Development of a framework to describe patient and family harm from disrespect and promote improvements in quality and safety: a scoping review.
Int J Qual Health Care
; 31(9): 657-668, 2019 Nov 30.
Article
em En
| MEDLINE
| ID: mdl-30428052
ABSTRACT
PURPOSE:
Patients and families may experience 'non-physical' harm from interactions with the healthcare system, including emotional, psychological, socio-behavioral or financial harm, some of which may be related to experiences of disrespect. We sought to use the current literature to develop a practical, improvement-oriented framework to recognize, describe and help prevent such events. DATA SOURCES Searches were performed in PubMed, Embase, PsychINFO, CINAHL, Health Business Elite and ProQuest Dissertations & Theses Global Health & Medicine, from their inception through July 2017. STUDY SELECTION Two authors reviewed titles, abstracts, full texts, references and cited-by lists to identify articles describing approaches to understanding patient/family experiences of disrespect. DATA EXTRACTION Findings were evaluated using integrative review methodology. RESULTS OF DATASYNTHESIS:
Three-thousand eight hundred and eighty two abstracts were reviewed. Twenty three articles were identified. Components of experiences of disrespect included (1) numerous care processes; (2) a wide range of healthcare professional and organizational behaviors; (3) contributing factors, including patient- and professional-related factors, the environment of work and care, leadership, policies, processes and culture; (4) important consequences of disrespect, including behavioral changes and health impacts on patients and families, negative effects on professionals' subsequent interactions, and patient attrition from organizations and (5) factors both intrinsic and extrinsic to patients that can modify the consequences of disrespect.CONCLUSION:
A generalizable framework for understanding disrespect experienced by patients/families in healthcare may help organizations better prevent non-physical harms. Future work should prospectively test and refine the framework we described so as to facilitate its integration into organizations' existing operational systems.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Relações Profissional-Paciente
/
Qualidade da Assistência à Saúde
/
Segurança do Paciente
Tipo de estudo:
Prognostic_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article