Patient Safety in ICU. The Role of Family Member's Participation in Nursing Care in Patient Safety? A Randomized Controlled Clinical Audit

  • سال انتشار: 1403
  • محل انتشار: مجله ایمنی و بهبود بیمار، دوره: 12، شماره: 1
  • کد COI اختصاصی: JR_PSQ-12-1_001
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 114
دانلود فایل این مقاله

نویسندگان

Nosaibeh Zeinadini

Department of Critical care Nursing, School of Nursing and Midwifery; Student Research Committee, Rafsanjan University of Medical sciences, Rafsanjan, Iran.

Zahra Riyahi Paghaleh

Department of Nursing Management, Social Determinants of Health Research Center. School of Nursing and Midwifery. Rafsanjan University of Medical Sciences. Rafsanjan. Iran.

Ali Ansari Jaberi

Department of Psychiatric and Mental Health Nursing, Social Determinants of Health Research Center, School of Nursing and Midwifery; Rafsanjan University of Medical sciences, Rafsanjan, Iran.

Tayebeh Negahban Bonabi

Department of Community Health Nursing, Social Determinants of Health Research Center, School of Nursing and Midwifery, Rafsanjan University of Medical sciences, Rafsanjan, Iran.

چکیده

Introduction: Although there is a defined role for family members in the development of the hospital safety policies, family participation in the health care is a challenging concept and few studies have focused on its role in patient safety. This study designed to determine the effect of the participation of family member's in nursing care on patient safety in the intensive care unit (ICU). Materials and Methods: The study used a randomized controlled audit. Seventy one ICU nurses, patients and their relatives were selected purposefully, from October to December ۲۰۲۱, in Rafsanjan, Iran. Eligible nurses assigned into ۲ study groups (with and without family members' participating in nursing care), by the random minimization method. The ICU nurses' compliance with patient safety standards in nursing care was measured by a checklist. Data were analyzed using SPSS software version ۲۲, by Shapiro and Wilk tests, Chi-Square and t-test for independent groups. A significance level of ۰.۰۵ was considered.  Results: The study groups were similar in terms of demographic characteristics and baseline scores. The mean ±SD of nurses' observance of patient's safety score in with family participation group (۱۱۹.۲۰±۱۳.۶۴) was higher than in without family participation group(۱۱۶.۹۷±۱۳.۲۶), but no statistical difference was observed between the study groups (p=۰.۴۸۸) Also, in the subgroups, no significant statistical difference was observed between the two groups after the intervention (p> ۰.۰۵).  Conclusions: ICU nurses observance of standards in patient safety during caring is not affected by the participation of family members in the nursing cares. These results guide managers and policymakers of the health system to find stronger influencing factors on the level of patient safety compliance during nursing care.

کلیدواژه ها

Family centered, Nursing care, Patient safety, Patient participation, risk management

اطلاعات بیشتر در مورد COI

COI مخفف عبارت CIVILICA Object Identifier به معنی شناسه سیویلیکا برای اسناد است. COI کدی است که مطابق محل انتشار، به مقالات کنفرانسها و ژورنالهای داخل کشور به هنگام نمایه سازی بر روی پایگاه استنادی سیویلیکا اختصاص می یابد.

کد COI به مفهوم کد ملی اسناد نمایه شده در سیویلیکا است و کدی یکتا و ثابت است و به همین دلیل همواره قابلیت استناد و پیگیری دارد.