Repository logo
 
Publication

Patient and family engagement interventions for enhancing patient safety in the perioperative journey: a scoping review

2025-02-17Journal article Open access
Simple item page
datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorSeyfulayeva, Ayshe
dc.contributor.authorFonte, Bianca Ferreira
dc.contributor.authorAlho, Ana Margarida
dc.contributor.authorShaikh, Anum
dc.contributor.authorNunes, Ana Beatriz
dc.contributor.authorCasaca, Pedro Gonçalves Carvalho
dc.contributor.authorLeite, Andreia
dc.contributor.authorTaha, Ayda
dc.contributor.authorDhingra-Kumar, Neelam
dc.contributor.authorSousa, Paulo
dc.date.accessioned2025-11-11T13:36:19Z
dc.date.available2025-11-11T13:36:19Z
dc.date.issued2025-02-17
dc.description.abstractBackground: Surgical procedures present intricate challenges within healthcare delivery, often associated with higher risks of adverse events compared with non-surgical contexts. Patient and family engagement (PFE) throughout the perioperative journey is a possibility to enhance care quality, safety and patient-centredness. However, literature addressing PFE across the entirety of the perioperative journey remains sparse. Objective: The current scoping review aims to comprehensively map the existing interventions with PFE approach focused on improving patient safety across various types of surgical procedures throughout the perioperative journey. In addition, the review aims to understand the level and type of PFE approach adopted in this context. Eligibility criteria: Articles published in indexed peer-reviewed journals from 2003 to 2023, written in English, Portuguese or Spanish, that report on interventions with PFE approach targeting adult surgical patients, their families, caregivers, patient advocates and patient champions. The review includes articles reporting on both inpatient and ambulatory surgical patients. Methods: Following Joanna Briggs Institute guidelines and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews framework, this review systematically searched PubMed, Web of Science, SCOPUS, CINAHL, and PsycINFO for relevant articles. Eligible interventions were categorised using PFE framework regarding the level of engagement and mapped according to the WHO Global Patient Safety Action Plan 2021-2030. Results: Out of 765 records initially identified, 32 met the eligibility criteria for data extraction and analysis, of which 40% originated from the USA, followed by the UK (18%) and Canada (12%). 47% of the interventions targeted 'multiple/all types' of procedures, 19% focused on cardiothoracic surgeries and 9% on gynaecological procedures or organ transplant. The majority of the interventions (88%) focused on PFE at the direct care level, predominantly adopting a consultation-based approach. Furthermore, 81% of eligible interventions emphasised patient information and education, 16% addressed codevelopment of policy and 3% of interventions focused on patient advocacy. Conclusion: The findings show a predominant focus on PFE interventions targeting patient safety at the direct care level, particularly in the provision of patient information and education. However, interventions at organisational and policy-making levels are notably scarce. Further investment is required to promote interventions engaging patients and families at broader organisational and policy-making levels.eng
dc.description.abstractWhat is already known on this topic: Prior research has shown that surgical patients are at 2.3 times higher risk of adverse events, highlighting the potential role of patient and family engagement (PFE) approach in improving patient safety and quality in healthcare. Nonetheless, the current body of literature falls short of providing a holistic understanding of PFE across the entire perioperative process, underscoring the necessity for more in-depth exploration. What this study adds: This study provides a comprehensive mapping of the interventions using PFE approach across various periods of the perioperative journey, highlighting their focus areas, geographical distribution and type of surgical procedure. The findings show that most of the interventions adopted consultation type of PFE approach with fewer using involvement or partnership and shared leadership. In addition, the study reveals a predominance of PFE interventions at the direct care level, particularly in patient information and education, while also identifying a scarcity of interventions targeting organisational and policy-making levels. How this study might affect research, practice or policy: The study highlights the pressing need for expanded PFE interventions at organisational and policy-making levels, as well as across the entire spectrum of the engagement continuum.por
dc.description.sponsorshipThe present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020)
dc.identifier.citationBMJ Open Qual. 2025 Feb 17;14(1):e002986. doi: 10.1136/bmjoq-2024-002986
dc.identifier.doi10.1136/bmjoq-2024-002986
dc.identifier.eissn2399-6641
dc.identifier.pmid39961679
dc.identifier.urihttp://hdl.handle.net/10400.18/10588
dc.language.isoeng
dc.peerreviewedyes
dc.publisherBMJ Publishing Group
dc.relationComprehensive Health Research Center - Research, Education, Training and Innovation in Clinical research and Public Health
dc.relation.hasversionhttps://bmjopenquality.bmj.com/content/14/1/e002986
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectHealth Policy
dc.subjectPatient Safety
dc.subjectPatient-Centred Care
dc.subjectShared Decision Making
dc.subjectPerioperative Care
dc.subjectCuidados de Saúde
dc.titlePatient and family engagement interventions for enhancing patient safety in the perioperative journey: a scoping revieweng
dc.typejournal article
dcterms.referenceshttps://bmjopenquality.bmj.com/content/bmjqir/14/1/e002986/DC1/embed/inline-supplementary-material-1.pdf
dspace.entity.typePublication
oaire.awardTitleComprehensive Health Research Center - Research, Education, Training and Innovation in Clinical research and Public Health
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDP%2F04923%2F2020/PT
oaire.citation.issue1
oaire.citation.startPagee002986
oaire.citation.titleBMJ Open Quality
oaire.citation.volume14
oaire.fundingStream6817 - DCRRNI ID
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameLeite
person.givenNameAndreia
person.identifier1052436
person.identifier.ciencia-id2F10-F9A9-E8A7
person.identifier.orcid0000-0003-0843-0630
person.identifier.scopus-author-id57109931300
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
relation.isAuthorOfPublication838ff85b-16c9-4992-b13f-e3099f916717
relation.isAuthorOfPublication.latestForDiscovery838ff85b-16c9-4992-b13f-e3099f916717
relation.isProjectOfPublicationfca49be7-f346-4551-94a8-e107ebc974f6
relation.isProjectOfPublication.latestForDiscoveryfca49be7-f346-4551-94a8-e107ebc974f6

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
2025_01_Patient and family engagement interventions for enhancing patient safety in the perioperative journey a scoping review.pdf
Size:
990.15 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
4.03 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

DEP - Artigos em revistas internacionais
INSA - Artigos em revistas internacionais