‘A Forever Imprint on Me…I Couldn't Be There When He Needed Me the Most’: Care Partner Experiences of Patient Safety During Covid‐19 Restrictions
Notice bibliographique
Résumé
BACKGROUND: It is believed that engaging care partners (CPs) in patient safety is a potential strategy to ensure patients' well-being during hospital admissions. When present, CPs who feel comfortable can be 'safety nets', monitoring and acting to prevent healthcare-related harm. However, there are limitations in evidence about CPs' perspectives regarding and experiences of safety engagement at the direct care level and the implications if they have restricted access, such as during the Covid-19 pandemic. OBJECTIVE: To understand CPs' experiences of patient safety when, due to Covid-19 restrictions, they were unable to be present in the hospital during a patient admission. METHODS: A descriptive, exploratory qualitative study was conducted in an acute care hospital in Ontario, Canada, and four Canadian organisations that support CPs. One-to-one semi-structured interviews and reflexive thematic analysis were completed. FINDINGS: Twelve CPs participated. Overall, they believed hospital restrictions had consequences on patient safety and was troubling for them and their loved ones, as illuminated in the three main themes: Stress Escalates Amid Disrupted, Ineffective Communications Between CPs and Patients/Healthcare Professionals; CPs' Patient Safety Concerns Change and are Heightened in Their Absence From the Bedside, Calling for New Tactics, and Hospital Access Restriction Negatively Impacts CPs' Well-Being, Necessitating Creative Ways to Bolster Their Strength. DISCUSSION: The findings give insight into CPs' engagement in patient safety at the direct care level and the importance of being present, given the types of contributions they want to make. Communication was paramount, and the scope of their involvement-the nuances of which became more apparent in their absence-affirmed how connected CPs are and need to be within the health team for successful risk reduction. Disconnecting CPs from engaging in safety diminished the patient's protection, and instead of reducing CP fears related to involvement, it escalated newfound worries and stressors. CONCLUSION: This study highlights CPs' experiences with patient safety when they cannot be at the bedside and their crucial role in mitigating risks, and, in anticipation of future public health crises, as well as ongoing care approaches, questions the risk in prohibiting and not fostering CPs' involvement at the bedside. PATIENT OR PUBLIC CONTRIBUTION: Twelve CPs of adult patients with lived experiences of engaging in patient safety participated in this study. These CPs were unable to be present with the patient during their admission due to visitor restrictions implemented as a result of Covid-19.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,008 | 0,021 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,020 | 0,016 |
| Communication savante | 0,008 | 0,007 |
| Science ouverte | 0,002 | 0,011 |
| Intégrité de la recherche | 0,003 | 0,007 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,006 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».