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Healthcare professionals' perceptions of patient safety for the woman in childbirth in Sweden - An interview study
Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).ORCID-id: 0000-0002-0756-8833
Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013). Östfold University College, Norway.ORCID-id: 0000-0002-9608-336X
Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).ORCID-id: 0000-0003-1382-4386
Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013). Norwegian University of Science and Technology, NOR.ORCID-id: 0000-0003-3385-3731
2020 (Engelska)Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 7, nr 2, s. 642-649Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim:To describe healthcare professionals' perceptions of patient safety with a focus on the woman in connection to childbirth.Design: A descriptive and qualitative design with a phenomenographic approach.Methods: Individual qualitative face-to-face interviews with 19 healthcare professionals (midwives, nursing assistants and physicians) were conducted in three labour wards in Sweden. The data were analysed according to Dahlgren and Fallsberg's seven steps.Results: The informants' perceptions of patient safety for the women were identified in four qualitative different descriptive categories: Safeguarding the woman, Safeguarding the birth process, Respecting the individual and the team and Managing workforce and learning. Supportive care and listening to the woman were important for patient safety. It was crucial to follow labour stages and to avoid unnecessary interventions. An open and tolerant atmosphere between the healthcare professionals improved decision-making, and a reasonable workload was essential for ensuring safe care.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2020. Vol. 7, nr 2, s. 642-649
Nyckelord [en]
healthcare worker, interviews, intrapartum, phenomenography, quality and safety
Nationell ämneskategori
Hälsovetenskaper
Forskningsämne
Omvårdnad
Identifikatorer
URN: urn:nbn:se:kau:diva-76281DOI: 10.1002/nop2.435ISI: 000503219800001Scopus ID: 2-s2.0-85076918736OAI: oai:DiVA.org:kau-76281DiVA, id: diva2:1385014
Tillgänglig från: 2020-01-13 Skapad: 2020-01-13 Senast uppdaterad: 2022-03-16Bibliografiskt granskad
Ingår i avhandling
1. Patient safety in intrapartum care: Adverse events and healthcare professionals’ perceptions of patient safety, patient safety culture and teamwork
Öppna denna publikation i ny flik eller fönster >>Patient safety in intrapartum care: Adverse events and healthcare professionals’ perceptions of patient safety, patient safety culture and teamwork
2022 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

The overall aim of the thesis was to describe adverse events for women with planned vaginal births and healthcare professionals’ perceptions of patient safety. Further, to test the reliability and validity of a teamwork questionnaire and to investigate patient safety culture and teamwork among healthcare professionals in intrapartum care.

Methods: Paper I had a retrospective design, with 311 birth record reviews. Paper II had a descriptive and qualitative design using a phenomenographic approach, including interviews with 19 healthcare professionals in three labor wards. Paper III and IV had cross-sectional designs. Healthcare professionals’ (n=450) in various wards responded to the TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ) (III). Healthcare professionals’ (n=184) in three labor wards responded to the Swedish version of the Hospital Survey on Patient Safety Culture and the T-TPQ (IV). Confirmatory factor analysis and descriptive and inferential statistics were used.

Main results: Adverse events in women occurred in 11% of planned vaginal births (I). Four descriptive categories with nine perceptions described patient safety for women giving birth (II). Confirmatory factor analysis of the T-TPQ indicated a good fit (III). Main and interaction effects of profession and labor ward on patient safety culture and teamwork were found (IV).

Conclusions: The results highlight the occurrence of 3rd- or 4th-degree lacerations, distended urinary bladder, and anesthesia-related adverse events. For safe care, it is crucial for healthcare professionals to provide supportive care and to listen to the woman. Using team members’ competences in a tolerant atmosphere, with a reasonable workload, and learning from failure as well as from success are preconditions for patient safety. The Swedish version of the T-TPQ shows acceptable reliability and validity. Differences between labor wards seemed to have a greater impact than differences between professions on patient safety culture and teamwork.

Abstract [en]

Patient safety is a global health priority. Knowledge about patient safety and adverse events for women giving birth is necessary. Patient safety culture and effective teamwork are important for safe care provided by midwives, physicians and nursing assistants. The overall aim of the thesis was to describe adverse events for women with planned vaginal births and healthcare professionals’ perceptions of patient safety. Further, to test the reliability and validity of a teamwork questionnaire and to investigate patient safety culture and teamwork among healthcare professionals in intrapartum care. A birth record review, interviews and two questionnaires were used. Adverse events were identified in 11% of the birth records, but no permanent harm. Listening to the woman and having a tolerant teamwork atmosphere were important. Both profession and labor ward are important for healthcare professionals’ perceptions of patient safety culture and teamwork in intrapartum care.

Ort, förlag, år, upplaga, sidor
Karlstad: Karlstads universitet, 2022. s. 82
Serie
Karlstad University Studies, ISSN 1403-8099 ; 2022:6
Nyckelord
adverse events, construct validity, healthcare professionals’ perceptions, interviews, intrapartum care, questionnaire, patient safety, patient safety culture, record review, reliability, teamwork, women giving birth
Nationell ämneskategori
Hälsovetenskaper
Forskningsämne
Omvårdnad
Identifikatorer
urn:nbn:se:kau:diva-89110 (URN)978-91-7867-269-1 (ISBN)978-91-7867-279-0 (ISBN)
Disputation
2022-06-03, 1B364 Frödingsalen, Universitetsgatan 2, Karlstad, 10:00 (Svenska)
Opponent
Handledare
Anmärkning

Article 4 which was included in the thesis as a manuscript is now published. 

Tillgänglig från: 2022-05-03 Skapad: 2022-03-16 Senast uppdaterad: 2022-09-15Bibliografiskt granskad

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Skoogh, AnnikaBååth, CarinaSandin-Bojö, Ann-KristinHall-Lord, Marie Louise

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