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Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands
OBJECTIVE: Although previous studies largely emphasize the positive effects of patient participation in patient safety, negative effects have also been observed. This study focuses on bringing together the separate negative effects that have been previously reported in the literature. This study set...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827266/ https://www.ncbi.nlm.nih.gov/pubmed/36604123 http://dx.doi.org/10.1136/bmjopen-2022-063175 |
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author | Van der Voorden, Michael Ahaus, Kees Franx, Arie |
author_facet | Van der Voorden, Michael Ahaus, Kees Franx, Arie |
author_sort | Van der Voorden, Michael |
collection | PubMed |
description | OBJECTIVE: Although previous studies largely emphasize the positive effects of patient participation in patient safety, negative effects have also been observed. This study focuses on bringing together the separate negative effects that have been previously reported in the literature. This study set out to uncover how these negative effects manifest themselves in practice within an obstetrics department. DESIGN: An exploratory qualitative interview study with 16 in-depth semistructured interviews. The information contained in the interviews was deductively analysed. SETTING: The study was conducted in one tertiary academic healthcare centre in the Netherlands. PARTICIPANTS: Patients (N=8) and professionals (N=8) from an obstetrics department. RESULTS: The results of this study indicate that patient participation in patient safety comes in five different forms. Linked to these different forms, four negative effects of patient participation in patient safety were identified. These can be summarised as follows: patients’ confidence decreases, the patient–professional relationship can be negatively affected, more responsibility can be demanded of the patient than they wish to accept and the professional has to spend additional time on a patient. CONCLUSION: This study identifies and brings together four negative effects of patient participation in patient safety that have previously been individually identified elsewhere. In our interviews, there was a consensus among patients and professionals on five different forms of participation that would allow patients to positively participate in patient safety. Further studies should investigate ways to prevent and to mitigate the potential negative effects of patient participation. |
format | Online Article Text |
id | pubmed-9827266 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-98272662023-01-10 Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands Van der Voorden, Michael Ahaus, Kees Franx, Arie BMJ Open Patient-Centred Medicine OBJECTIVE: Although previous studies largely emphasize the positive effects of patient participation in patient safety, negative effects have also been observed. This study focuses on bringing together the separate negative effects that have been previously reported in the literature. This study set out to uncover how these negative effects manifest themselves in practice within an obstetrics department. DESIGN: An exploratory qualitative interview study with 16 in-depth semistructured interviews. The information contained in the interviews was deductively analysed. SETTING: The study was conducted in one tertiary academic healthcare centre in the Netherlands. PARTICIPANTS: Patients (N=8) and professionals (N=8) from an obstetrics department. RESULTS: The results of this study indicate that patient participation in patient safety comes in five different forms. Linked to these different forms, four negative effects of patient participation in patient safety were identified. These can be summarised as follows: patients’ confidence decreases, the patient–professional relationship can be negatively affected, more responsibility can be demanded of the patient than they wish to accept and the professional has to spend additional time on a patient. CONCLUSION: This study identifies and brings together four negative effects of patient participation in patient safety that have previously been individually identified elsewhere. In our interviews, there was a consensus among patients and professionals on five different forms of participation that would allow patients to positively participate in patient safety. Further studies should investigate ways to prevent and to mitigate the potential negative effects of patient participation. BMJ Publishing Group 2023-01-05 /pmc/articles/PMC9827266/ /pubmed/36604123 http://dx.doi.org/10.1136/bmjopen-2022-063175 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Patient-Centred Medicine Van der Voorden, Michael Ahaus, Kees Franx, Arie Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands |
title | Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands |
title_full | Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands |
title_fullStr | Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands |
title_full_unstemmed | Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands |
title_short | Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands |
title_sort | explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the netherlands |
topic | Patient-Centred Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827266/ https://www.ncbi.nlm.nih.gov/pubmed/36604123 http://dx.doi.org/10.1136/bmjopen-2022-063175 |
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