Mixed-method investigation of health consumers’ perception and experience of participation in patient safety activities
Objectives This study aimed to examine the factors influencing patient safety behaviours and to explore health customers’ experiences of patient participation in the healthcare system.Design A mixed-method sequential explanatory design was employed using a survey and focus group interviews with heal...
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BMJ Publishing Group
2020-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/3/e035831.full |
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| author | Nam-Ju Lee Shinae Ahn Miseon Lee |
| author_facet | Nam-Ju Lee Shinae Ahn Miseon Lee |
| author_sort | Nam-Ju Lee |
| collection | DOAJ |
| description | Objectives This study aimed to examine the factors influencing patient safety behaviours and to explore health customers’ experiences of patient participation in the healthcare system.Design A mixed-method sequential explanatory design was employed using a survey and focus group interviews with health consumers.Setting The study was conducted in South Korea using an online survey tool.Participants Survey data were collected from 493 Korean adults, aged 19 years or older, who had visited hospitals within the most recent 1 year. Focus group interviews were conducted in two groups of six participants each among those of the survey participants who agreed to participate in focus groups.Main outcome measures The survey measured the recognition of the importance of participation, extent of willingness to participate and experience of engaging in patient safety activities using a 4-point Likert scale. Qualitative data were collected through focus group interviews to explore health consumers’ experience of patient participation in hospital care, and the data were analysed using content analysis.Results The average score for experience of participation in patient safety behaviours (2.13±0.63) was found to be lower than those of recognition of the importance of participation (3.27±0.51) and willingness to participate (2.62±0.52). By integrating the results of the quantitative and qualitative data analysis, the factors associated with the experience of engaging in healthcare behaviour included patient-related factors, illness-related factors, factors involving relationship between patients and healthcare providers, and healthcare environment factors.Conclusions To improve patient participation, it is necessary to create a healthcare environment in which patients can speak comfortably and to provide an education programme reflecting the patients’ needs. Also, healthcare providers must consider patients as partners for patient safety. Shared decision-making procedures and patient-centred care and patient safety policies should be established in hospitals. |
| format | Article |
| id | doaj-art-a67ea9f08b6c42419ace3cd509e7eaf5 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-a67ea9f08b6c42419ace3cd509e7eaf52025-08-20T02:37:28ZengBMJ Publishing GroupBMJ Open2044-60552020-03-0110310.1136/bmjopen-2019-035831Mixed-method investigation of health consumers’ perception and experience of participation in patient safety activitiesNam-Ju Lee0Shinae Ahn1Miseon Lee2Seoul National University College of Nursing, Seoul, Republic of KoreaCollege of Nursing, Seoul National University, Seoul, Republic of KoreaCollege of Nursing, Pusan National University, Yangsan, Republic of KoreaObjectives This study aimed to examine the factors influencing patient safety behaviours and to explore health customers’ experiences of patient participation in the healthcare system.Design A mixed-method sequential explanatory design was employed using a survey and focus group interviews with health consumers.Setting The study was conducted in South Korea using an online survey tool.Participants Survey data were collected from 493 Korean adults, aged 19 years or older, who had visited hospitals within the most recent 1 year. Focus group interviews were conducted in two groups of six participants each among those of the survey participants who agreed to participate in focus groups.Main outcome measures The survey measured the recognition of the importance of participation, extent of willingness to participate and experience of engaging in patient safety activities using a 4-point Likert scale. Qualitative data were collected through focus group interviews to explore health consumers’ experience of patient participation in hospital care, and the data were analysed using content analysis.Results The average score for experience of participation in patient safety behaviours (2.13±0.63) was found to be lower than those of recognition of the importance of participation (3.27±0.51) and willingness to participate (2.62±0.52). By integrating the results of the quantitative and qualitative data analysis, the factors associated with the experience of engaging in healthcare behaviour included patient-related factors, illness-related factors, factors involving relationship between patients and healthcare providers, and healthcare environment factors.Conclusions To improve patient participation, it is necessary to create a healthcare environment in which patients can speak comfortably and to provide an education programme reflecting the patients’ needs. Also, healthcare providers must consider patients as partners for patient safety. Shared decision-making procedures and patient-centred care and patient safety policies should be established in hospitals.https://bmjopen.bmj.com/content/10/3/e035831.full |
| spellingShingle | Nam-Ju Lee Shinae Ahn Miseon Lee Mixed-method investigation of health consumers’ perception and experience of participation in patient safety activities BMJ Open |
| title | Mixed-method investigation of health consumers’ perception and experience of participation in patient safety activities |
| title_full | Mixed-method investigation of health consumers’ perception and experience of participation in patient safety activities |
| title_fullStr | Mixed-method investigation of health consumers’ perception and experience of participation in patient safety activities |
| title_full_unstemmed | Mixed-method investigation of health consumers’ perception and experience of participation in patient safety activities |
| title_short | Mixed-method investigation of health consumers’ perception and experience of participation in patient safety activities |
| title_sort | mixed method investigation of health consumers perception and experience of participation in patient safety activities |
| url | https://bmjopen.bmj.com/content/10/3/e035831.full |
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