TY - JOUR
T1 - Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations
T2 - a scoping review
AU - Guerra-Paiva, Sofia
AU - Lobão, Maria João
AU - Simões, Diogo Godinho
AU - Fernandes, Joana
AU - Donato, Helena
AU - Carrillo, Irene
AU - Mira, José Joaquín
AU - Sousa, Paulo
N1 - Funding Information:
The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020) and under the grant (UI/BD/150875/2021).
Funding Information:
This work was supported by ERNST–Cost Action 19113 (COST–European Cooperation in Science and Technology, www.cost.eu). We would like to particularly thank the members of stakeholder groups, namely Prof. Reinhard Strametz, Dr Susanna Tella and Professor Massimiliano Panella, for their contribution to this study as members of the consultation group.
Publisher Copyright:
© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.
PY - 2023/12/27
Y1 - 2023/12/27
N2 - Objectives This study aims to map and frame the main factors present in support interventions successfully implemented in health organisations in order to provide timely and adequate response to healthcare workers (HCWs) after patient safety incidents (PSIs). Design Scoping review guided by the six-stage approach proposed by Arksey and O'Malley and by PRISMA-ScR. Data sources CINAHL, Cochrane Library, Embase, Epistemonikos, PsycINFO, PubMed, SciELO Citation Index, Scopus, Web of Science Core Collection, reference lists of the eligible articles, websites and a consultation group. Eligibility criteria for selecting studies Empirical studies (original articles) were prioritised. We used the Mixed Methods Appraisal Tool Version 2018 to conduct a quality assessment of the eligible studies. Data extraction and synthesis A total of 9766 records were retrieved (last update in November 2022). We assessed 156 articles for eligibility in the full-text screening. Of these, 29 earticles met the eligibility criteria. The articles were independently screened by two authors. In the case of disagreement, a third author was involved. The collected data were organised according to the Organisational factors, People, Environment, Recommendations from other Audies, Attributes of the support interventions. We used EndNote to import articles from the databases and Rayyan to support the screening of titles and abstracts. Results The existence of an organisational culture based on principles of trust and non-judgement, multidisciplinary action, leadership engagement and strong dissemination of the support programmes' were crucial factors for their effective implementation. Training should be provided for peer supporters and leaders to facilitate the response to HCWs' needs. Regular communication among the implementation team, allocation of protected time, funding and continuous monitoring are useful elements to the sustainability of the programmes. Conclusion HCWs' well-being depends on an adequate implementation of a complex group of interrelated factors to support them after PSIs.
AB - Objectives This study aims to map and frame the main factors present in support interventions successfully implemented in health organisations in order to provide timely and adequate response to healthcare workers (HCWs) after patient safety incidents (PSIs). Design Scoping review guided by the six-stage approach proposed by Arksey and O'Malley and by PRISMA-ScR. Data sources CINAHL, Cochrane Library, Embase, Epistemonikos, PsycINFO, PubMed, SciELO Citation Index, Scopus, Web of Science Core Collection, reference lists of the eligible articles, websites and a consultation group. Eligibility criteria for selecting studies Empirical studies (original articles) were prioritised. We used the Mixed Methods Appraisal Tool Version 2018 to conduct a quality assessment of the eligible studies. Data extraction and synthesis A total of 9766 records were retrieved (last update in November 2022). We assessed 156 articles for eligibility in the full-text screening. Of these, 29 earticles met the eligibility criteria. The articles were independently screened by two authors. In the case of disagreement, a third author was involved. The collected data were organised according to the Organisational factors, People, Environment, Recommendations from other Audies, Attributes of the support interventions. We used EndNote to import articles from the databases and Rayyan to support the screening of titles and abstracts. Results The existence of an organisational culture based on principles of trust and non-judgement, multidisciplinary action, leadership engagement and strong dissemination of the support programmes' were crucial factors for their effective implementation. Training should be provided for peer supporters and leaders to facilitate the response to HCWs' needs. Regular communication among the implementation team, allocation of protected time, funding and continuous monitoring are useful elements to the sustainability of the programmes. Conclusion HCWs' well-being depends on an adequate implementation of a complex group of interrelated factors to support them after PSIs.
KW - Health & safety
KW - HEALTH SERVICES ADMINISTRATION & MANAGEMENT
KW - PUBLIC HEALTH
KW - Quality in health care
UR - http://www.scopus.com/inward/record.url?scp=85181395584&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2023-078118
DO - 10.1136/bmjopen-2023-078118
M3 - Article
C2 - 38151271
AN - SCOPUS:85181395584
SN - 2044-6055
VL - 13
JO - BMJ Open
JF - BMJ Open
IS - 12
M1 - e078118
ER -
