- 作者：R. Davis ; rachel.davis@imperial.ac.uk ; O. Anderson ; C. Vincent ; K. Miles ; N. Sevdalis
- 关键词：Misidentification errors ; Hospital acquired infections ; Patient involvement ; Theory of planned behaviour ; Health belief model
- 刊名：International Journal of Nursing Studies
- 出版年：2012
- 期刊代码：134_00207489
- 类别：med
- 出版时间：April, 2012
- 卷：49
- 期：4
- 页码：407-415
- 文件大小：243 K
Background
Patients can play an important role in reducing healthcare harm but little is known about the factors that may affect patients鈥?willingness to participate. In order to encourage the 鈥榓ctive鈥?patient it is critical that we gain a deeper understanding of the antecedents of safety-relevant behaviours. Doing this will enable the implementation of effective interventions aimed at supporting patients to work with healthcare professionals in ensuring safe care.Objective
To examine predictors of patients鈥?intentions to engage in two safety behaviours: (1) reminding healthcare staff to wash their hands and; (2) notifying healthcare staff if they are not wearing a hospital identification bracelet.
Design
Cross-sectional survey study.
Participants
A purposive sampling method was employed to recruit 80 medical and surgical hospital inpatients aged 18-80 (mean 48) from one inner city London teaching hospital.
Methods
A 42 item survey that measured the extent that patients鈥?control beliefs, behavioural beliefs, normative beliefs and perceived susceptibility and severity towards a hospital-acquired infection or a misidentification error could predict their intentions to ask doctors/nurses about their hand washing compliance or notify doctors/nurses if they are not wearing a hospital identification bracelet. Data was analysed using multiple regression analysis.
Results
Control beliefs, normative beliefs and perceived severity were the strongest predictors of patients鈥?intentions to participate in both behaviours. The regression models accounted for a smaller percentage of the variance in patients鈥?intentions to ask doctors/nurses if they have washed their hands (42%/37%) than notifying staff if they were not wearing an identification bracelet (54%/56%).
Conclusions
If patients understand why a behaviour is beneficial, they perceive it as acceptable to participate in and that they have control over the decision to engage in the behaviour, we hypothesise that more patients will intend to participate in that behaviour. When designing interventions aimed at encouraging the participation of patients in promoting their own safety, consideration should be given to the potential influence of patients鈥?control beliefs, normative beliefs and perceived severity of errors on their intentions to participate.