PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety

Aoife De Brún, Emily Heavey, Justin Waring, Pamela Dawson, Jason Scott

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective: The importance of involving patients in reporting on safety is increasingly recognized. Whilst studies have identified barriers to clinician incident reporting, few have explored barriers and facilitators to patient reporting of safety experiences. This paper explores patient perspectives on providing feedback on safety experiences. Design/Participants: Patients (n=28) were invited to take part in semi-structured interviews when given a survey about their experiences of safety following hospital discharge. Transcripts were thematically analysed using NVivo10. Setting: Patients were recruited from four hospitals in the UK. Results: Three themes were identified as barriers and facilitators to patient involvement in providing feedback on their safety experiences. The first, cognitive-cultural, found that whilst safety was a priority for most, some felt the term was not relevant to them because safety was the “default” position, and/or because safety could not be disentangled from the overall experience of care. The structural-procedural theme indicated that reporting was facilitated when patients saw the process as straightforward, but that disinclination or perceived inability to provide feedback was a barrier. Finally, learning and change illustrated that perception of the impact of feedback could facilitate or inhibit reporting. Conclusions: When collecting patient feedback on experiences of safety, it is important to consider what may help or hinder this process, beyond the process alone. We present a staged model of prerequisite barriers and facilitators and hypothesize that each stage needs to be achieved for patients to provide feedback on safety experiences. Implications for collecting meaningful data on patients' safety experiences are considered.

LanguageEnglish
Pages771-778
Number of pages8
JournalHealth Expectations
Volume20
Issue number4
Early online date16 Nov 2016
DOIs
Publication statusPublished - 1 Aug 2017
Externally publishedYes

Fingerprint

Safety
Patient Safety
Patient Participation
Risk Management
Learning
Interviews

Cite this

De Brún, Aoife ; Heavey, Emily ; Waring, Justin ; Dawson, Pamela ; Scott, Jason. / PReSaFe : A model of barriers and facilitators to patients providing feedback on experiences of safety. In: Health Expectations. 2017 ; Vol. 20, No. 4. pp. 771-778.
@article{46b26dee21cd441591ca5bb4346ccd81,
title = "PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety",
abstract = "Objective: The importance of involving patients in reporting on safety is increasingly recognized. Whilst studies have identified barriers to clinician incident reporting, few have explored barriers and facilitators to patient reporting of safety experiences. This paper explores patient perspectives on providing feedback on safety experiences. Design/Participants: Patients (n=28) were invited to take part in semi-structured interviews when given a survey about their experiences of safety following hospital discharge. Transcripts were thematically analysed using NVivo10. Setting: Patients were recruited from four hospitals in the UK. Results: Three themes were identified as barriers and facilitators to patient involvement in providing feedback on their safety experiences. The first, cognitive-cultural, found that whilst safety was a priority for most, some felt the term was not relevant to them because safety was the “default” position, and/or because safety could not be disentangled from the overall experience of care. The structural-procedural theme indicated that reporting was facilitated when patients saw the process as straightforward, but that disinclination or perceived inability to provide feedback was a barrier. Finally, learning and change illustrated that perception of the impact of feedback could facilitate or inhibit reporting. Conclusions: When collecting patient feedback on experiences of safety, it is important to consider what may help or hinder this process, beyond the process alone. We present a staged model of prerequisite barriers and facilitators and hypothesize that each stage needs to be achieved for patients to provide feedback on safety experiences. Implications for collecting meaningful data on patients' safety experiences are considered.",
keywords = "patient experience, patient reporting, patient safety, qualitative research",
author = "{De Br{\'u}n}, Aoife and Emily Heavey and Justin Waring and Pamela Dawson and Jason Scott",
year = "2017",
month = "8",
day = "1",
doi = "10.1111/hex.12516",
language = "English",
volume = "20",
pages = "771--778",
journal = "Health Expectations",
issn = "1369-6513",
publisher = "Wiley Open Access",
number = "4",

}

PReSaFe : A model of barriers and facilitators to patients providing feedback on experiences of safety. / De Brún, Aoife; Heavey, Emily; Waring, Justin; Dawson, Pamela; Scott, Jason.

In: Health Expectations, Vol. 20, No. 4, 01.08.2017, p. 771-778.

Research output: Contribution to journalArticle

TY - JOUR

T1 - PReSaFe

T2 - Health Expectations

AU - De Brún, Aoife

AU - Heavey, Emily

AU - Waring, Justin

AU - Dawson, Pamela

AU - Scott, Jason

PY - 2017/8/1

Y1 - 2017/8/1

N2 - Objective: The importance of involving patients in reporting on safety is increasingly recognized. Whilst studies have identified barriers to clinician incident reporting, few have explored barriers and facilitators to patient reporting of safety experiences. This paper explores patient perspectives on providing feedback on safety experiences. Design/Participants: Patients (n=28) were invited to take part in semi-structured interviews when given a survey about their experiences of safety following hospital discharge. Transcripts were thematically analysed using NVivo10. Setting: Patients were recruited from four hospitals in the UK. Results: Three themes were identified as barriers and facilitators to patient involvement in providing feedback on their safety experiences. The first, cognitive-cultural, found that whilst safety was a priority for most, some felt the term was not relevant to them because safety was the “default” position, and/or because safety could not be disentangled from the overall experience of care. The structural-procedural theme indicated that reporting was facilitated when patients saw the process as straightforward, but that disinclination or perceived inability to provide feedback was a barrier. Finally, learning and change illustrated that perception of the impact of feedback could facilitate or inhibit reporting. Conclusions: When collecting patient feedback on experiences of safety, it is important to consider what may help or hinder this process, beyond the process alone. We present a staged model of prerequisite barriers and facilitators and hypothesize that each stage needs to be achieved for patients to provide feedback on safety experiences. Implications for collecting meaningful data on patients' safety experiences are considered.

AB - Objective: The importance of involving patients in reporting on safety is increasingly recognized. Whilst studies have identified barriers to clinician incident reporting, few have explored barriers and facilitators to patient reporting of safety experiences. This paper explores patient perspectives on providing feedback on safety experiences. Design/Participants: Patients (n=28) were invited to take part in semi-structured interviews when given a survey about their experiences of safety following hospital discharge. Transcripts were thematically analysed using NVivo10. Setting: Patients were recruited from four hospitals in the UK. Results: Three themes were identified as barriers and facilitators to patient involvement in providing feedback on their safety experiences. The first, cognitive-cultural, found that whilst safety was a priority for most, some felt the term was not relevant to them because safety was the “default” position, and/or because safety could not be disentangled from the overall experience of care. The structural-procedural theme indicated that reporting was facilitated when patients saw the process as straightforward, but that disinclination or perceived inability to provide feedback was a barrier. Finally, learning and change illustrated that perception of the impact of feedback could facilitate or inhibit reporting. Conclusions: When collecting patient feedback on experiences of safety, it is important to consider what may help or hinder this process, beyond the process alone. We present a staged model of prerequisite barriers and facilitators and hypothesize that each stage needs to be achieved for patients to provide feedback on safety experiences. Implications for collecting meaningful data on patients' safety experiences are considered.

KW - patient experience

KW - patient reporting

KW - patient safety

KW - qualitative research

UR - http://www.scopus.com/inward/record.url?scp=85003875524&partnerID=8YFLogxK

U2 - 10.1111/hex.12516

DO - 10.1111/hex.12516

M3 - Article

VL - 20

SP - 771

EP - 778

JO - Health Expectations

JF - Health Expectations

SN - 1369-6513

IS - 4

ER -