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Evidence of Linkages between Patient Safety and Person-Centred Care in the Maternity and Obstetric Context: An Integrative Review
University College of Southeast-Norway, Centre for Women’s, Family & Child Health, Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, Kongsberg, Norway..
The University of Tokyo, Department of Midwifery and Women’s Health, Division of Health Sciences & Nursing, Graduate School of Medicine, Tokyo, Japan..
University West, Department of Health Sciences, Section for nursing - undergraduate level. University College of Southeast-Norway, Centre for Women’s, Family & Child Health, Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, Kongsberg, Norway..
Western Norway University of Applied Sciences, Department of Health Sciences, Haugesund, Norway.
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2017 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 7, no 3, 378-398 p.Article in journal (Refereed) Published
Abstract [en]

The aim was to evaluate the current state of knowledge pertaining to patient safety and its link to person-centred care. The international relevance of patient safety has expanded, as have the models of person-centred care. Inspired by this new trend, we collated and summarized the literature for evidence of the two topics. The study was guided by Russell, Whittemore and Knafl's integrative review framework. An electronic database search was conducted for relevant articles from 2005 to 2016. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The structure and process of the evaluation of the evidence are described and the findings interpreted by means of a thematic synthesis. One theme emerged: trustful, safe communication in the relationship between the patient, family members and healthcare professionals and two domains; safety culture and multidisciplinary capacity building. The dominant dimension in the safety culture domain is respectful communication, which implies sharing experiences that lead to a sense of control during labour and birth and is related to the women's feeling of personal capacity. The dominant dimensions in the multidisciplinary capacity building domain are collaborative teamwork, coordination and risk management, knowledge sharing and patient-centred communication. In conclusion, to enhance patient safety, it is necessary to develop patient-focused, evidence-based skills and guidelines as well as a supportive organization. Due to their interaction with patients, midwives' communication competence on the part of midwives is essential for supporting the birth and fulfilling the women's needs and expectations.

Place, publisher, year, edition, pages
2017. Vol. 7, no 3, 378-398 p.
Keyword [en]
Communication, Integrative Review, Midwifery, Nursing, Patient Safety, Person-Centred Care, Maternity, Obstetric Care
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-11569DOI: 10.4236/ojn.2017.73030OAI: oai:DiVA.org:hv-11569DiVA: diva2:1142630
Available from: 2017-09-19 Created: 2017-09-19 Last updated: 2017-09-19

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