Estrategias para involucrar al paciente y a la familia en la mejora de los objetivos de Seguridad del Paciente en el hospital: una revisión del alcance

• Handayani, Handayani ^[1] ; Rachmawaty, Rini ^[1] ; Ayu Erika, Kadek ^[1]
  1. [1] Hasanuddin University

     Hasanuddin University

     Indonesia

     
• Localización: Enfermería global: revista electrónica trimestral de enfermería, ISSN-e 1695-6141, Vol. 24, Nº. 1 (#75 Enero-Abril), 2025, págs. 244-270
• Idioma: español
• DOI: 10.6018/eglobal.636521
• Títulos paralelos:
  • Strategies for involving patient and family in enhancing hospital patient safety goals: A scoping review
• Enlaces
  • Texto completo
• Resumen
  • español

    Objetivo: Explorar y mapear estrategias para involucrar al paciente y la familia en la mejora de la seguridad del paciente en el hospital, e identificar factores de apoyo e inhibición que influyen en estas estrategias.

    Fuente de datos: La revisión de alcance de literatura científica y gris (2014-2024) se realizó siguiendo el marco de Arkey y O’Malley, recopilando estudios de nueve bases de datos y mediante búsqueda manual. Los estudios incluidos se centran en la participación del paciente y la familia en la seguridad del paciente y los desafíos enfrentados. El protocolo del estudio está registrado en el Open Science Framework (https://osf.io/st​​​).

    Resultados: Los esfuerzos para involucrar al paciente y la familia incluyen herramientas como listas de verificación, capacitación del personal, programas de comunicación y encuestas de perspectiva del paciente. Los factores de apoyo incluyen educación y capacitación, mientras que los inhibidores son la baja alfabetización en salud y las limitaciones financieras.

    Conclusión: La participación del paciente y la familia en la seguridad del paciente ha mostrado avances, pero requiere un enfoque multidimensional. Esto implica educación, capacitación, políticas del sistema y colaboración comunitaria —aún escasa— junto con apoyo financiero e instalaciones adecuadas. Es necesaria mayor investigación para profundizar en los factores que influyen en la participación y las formas de superar los desafíos..

    Palabras clave: participación familiar; atención hospitalaria; participación del paciente; objetivos de seguridad del paciente.

     

  • English

    Objective: This scoping review aims to explore and map strategies for engaging patient and family in improving hospital patient safety goals and to identify supporting and inhibiting factors that influence the selected strategies.

    Data Source: The scoping review of research and grey literature (2014-2024) was performed using Scoping Review Frameworks by Arkey and O’Malley. Research literature was gathered from nine databases and by manually searching relevant research topics. Inclusion criteria involved qualitative and quantitative primary data studies that focused on the efforts being carried out to improve patient and family involvement and overcome the barriers and challenges being encountered. The study protocol was registered with the Open Science Framework (https://osf.io/stpfy/).

    Result: Findings indicate that efforts that engaging patient and family in enhancing hospital patient safety goals including include using tools such as checklists, staff training, structured communication programs, and patient perspective surveys. Supporting factors are education and training, while inhibiting factors are low health literacy and financial constraints.

    Conclusion: Efforts in improving patient and family involvement for patient safety in hospitals show progressive steps taken. Escalating patient and family engagement may require a multidimensional approach involving education, staff training, system policies, collaboration with communities - that has been rarely conducted-, and a hospital management system with adequate financial support and facilities. Further research is necessary to understand more in depth factors that influence patient and family involvement and the ways to overcome existing challenges.

• Referencias bibliográficas
  • Slawomirski L, Auraaen A KN. The economics of patient safety in primary and ambulatory care: flying blind. OECD Health Working Papers No....
  • Slawomirski L, Auraaen A KN. The economics of patient safety: strengthening a value-based approach to reducing patient harm at national level....
  • WHO. Patient safety [Internet]. 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/patient-safety
  • WHO. Global Patient Safety Action Plan 2021–2030. World Heal Organ. 2021;53(9):1689–99.
  • WHO. 10 facts on patient safety. 2019;
  • Giap T thanh tinh, Park M. Implementing Patient and Family Involvement Interventions for Promoting Patient Safety : A Systematic Review. 2021;17(2):131–40.
  • Khan A, Spector ND, Baird JD, Ashland M, Starmer AJ, Rosenbluth G, et al. Patient safety after implementation of a coproduced family centered...
  • Haslinda H, Rachmawaty R, Saleh A. Strategies to improve patients’ involvement in achieving patient safety goals: A literature review. Enfermería...
  • Newman B, Joseph K, Chauhan A, Seale H, Li J, Manias E, et al. Do patient engagement interventions work for all patients? A systematic review...
  • Lee M, Lee NJ, Seo HJ, Jang H, Kim SM. Interventions to Engage Patients and Families in Patient Safety: A Systematic Review. West J Nurs Res....
  • Sharma BAE, Rivadeneira NA, Barr-walker J, Stern RJ, Johnson AK. Patient Engagement In Health Care Safety: An Overview Of Mixed-Quality Evidence....
  • Mackintosh NJ, Davis RE, Easter A, Rayment-Jones H, Sevdalis N, Wilson S, et al. Interventions to increase patient and family involvement...
  • Cai Y, Bs YL, Student G, Zhang M, Jiang RY. Patient and family engagement interventions for hospitalized patient safety : A scoping review....
  • WHO Member States. Implementation of the Global Patient Safety INTERIM REPORT Based on the first survey of patient safety in WHO Member States....
  • Wulandari ARC, Rachmawaty R, Ilkafah I, Erfina E. Patient satisfaction towards healthcare quality in Indonesian Public Hospital. Enfermería...
  • Chegini Z, Janati A, Babaie J, Pouraghaei M. Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals:...
  • Russ SJ, Rout S, Caris J, Moorthy K, Mayer E, Darzi A, et al. The WHO surgical safety checklist : survey of patients ’ views. 2014;939–46.
  • Knowles S, Hays R, Senra H, Bower P, Locock L, Protheroe J, et al. Empowering people to help speak up about safety in primary care: Using...
  • Lachman P, Linkson L, Evans T, Clausen H. Developing person-centred analysis of harm in a paediatric hospital : a quality improvement report....
  • Lawton R, Hara JKO, Sheard L, Armitage G, Cocks K, Buckley H, et al. Can patient involvement improve patient safety ? A cluster randomised...
  • Louch G, Hara JO, Mohammed MA. A qualitative formative evaluation of a patient- ­ centred patient safety intervention delivered in collaboration...
  • Etchegaray JM, Ottosen MJ, Aigbe A, Sedlock E, Sage WM, Bell SK, et al. Patients as Partners in Learning from Unexpected Events. Health Serv...
  • Hons NT, Giles S, Hons BA. ORIG INAL RE S E ARCH PAPER A patient and public involvement workshop using visual art and priority setting to...
  • Morris RL, Giles S, Campbell S. Involving patients and carers in patient safety in primary care: A qualitative study of a co‐designed patient...
  • Russ S, Sevdalis N, Ocloo J, Russ S. A Smartphone App Designed to Empower Patients to Contribute Toward Safer Surgical Care : Qualitative...
  • Louch G, Mohammed MA, Hughes L, O’Hara J. “Change is what can actually make the tough times better”: A patient‐centred patient safety intervention...
  • Cox ED, Jacobsohn GC, Rajamanickam VP, Carayon P, Wetterneck TB, Rathouz PJ, et al. A Family-Centered Rounds Checklist , Family Engagement...
  • Lewis KD, Destino L, Everhart J, Subramony A, Dreyer B, Allair B, et al. Patient and Family-Centered I-PASS SCORE Program: Resident and Advanced...
  • Goncalves KM de M, Costaa MTTCA, Silva DCB, Baggio ME, Corrêa A dos R, Manzo BF. Ludic strategy for promoting engagement of parents and caregivers...
  • Haldar S, Mishra SR, Pollack AH, Pratt W. Informatics opportunities to involve patients in hospital safety : a conceptual model. 2020;27(October...
  • Bishop AC, Baker GR, Boyle TA, MacKinnon NJ. Using the Health Belief Model to explain patient involvement in patient safety. Heal Expect....
  • Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the Effectiveness of Engaging Patients and Their...
  • New L, Goodridge D, Kappel J, Groot G, Dobson R. “ I just have to take it ” – patient safety in acute care : perspectives and experiences...
  • Duhn L, Medves J. A 5‐facet framework to describe patient engagement in patient safety. Heal Expect. 2018 Dec;21(6):1122–33.
  • Bergerød IJ, Dalen I, Braut GS, Gilje B, Wiig S. Measuring next of kin satisfaction with hospital cancer care: Using a mixed-method approach...
  • Bergerød IJ, Gilje B, Braut GS, Wiig S. Next-of-kin involvement in improving hospital cancer care quality and safety - A qualitative cross-case...
  • Harris K, Søfteland E, Moi AL, Harthug S, Storesund A, Jesuthasan S, et al. Patients’ and healthcare workers’ recommendations for a surgical...
  • Merner B, Hill S, Taylor M. “ I ’ m Trying to Stop Things Before They Happen ”: Carers ’ Contributions to Patient Safety in Hospitals. 2019;
  • Newman B, Joseph K, McDonald FEJ, Harrison R, Patterson P. Using consumer engagement strategies to improve healthcare safety for young people:...
  • Mengozzi C, Campaniello G, Aversa F, Re F, Calatafimi B, Albertini R, et al. The “ Patient ’ s Empowerment rights-duty Charter ”: new communication...
  • Zahrani AK Al, Alaska YA, Alqahtani NM, Alotaibi F. The Impact of a Patient Participating in Evaluating Patient Safety by Using the Patient...
  • Shin SH, Kim MJ, Moon HJ. Development and Effectiveness of a Patient Safety Education Program for Inpatients. 2021;
  • Voorden M Van Der, Franx A, Ahaus K. Actions for mitigating the negative effects of patient participation in patient safety : a qualitative...
  • Lewis KD, Destino L, Everhart J, Subramony A, Dreyer B, Allair B, et al. Patient and Family-Centered I-PASS SCORE Program: Resident and Advanced...
  • Khan A, Spector ND, Baird JD, Ashland M, Starmer AJ, Rosenbluth G, et al. Patient safety after implementation of a coproduced family centered...
  • Bergerød IJ, Braut GS, Fagerdal B, Gilje B, Wiig S. Developing a Next-of-Kin Involvement Guide in Cancer Care — Results From a Consensus Process....
  • Duhn L, Medves J, Dean V. ORIG INAL RESE ARCH PAPER A 5- ­ facet framework to describe patient engagement in patient safety. 2018;(January):1122–33.
  • Chegini Z, Arab-Zozani M, Shariful Islam SM, Tobiano G, Abbasgholizadeh Rahimi S. Barriers and facilitators to patient engagement in patient...
  • Bergerød IJ, Gilje B, Braut GS, Wiig S. Next-of-kin involvement in improving hospital cancer care quality and safety - a qualitative cross-case...
  • Goodridge D, Mcdonald M, New L, Scharf M, Harrison E, Rotter T, et al. Building patient capacity to participate in care during hospitalisation:...