Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review
Objectives This study aims to map and frame the main factors present in support interventions successfully implemented in health organisations in order to provide timely and adequate response to healthcare workers (HCWs) after patient safety incidents (PSIs).Design Scoping review guided by the six-s...
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BMJ Publishing Group
2023-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/12/e078118.full |
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| author | Helena Donato José Joaquín Mira Irene Carrillo Paulo Sousa Sofia Guerra-Paiva Maria João Lobão Diogo Godinho Simões Joana Fernandes |
| author_facet | Helena Donato José Joaquín Mira Irene Carrillo Paulo Sousa Sofia Guerra-Paiva Maria João Lobão Diogo Godinho Simões Joana Fernandes |
| author_sort | Helena Donato |
| collection | DOAJ |
| description | Objectives This study aims to map and frame the main factors present in support interventions successfully implemented in health organisations in order to provide timely and adequate response to healthcare workers (HCWs) after patient safety incidents (PSIs).Design Scoping review guided by the six-stage approach proposed by Arksey and O’Malley and by PRISMA-ScR.Data sources CINAHL, Cochrane Library, Embase, Epistemonikos, PsycINFO, PubMed, SciELO Citation Index, Scopus, Web of Science Core Collection, reference lists of the eligible articles, websites and a consultation group.Eligibility criteria for selecting studies Empirical studies (original articles) were prioritised. We used the Mixed Methods Appraisal Tool Version 2018 to conduct a quality assessment of the eligible studies.Data extraction and synthesis A total of 9766 records were retrieved (last update in November 2022). We assessed 156 articles for eligibility in the full-text screening. Of these, 29 articles met the eligibility criteria. The articles were independently screened by two authors. In the case of disagreement, a third author was involved. The collected data were organised according to the Organisational factors, People, Environment, Recommendations from other Audies, Attributes of the support interventions. We used EndNote to import articles from the databases and Rayyan to support the screening of titles and abstracts.Results The existence of an organisational culture based on principles of trust and non-judgement, multidisciplinary action, leadership engagement and strong dissemination of the support programmes’ were crucial factors for their effective implementation. Training should be provided for peer supporters and leaders to facilitate the response to HCWs’ needs. Regular communication among the implementation team, allocation of protected time, funding and continuous monitoring are useful elements to the sustainability of the programmes.Conclusion HCWs’ well-being depends on an adequate implementation of a complex group of interrelated factors to support them after PSIs. |
| format | Article |
| id | doaj-art-4d205d1cce7f48cbaf88cfa480ef79b2 |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-4d205d1cce7f48cbaf88cfa480ef79b22025-08-20T03:11:26ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-078118Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping reviewHelena Donato0José Joaquín Mira1Irene Carrillo2Paulo Sousa3Sofia Guerra-Paiva4Maria João Lobão5Diogo Godinho Simões6Joana Fernandes7Documentation and Scientific Information Service, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal1 Health Psychology, Miguel Hernandez University of Elche, Elche, Spain1 Health Psychology, Miguel Hernandez University of Elche, Elche, SpainNOVA University Lisbon National School of Public Health, Lisbon, PortugalPublic Health Research Centre, Comprehensive Health Research Center, CHRC, NOVA National School of Public Health, NOVA University Lisbon, Lisboa, PortugalPublic Health Research Centre, Comprehensive Health Research Center, CHRC, NOVA National School of Public Health, NOVA University Lisbon, Lisboa, PortugalPublic Health Unit of ACES Almada-Seixal, Almada, PortugalNOVA National School of Public Health, NOVA University of Lisbon, Lisbon, PortugalObjectives This study aims to map and frame the main factors present in support interventions successfully implemented in health organisations in order to provide timely and adequate response to healthcare workers (HCWs) after patient safety incidents (PSIs).Design Scoping review guided by the six-stage approach proposed by Arksey and O’Malley and by PRISMA-ScR.Data sources CINAHL, Cochrane Library, Embase, Epistemonikos, PsycINFO, PubMed, SciELO Citation Index, Scopus, Web of Science Core Collection, reference lists of the eligible articles, websites and a consultation group.Eligibility criteria for selecting studies Empirical studies (original articles) were prioritised. We used the Mixed Methods Appraisal Tool Version 2018 to conduct a quality assessment of the eligible studies.Data extraction and synthesis A total of 9766 records were retrieved (last update in November 2022). We assessed 156 articles for eligibility in the full-text screening. Of these, 29 articles met the eligibility criteria. The articles were independently screened by two authors. In the case of disagreement, a third author was involved. The collected data were organised according to the Organisational factors, People, Environment, Recommendations from other Audies, Attributes of the support interventions. We used EndNote to import articles from the databases and Rayyan to support the screening of titles and abstracts.Results The existence of an organisational culture based on principles of trust and non-judgement, multidisciplinary action, leadership engagement and strong dissemination of the support programmes’ were crucial factors for their effective implementation. Training should be provided for peer supporters and leaders to facilitate the response to HCWs’ needs. Regular communication among the implementation team, allocation of protected time, funding and continuous monitoring are useful elements to the sustainability of the programmes.Conclusion HCWs’ well-being depends on an adequate implementation of a complex group of interrelated factors to support them after PSIs.https://bmjopen.bmj.com/content/13/12/e078118.full |
| spellingShingle | Helena Donato José Joaquín Mira Irene Carrillo Paulo Sousa Sofia Guerra-Paiva Maria João Lobão Diogo Godinho Simões Joana Fernandes Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review BMJ Open |
| title | Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review |
| title_full | Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review |
| title_fullStr | Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review |
| title_full_unstemmed | Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review |
| title_short | Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review |
| title_sort | key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations a scoping review |
| url | https://bmjopen.bmj.com/content/13/12/e078118.full |
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