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Patientens upplevelse av delaktighet i patientsäkerhetsarbetet avseende handhygieniska rutiner – en kvalitativ intervjustudie
University of Skövde, School of Health Sciences.
2023 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
The patient’s experience of participation in patient safety work regarding hand hygiene routines – a qualitative interview study (English)
Abstract [sv]

Introduktion: Flertalet studier, organisationer och styrande myndigheter uppmanar vårdgivarna att stärka patientsäkerheten genom att öka möjligheten för patientmedverkan i vården. Det finns dock inte någon vägledning angående hur denna patientmedverkan ska gå till, eller om det föreligger några specifika hinder gällande införandet av patientmedverkan i vården. Föreliggande studie undersöker patientens upplevelse av delaktighet i patientsäkerhetsarbetet avseende handhygieniska rutiner på sjukhus.

Syfte: Att beskriva patienters upplevelse av delaktighet avseende handhygieniska rutiner utifrån ett patientsäkerhetsperspektiv.

Metod: Kvalitativ metod med datainsamlingen genom djupintervjuer. Deltagarna i studien (n=7) rekryterades genom gate-keeper vid ett större sjukhus i Stockholmsområdet. Insamlad data anlyserades genom innehållsanalys i enlighet med Graneheim och Lundman (2004) samt genom health literacy analys utifrån Palumbo (2017). I denna studie har patienter deltagit som informanter och författaren har nyttjat studentundantaget i enlighet med Etikprövningsnämden (2023).

Resultat: Informanterna uppgav att bristen på korrekt, motivernade och upplysande information påverkar deras möjlighet till delaktighet i deras vård och behandling samt i deras möjlighet till att följa handhygieniska rutiner. De beskriver en outalad maktbalans mellan vårdpersonal och patienter som de största hindren för att de kunde delta i sin vård och behandling. Resultaten visar också att patienten har goda förkunskaper och en villighet att aktivit delta men att de inte alltid får den möjligheten.

Slutsats: Informanterna i studien uppger hinder för att kunna delta, samtidigt som de uppger villighet att delta utifrån sin egen förmåga. Utifrån resultatet kan kliniska åtgärder genomförs som tillgodoser patienterns behov av information och möjlighet till delaktighet.

Abstract [en]

Introduction: Multiple scientific studies, government agencies and international organization that focus on global- and public health, calls on healthcare providers to strengthen their work on patient safety by increasing patient empowerment and patient participation. There are few to no guidelines, on how this empowerment and participation work should be planned and execute or whether obstacles that should be addressed in the planning period are present. This study will examine the patient’s perspective on empowerment, patient participation and patient safety regarding hand hygiene routines in hospitals.

Aim: To describe the patients' view on participation in hygiene routines from a patient safety perspective.

Methods: Qualitative method with data collection by in-depth interviews. Participants (n=7) were recruited via gate-keepers at a large hospital in the Stockholm area. Data were analyzed through content analysis according to Graneheim och Lundman (2004), and by using a health literacy analysis with Palumbo´s (2017) terminology. The informants in this study consists of hospital patients, and the author applie the student exemption according to the national Board of Ethics (Etikprövningsnämden, 2023).

Results: The informants reported lack of motivation, and useful information as well as the unspoken balance of power between healthcare staff and patient, as the greatest obstacles to being able to participate in own care, treatment and willingness to participate in hand hygiene routines. The result also shows that the patients alredy possess empowerment, know-how and a willingness to actively participate, but they are not always offered the opportunity to participate.

Conclusion: The informants in the study state that there are obstacles in presents care. This makes it harder for for them to participate. At the same time, they signal a willingness to participate based on their own ability. Based on the results, clinical measures can be implemented that satisfy the patients' need for information and an opportunity for participation.

Place, publisher, year, edition, pages
2023. , p. 31
Keywords [en]
Patient safety, Patient participation, Hand hygiene
Keywords [sv]
Patientdelaktighet, patientsäkerhet, Delaktighet, Säker vård, handhygieniska rutiner
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:his:diva-23645OAI: oai:DiVA.org:his-23645DiVA, id: diva2:1842354
Subject / course
Public Health Science
Educational program
Public Health Science: Infection Prevention and Control - Master’s Programme 60 ECTS
Supervisors
Examiners
Available from: 2024-03-04 Created: 2024-03-04 Last updated: 2024-03-04Bibliographically approved

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