Study On Healthcare Professionals’ Perceptions Of Patients For Patient Safety In Shanghai

Objectives:This project aims to explore health care professionals’ perceptions about “patient forpatient safety”.This project aims to find out health care professionals’ perceptions about“patient for patient safety”.which is the foundation of further study to develop patient forpatient safety model.Methods:(1)Qualitative study about health care professionals’ perceptions aims to explorehealth care professionals’ perceptions about “patient for patient safety” throughsemi-structure interviews.(2) Investigation of health care professionals’ perceptions about“patient for patient safety”. On the basis of theoretical framework of interactiveinvolvement in patient safety, combining with the literature review and the qualitativestudy, an questionnaire about healthcare professionals’ perceptions, attidudies, behaviorsabout “patient for patient safety” were developed.820health care professionals weresurveyed in Shanghai.Results：（1）14healthcare professionals were interviewed by semi-structure interviews.4themes were developed: take “patient for patient safety” dialectically;take what patientscan do about patient safety seriously;some barriers were conducted for “patient for patientsafety”.（2）Self-developed questionnaire includes general perceptions about “patient forpatient safety”, the contents of “patient for patient safety”,existing barriers about “patientfor patient safety”. Especially,the contents of “patient for patient safety” include decisiveinvolvement,caring involvement and complaining involvement.The Cronbach’s α of thequestionnaire is0.949.（3）①The general perceptions about “patient for patient safety”（M±SD=3.79±0.527）:the healthcare professionals shared a positive perception on“patient for patient safety”, meanwhile, there are some concerns that could not be ignored.②The contents of what patients can do: the average of caring involvement (M±SD=4.07±0.585)is larger than the average of decisive involvement (M±SD=3.88±0.581),theaverage of complaining involvement (M±SD=3.40±0.793) is the least;the degree ofsuppor（t M±SD=121.81±16.512）is the largest,followed by the grades of encouragement（M±SD=117.28±17.483）, the average of patient participation（M±SD=113.37±18.154）is the least.③There are a series of barriers in “patient for patient safety”.Thefirst-fifths were distrust of the public towards medicals caused by media; over-expectation of health care outcomes; incomprehension of medical risks; self-overprotection of patients;individual diversity of patients’ preference of engagement in patient safety.Conclusions:(1)In healthcare professionals’opinion,“Patient for Patient Safety”has advantagesand disadvantages. We should take “Patient for Patient Safety” seriously and keep afavorable balance to the extent of patient participation.(2) Healthcare professionalspreferred to caring involvement, followed by decisive involvement,then complaininginvolvement.We should take a series of strategies “supporting decisive involvementcautiously,encouraging caring involvement actively,calling for complaining involvementreasonably.(3) The barriers of “patient for patient safety” mainly lie in two aspects: themedia and the patient, this shows, the strategies to encourage patient involvement inpatient safety aim at these two points. According to these results,we should call forobjective media reports to increase the trust of patients on the medical side, so as toimprove the doctor-patient relationship; on the other aspect,we should strengthenpatients-safety-related education to improve the patient’s willingness to participate andability to participate in order to better promoting patient safety.