre and post-study. Results: Thirty patients with a median age of 52 years (range 5–91) completed the study for a total of 190 healthcare provider encounters. When initial hand hygiene was not observed, patients offered a reminder in 71 (37.4%) encounters, did not offer a reminder in 73 (38.4%) encounters and forgot to offer a reminder in 24 (14.2%) encounters. Patients perceived positive or neutral reactions in 76.8% of encounters and negative or surprised reactions in 23.2% of encounters. Healthcare provider compliance improved from 11.6% to 48.9% with intervention. Patient hand hygiene knowledge improved by 16% following the study. Conclusions: Patient-empowered hand hygiene may be a useful adjunct for improving hand hygiene compliance among healthcare providers and improving patient hand hygiene knowledge, although it may confer an emotional burden on patients.

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“… • Se centran en aspectos que no confrontan al paciente con los profesionales. Algunas iniciativas, como animar al paciente a que pida a los profesionales que le atienden que se laven las manos, coartan la participación porque el paciente cree que ese comportamiento puede ser considerado por los profesionales como «conflictivo» 17 . Permiten a los pacientes aportar información retrospectiva sobre temas de seguridad, a través de encuestas, entrevistas, notificación de incidencias, sugerencias de mejora, etc.…”

Section: Introductionunclassified

“…Se centran en aspectos que no confrontan al paciente con los profesionales. Algunas iniciativas, como animar al paciente a que pida a los profesionales que le atienden que se laven las manos, coartan la participación porque el paciente cree que ese comportamiento puede ser considerado por los profesionales como «conflictivo» 17 .…”

Section: Introductionunclassified

La participación del paciente en su seguridad

2021

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El enfoque de atención centrada en el paciente y los avances normativos desarrollados en los últimos años han promovido la implicación del paciente en la toma de decisiones sobre pruebas diagnósticas y tratamientos. En otros aspectos, como la participación en su seguridad, aún queda mucho por hacer. Hasta hace poco tiempo se ha considerado al paciente como mero receptor de los servicios sanitarios, no como parte activa del sistema, ni mucho menos como barrera de seguridad frente a los fallos y errores que acontecen durante la asistencia. Algunos pacientes se han activado con base en sus experiencias. Pero muchos otros no. Por eso es necesario sensibilizar, informar y formar al paciente de forma proactiva para que participe en su seguridad. No se trata de traspasarle la responsabilidad, sino de facilitar y promover su participación reforzando su seguridad durante el proceso asistencial. El sistema sanitario debe estar comprometido, y el paciente informado y formado. Aportamos herramientas y recursos online para su aplicación en atención primaria.

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Patient motivational dialogue: A novel approach to improve hand hygiene through patient empowerment in ambulatory care

Cited by 7 publications

References 6 publications

Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety

Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety

“Did you wash your hands?”: a prospective study of patient empowerment to prompt hand washing by healthcare providers

La participación del paciente en su seguridad

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