Patients' Perspectives of Engagement as a Safety Strategy.

Purpose/Objectives: To describe patient engagement as a safety strategy from the perspective of hospitalized surgical patients with cancer. Research Approach: Qualitative, descriptive approach using grounded theory. Setting: Memorial Sloan Kettering Cancer Center in New York, New York. Participants:...

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Publicado en:Oncology Nursing Forum Vol. 44; no. 6; pp. 712 - 719
Autores principales: Burrows Walters, Chasity, Duthie, Elizabeth A.
Formato: research tables/charts Journal Article
Publicado: Oncology Nursing Society Nov2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2017
      vid: 44
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      pub: Oncology Nursing Society
      place: Pittsburgh, Pennsylvania
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        atl: Patients' Perspectives of Engagement as a Safety Strategy.
      aug:
        au:
          Burrows Walters, Chasity
          Duthie, Elizabeth A.
        affil: Director of patient and caregiver engagement at Memorial Sloan Kettering Cancer Center, New York, NY
      sug:
        subj:
          Patient Attitudes
          Patient Safety
          Cancer Patients
          Colorectal Neoplasms Surgery
          Human
          Descriptive Research
          Grounded Theory
          New York
          Thematic Analysis
          Communication
          Qualitative Studies
          Purposive Sample
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Interview Guides
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Purpose/Objectives: To describe patient engagement as a safety strategy from the perspective of hospitalized surgical patients with cancer. Research Approach: Qualitative, descriptive approach using grounded theory. Setting: Memorial Sloan Kettering Cancer Center in New York, New York. Participants: 13 hospitalized surgical patients with cancer. Methodologic Approach: Grounded theory with maximum variation sampling. Findings: Participants' perceptions regarding their engagement as a patient safety strategy were expressed through three overarching themes: the word "patient" obscures the message, safety is a shared responsibility, and involvement in safety is a right. Themes were further defined by eight subthemes. Conclusions: Using direct messaging, such as "your safety" as opposed to "patient safety," and teaching patients specific behaviors to maintain their safety appeared to facilitate patient engagement and increase awareness of safety issues. Patients may be willing to accept some responsibility for ensuring their safety by engaging in behaviors that are intuitive or that they are clearly instructed to do; however, they described their involvement in their safety as a right, not an obligation. Interpretation: Clear, inviting, multimodal communication appears to have the greatest potential to enhance patients' engagement in their safety. Nurses' ongoing assessment of patients' ability to engage is critical insofar as it provides the opportunity to encourage engagement without placing undue burden on them. By employing communication techniques that consider patients' perspectives, nurses can support patient engagement.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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