摘要
目的探索患者对参与患者安全管理的感知和过程。方法运用格拉泽传统扎根理论方法论,对34例出院或即将出院的患者进行半结构式深度访谈,并收集、分析部分网络媒体的相关报道,析取主题。结果析出主题"互动式患者参与患者安全"的8个类属,并据此构建理论框架,包括"决策性、照护性、诉求性"3个参与策略,"信任、信息、沟通、支持"4个原因要素,"有利"1个参与结果,7个相关理论假设。结论互动式参与患者安全的理论框架可引导患者据其不同临床情境,采取积极"照护性参与"、审慎"决策性参与"、理性"诉求性参与"的恰当策略,对促进患者参与患者安全管理的研究及实践具指导意义。
Objective To investigate what＇s the patients＇ perception of patient safety and how do they engage in patient safety in hospital care. Methods A qualitative research approach guided by grounded theory was adopted. Data were collected by using a semi-structured deep interview on 34 discharged patients and compensatory analysis of media reports. Results Eight categories in the theme of interactive involvement in patient safety were contract- ed and eventually contributed to the development of a theoretical framework of patient participation in patient safe- ty. Three strategies of patient involvement in patient safety including decisive involvement,caring involvement and complaining involvement in patient safety,four influence factors including patient-provider trust,medical information support,conmmnication between patient and professionals,and support both from family and professionals were con- cluded. Benefit for patients is the ultimate outcome for patient involvement in safety. Seven hypotheses were drawn. Conclusions The theoretical framework of patient participation in patient safety can guide the patients to take proper strategies in different clinical situations such as participating in caring involvement actively,participating in decisive involvement carefully and participating in complain involvement rationally.
出处
《中华护理杂志》
CSCD
北大核心
2014年第6期645-649,共5页
Chinese Journal of Nursing
基金
世界卫生组织患者安全国际招标课题资助(编号:HQPSP1003898)
国家自然科学基金面上项目资助(编号:71073169)
关键词
扎根理论
安全管理
模型
理论
Grounded theory
Safety Manaqement
Models, Theoretical
