Barriers and facilitators to patient engagement in patient safety from patients and healthcare professionals' perspectives: A systematic review and meta‐synthesis. Issue 4 (2nd August 2021)

• Record Type: Journal Article
• Authors: Chegini, Zahra; Arab‐Zozani, Morteza; Shariful Islam, Sheikh Mohammed; Tobiano, Georgia; Abbasgholizadeh Rahimi, Samira
• Is Part Of: Nursing forum. Volume 56:Issue 4(2021)
• Page Start: 938
• Page End: 949
• Publication Date: 2021-08-02
• Subjects: meta‐synthesis -- patient engagement -- patient safety -- systematic review; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/nuf.12635
• Languages: English
• ISSNs: 0029-6473

Abstract

Abstract: Aims: To explore patients' and healthcare professionals' (HCPs) perceived barriers and facilitators to patient engagement in patient safety. Methods: We conducted a systematic review and meta‐synthesis from five computerized databases, including PubMed/MEDLINE, Embase, Web of Science, Scopus and PsycINFO, as well as grey literature and reference lists of included studies. Data were last searched in December 2019 with no limitation on the year of publication. Qualitative and Mix‐methods studies that explored HCPs' and patients' perceptions of barriers and facilitators to patient engagement in patient safety were included. Two authors independently screened the titles and the abstracts of studies. Next, the full texts of the screened studies were reviewed by two authors. Potential discrepancies were resolved by consensus with a third author. The Mixed Methods Appraisal Tool was used for quality appraisal. Thematic analysis was used to synthesize results. Results: Nineteen studies out of 2616 were included in this systematic review. Themes related to barriers included: patient unwillingness, HCPs' unwillingness, and inadequate infrastructures. Themes related to facilitators were: encouraging patients, sharing information with patients, establishing trustful relationship, establishing patient‐centred care and improving organizational resources. Conclusion: Patients have an active role in improving their safety. Strategies are required to address barriers that hinder or prevent patient engagement and create capacity and facilitate action.