Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety

Abstract Background Patients are increasingly being asked for feedback about their healthcare and treatment, including safety, despite little evidence to support this trend. This review identifies the strategies used to engage patients in safety during direct care, explores who is engaged and determ...

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Autores principales: Bronwyn Newman, Kathryn Joseph, Ashfaq Chauhan, Holly Seale, Jiadai Li, Elizabeth Manias, Merrilyn Walton, Stephen Mears, Benjamin Jones, Reema Harrison
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Publicado: Wiley 2021
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spelling oai:doaj.org-article:83bc4cebffbb46e7873c4bed93391ffb2021-11-29T13:50:52ZDo patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety1369-76251369-651310.1111/hex.13343https://doaj.org/article/83bc4cebffbb46e7873c4bed93391ffb2021-12-01T00:00:00Zhttps://doi.org/10.1111/hex.13343https://doaj.org/toc/1369-6513https://doaj.org/toc/1369-7625Abstract Background Patients are increasingly being asked for feedback about their healthcare and treatment, including safety, despite little evidence to support this trend. This review identifies the strategies used to engage patients in safety during direct care, explores who is engaged and determines the mechanisms that impact effectiveness. Methods A systematic review was performed of seven databases (CINAHL, Cochrane, Cochrane‐Central, Embase, ISI Web of Science, Medline, PsycINFO) that included research published between 2010 and 2020 focused on patient engagement interventions to increase safety during direct care and reported using PRISMA. All research designs were eligible; two reviewers applied criteria independently to determine eligibility and quality. A narrative review and realist synthesis were conducted. Results Twenty‐six papers reporting on twenty‐seven patient engagement strategies were included and classified as consultation (9), involvement (7) and partnership (11). The definitions of ‘patient engagement’ varied, and we found limited details about participant characteristics or interactions between people utilizing strategies. Collaborative strategy development, a user‐friendly design, proactive messaging and agency sponsorship were identified as mechanisms to improve engagement about safety at the point of direct care. Conclusions Agency sponsorship of collaboration between staff and patients is essential in the development and implementation of strategies to keep patients safe during direct care. Insufficient details about participant characteristics and patient–provider interactions limit recommendations for practice change. More needs to be learned about how patients are engaged in discussions about safety, particularly minority groups unable to engage with standard information. Patient or Public Contribution Review progress was reported to the CanEngage team, including the consumer steering group, to inform project priorities (PROSPERO CRD42020196453).Bronwyn NewmanKathryn JosephAshfaq ChauhanHolly SealeJiadai LiElizabeth ManiasMerrilyn WaltonStephen MearsBenjamin JonesReema HarrisonWileyarticlepatient engagementpatient participationpatient safetypoint of caresystematic reviewMedicine (General)R5-920Public aspects of medicineRA1-1270ENHealth Expectations, Vol 24, Iss 6, Pp 1905-1923 (2021)
institution DOAJ
collection DOAJ
language EN
topic patient engagement
patient participation
patient safety
point of care
systematic review
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
spellingShingle patient engagement
patient participation
patient safety
point of care
systematic review
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
Bronwyn Newman
Kathryn Joseph
Ashfaq Chauhan
Holly Seale
Jiadai Li
Elizabeth Manias
Merrilyn Walton
Stephen Mears
Benjamin Jones
Reema Harrison
Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety
description Abstract Background Patients are increasingly being asked for feedback about their healthcare and treatment, including safety, despite little evidence to support this trend. This review identifies the strategies used to engage patients in safety during direct care, explores who is engaged and determines the mechanisms that impact effectiveness. Methods A systematic review was performed of seven databases (CINAHL, Cochrane, Cochrane‐Central, Embase, ISI Web of Science, Medline, PsycINFO) that included research published between 2010 and 2020 focused on patient engagement interventions to increase safety during direct care and reported using PRISMA. All research designs were eligible; two reviewers applied criteria independently to determine eligibility and quality. A narrative review and realist synthesis were conducted. Results Twenty‐six papers reporting on twenty‐seven patient engagement strategies were included and classified as consultation (9), involvement (7) and partnership (11). The definitions of ‘patient engagement’ varied, and we found limited details about participant characteristics or interactions between people utilizing strategies. Collaborative strategy development, a user‐friendly design, proactive messaging and agency sponsorship were identified as mechanisms to improve engagement about safety at the point of direct care. Conclusions Agency sponsorship of collaboration between staff and patients is essential in the development and implementation of strategies to keep patients safe during direct care. Insufficient details about participant characteristics and patient–provider interactions limit recommendations for practice change. More needs to be learned about how patients are engaged in discussions about safety, particularly minority groups unable to engage with standard information. Patient or Public Contribution Review progress was reported to the CanEngage team, including the consumer steering group, to inform project priorities (PROSPERO CRD42020196453).
format article
author Bronwyn Newman
Kathryn Joseph
Ashfaq Chauhan
Holly Seale
Jiadai Li
Elizabeth Manias
Merrilyn Walton
Stephen Mears
Benjamin Jones
Reema Harrison
author_facet Bronwyn Newman
Kathryn Joseph
Ashfaq Chauhan
Holly Seale
Jiadai Li
Elizabeth Manias
Merrilyn Walton
Stephen Mears
Benjamin Jones
Reema Harrison
author_sort Bronwyn Newman
title Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety
title_short Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety
title_full Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety
title_fullStr Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety
title_full_unstemmed Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety
title_sort do patient engagement interventions work for all patients? a systematic review and realist synthesis of interventions to enhance patient safety
publisher Wiley
publishDate 2021
url https://doaj.org/article/83bc4cebffbb46e7873c4bed93391ffb
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