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

2021 ◽  
Author(s):  
Bronwyn Newman ◽  
Kathryn Joseph ◽  
Ashfaq Chauhan ◽  
Holly Seale ◽  
Jiadai Li ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Patient Engagement ◽  
Realist Synthesis ◽  
Enhance Patient Safety ◽  
Engagement Interventions

scholarly journals Systematic review of patient-engagement interventions: potentials for enhancing person-centred care for older patients with multimorbidity

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e048558
Author(s):  
Mathilde Bendix Søgaard ◽  
Katrine Andresen ◽  
Maria Kristiansen
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Patient Engagement ◽  
Older Patients ◽  
Data Extraction ◽  
Beneficial Effects ◽  
Life Years ◽  
Patient Reported ◽  
Engagement Interventions

IntroductionPerson-centred care based on systematic and comprehensive patient-engagement is gaining momentum across healthcare systems. Providing care that is responsive to the needs, values and priorities of each patient is important for patients, relatives and providers alike, not least for the growing population of older patients living with multi-morbidity and associated complex care trajectories.ObjectivesThe aim of this systematic review is to investigate the effects of patient engagement interventions for older patients with multimorbidity.MethodsSystematic review conducted in August 2021. Two reviewers independently screened the international databases Embase and PubMed. Reviewers carried out duplicate and independent data extraction and assessment of study quality. Grading of Recommendations Assessment, Development and Evaluation was used to assess the quality of the evidence for each study.ResultsWe included twelve studies from primary care setting and hospitals. The included studies were heterogeneous in terms of characteristics of populations, types of interventions to enhance patient-engagement, outcome measures and length of follow-up. Nine of the 12 included studies found significant improvements in health and patient-reported outcomes such as higher quality-adjusted life-years, fewer hospital visits and disease specific symptoms. Quality of the included studies was of low to moderate.ConclusionThis review identifies potential beneficial effects of interventions to enhance patient-engagement in older adults with multimorbidity. Nevertheless, the limited and very diverse evidence-based calls for more robust studies into efficient approaches to engaging older adults with multimorbidity in care trajectories.

Barriers and facilitators to patient engagement in patient safety from patients and healthcare professionals' perspectives: A systematic review and meta‐synthesis

Nursing Forum ◽  
2021 ◽  
Author(s):  
Zahra Chegini ◽  
Morteza Arab‐Zozani ◽  
Sheikh Mohammed Shariful Islam ◽  
Georgia Tobiano ◽  
Samira Abbasgholizadeh Rahimi
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Patient Engagement ◽  
Healthcare Professionals ◽  
Barriers And Facilitators

scholarly journals The Patient Journey

2020 ◽  
pp. 117-127
Author(s):  
Elena Beleffi ◽  
Paola Mosconi ◽  
Susan Sheridan
Keyword(s):  
Patient Safety ◽  
Patient Engagement ◽  
Strategic Alliances ◽  
Life Experience ◽  
Healthcare Services ◽  
Patient Journey ◽  
The People ◽  
Key Factor ◽  
Enhance Patient Safety ◽  
Multidisciplinary Perspective

AbstractThe wide implementation of patient safety improvement efforts continues to face many barriers including insufficient involvement of all stakeholders in healthcare, lack of individual and organizational learning when medical errors occur and scarce investments in patient safety. The promotion of systems-based approaches offers methods and tools to improve the safety of care. A multidisciplinary perspective must include the involvement of patients and citizens as fundamental contributors to the design, implementation, and delivery of health services.The patient journey is a challenging example of using a systems approach. The inclusion of the patient’s viewpoint and experience about their health journey throughout the time of care and across all the care settings represents a key factor in improving patient safety. Patient engagement ensures that the design of healthcare services are aligned with the values, the preferences, and needs of the patient community and integrates the real-life experience and the skills of the people to enhance patient safety in the patient journey.The utmost priority to implement patient engagement is the training of patients. Therefore, training for both patients/families/advocates and health professionals is the foundation on which to build active engagement of patients and consequently an effective and efficient patient journey.The chapter offers examples of successful training courses designed to foster strategic alliances among healthcare professionals and researchers with patients and their organizations. Training of patients constitutes the first step to develop shared knowledge, co-produced projects, and the achievement of active multilevel participation of patients for the implementation of patient safety in the patient journey.

Nurse Fatigue and Nurse, Patient Safety, and Organizational Outcomes: A Systematic Review

2021 ◽  
pp. 019394592199089
Author(s):  
Hyeonmi Cho ◽  
Linsey M. Steege
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Sickness Absence ◽  
Mental Health Problems ◽  
Current Knowledge ◽  
Longitudinal Design ◽  
Intention To Leave ◽  
Organizational Outcomes ◽  
Future Research ◽  
Nurse Fatigue

Hospital nurses are at high risk of fatigue due to stressful work environments with heavy workloads and non-standard work schedules. This systematic review examined the relationship between hospital nurse fatigue and outcomes. Full-text English language quantitative studies published between January 2000 and July 2020 were included. A total of 22 articles were reviewed and synthesized. The findings were synthesized into three major categories: nurse outcomes, nurse-reported patient outcomes, and organizational outcomes. Some of the most commonly studied outcomes include nursing performance (n=3), sickness absence (n=3), and intention to leave (n=4). Fatigue was consistently associated with mental health problems, decreased nursing performance, and sickness absence. Many studies confirmed that nurse fatigue is negatively associated with nurse, patient-safety, and organizational outcomes. However, our findings highlight gaps in current knowledge and the need for future research using a longitudinal design and measuring additional outcomes to better understand the consequences of nurse fatigue.

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