Predictors of healthcare professionals' attitudes towards family involvement in safety-relevant behaviours: a cross-sectional factorial survey study.

Davis, Rachel; Savvopoulou, M; Shergill, R; Shergill, S; Schwappach, David (2014). Predictors of healthcare professionals' attitudes towards family involvement in safety-relevant behaviours: a cross-sectional factorial survey study. BMJ open, 4(9), e005549. BMJ Publishing Group 10.1136/bmjopen-2014-005549

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OBJECTIVES

To investigate predictors of healthcare professionals' (HCPs) attitudes towards family involvement in safety-relevant behaviours.

DESIGN

A cross-sectional fractional factorial survey that assessed HCPs' attitudes towards family involvement in two error scenarios relating to hand hygiene and medication safety. Each survey comprised two randomised vignettes that described the potential error, how the family member communicated with the HCP about the error and how the HCP responded to the family member's question.

SETTING

5 teaching hospitals in London, the Midlands and York. HCPs were approached on a range of medical and surgical wards.

PARTICIPANTS

160 HCPs (73 doctors; 87 nurses) aged between 21 and 65 years (mean 37) 102 were female.

OUTCOME MEASURES

HCP approval of family member's behaviour; HCP reaction to the family member; anticipated effects on the family member-HCP relationship; HCP support for being questioned about hand hygiene/medication; affective rating responses.

RESULTS

HCPs supported family member's intervening (88%) but only 41% agreed this would have positive effects on the family member/HCP relationship. Across vignettes and error scenarios the strongest predictors of attitudes were how the HCP (in the scenario) responded to the family member and whether an error actually occurred. Doctors (vs nurses) provided systematically more positive affective ratings to the vignettes.

CONCLUSIONS

Important predictors of HCPs' attitudes towards family members' involvement in patient safety have been highlighted. In particular, a discouraging response from HCP's decreased support for family members being involved and had strong perceived negative effects on the family member/HCP relationship.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Schwappach, David

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

2044-6055

Publisher:

BMJ Publishing Group

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

02 Apr 2015 10:32

Last Modified:

14 Mar 2021 13:38

Publisher DOI:

10.1136/bmjopen-2014-005549

PubMed ID:

25186154

BORIS DOI:

10.7892/boris.65792

URI:

https://boris.unibe.ch/id/eprint/65792

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