Safety-netting strategies for primary and emergency care: a codesign study with patients, carers and clinicians in Sweden
Objectives To codesign safety-netting strategies for primary and emergency care settings by integrating the experiences and ideas of patients, carers and clinicians.Design A codesign process involving two focus group discussions, eight individual interviews and five workshops. All sessions were audi...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2024-08-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/8/e089224.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832579281721491456 |
|---|---|
| author | Sara Riggare Rita Fernholm Karin Pukk Härenstam Carolina Wannheden Johanna Hagman |
| author_facet | Sara Riggare Rita Fernholm Karin Pukk Härenstam Carolina Wannheden Johanna Hagman |
| author_sort | Sara Riggare |
| collection | DOAJ |
| description | Objectives To codesign safety-netting strategies for primary and emergency care settings by integrating the experiences and ideas of patients, carers and clinicians.Design A codesign process involving two focus group discussions, eight individual interviews and five workshops. All sessions were audio recorded and transcribed verbatim. Data were analysed using qualitative content analysis and reported using the Consolidated criteria for Reporting Qualitative research guidelines.Setting Primary and emergency care in Sweden, focusing on the Stockholm region.Participants 7 (5 women) individuals with patient expertise, 1 (man) individual with carer expertise, 18 (12 women) individuals with clinical expertise.Results Three main categories reflecting strategies for applying safety-netting were developed: first, conveying safety-netting advice, which involves understanding patient concerns, tailoring communication and using appropriate modalities for communicating; second, ensuring common understanding, which involves summarising information, asking a teach-back question and anticipating questions post consultation; and third, supporting safety-netting behaviour, which involves facilitating reconsultation, helping patients and carers to navigate the health system and explaining the care context and its purpose.Conclusions Our study highlights the collaborative nature of safety-netting, engaging both the clinician and patient, sometimes supported by carers, in an iterative process. Adding to previous research, our study also emphasises the importance of anticipating postconsultation inquiries and facilitating reconsultation. |
| format | Article |
| id | doaj-art-0355b725f73b406d9fff53fd9b773d39 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-0355b725f73b406d9fff53fd9b773d392025-01-30T12:30:09ZengBMJ Publishing GroupBMJ Open2044-60552024-08-0114810.1136/bmjopen-2024-089224Safety-netting strategies for primary and emergency care: a codesign study with patients, carers and clinicians in SwedenSara Riggare0Rita Fernholm1Karin Pukk Härenstam2Carolina Wannheden3Johanna Hagman4Department of Women’s and Children’s Health, Participatory eHealth and Health Data Research Group, Uppsala University, Uppsala, SwedenStockholm Health Care Services, Academic Primary Healthcare Centre, Stockholm, SwedenDepartment of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, SwedenDepartment of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, SwedenStockholm Health Care Services, Academic Primary Healthcare Centre, Stockholm, SwedenObjectives To codesign safety-netting strategies for primary and emergency care settings by integrating the experiences and ideas of patients, carers and clinicians.Design A codesign process involving two focus group discussions, eight individual interviews and five workshops. All sessions were audio recorded and transcribed verbatim. Data were analysed using qualitative content analysis and reported using the Consolidated criteria for Reporting Qualitative research guidelines.Setting Primary and emergency care in Sweden, focusing on the Stockholm region.Participants 7 (5 women) individuals with patient expertise, 1 (man) individual with carer expertise, 18 (12 women) individuals with clinical expertise.Results Three main categories reflecting strategies for applying safety-netting were developed: first, conveying safety-netting advice, which involves understanding patient concerns, tailoring communication and using appropriate modalities for communicating; second, ensuring common understanding, which involves summarising information, asking a teach-back question and anticipating questions post consultation; and third, supporting safety-netting behaviour, which involves facilitating reconsultation, helping patients and carers to navigate the health system and explaining the care context and its purpose.Conclusions Our study highlights the collaborative nature of safety-netting, engaging both the clinician and patient, sometimes supported by carers, in an iterative process. Adding to previous research, our study also emphasises the importance of anticipating postconsultation inquiries and facilitating reconsultation.https://bmjopen.bmj.com/content/14/8/e089224.full |
| spellingShingle | Sara Riggare Rita Fernholm Karin Pukk Härenstam Carolina Wannheden Johanna Hagman Safety-netting strategies for primary and emergency care: a codesign study with patients, carers and clinicians in Sweden BMJ Open |
| title | Safety-netting strategies for primary and emergency care: a codesign study with patients, carers and clinicians in Sweden |
| title_full | Safety-netting strategies for primary and emergency care: a codesign study with patients, carers and clinicians in Sweden |
| title_fullStr | Safety-netting strategies for primary and emergency care: a codesign study with patients, carers and clinicians in Sweden |
| title_full_unstemmed | Safety-netting strategies for primary and emergency care: a codesign study with patients, carers and clinicians in Sweden |
| title_short | Safety-netting strategies for primary and emergency care: a codesign study with patients, carers and clinicians in Sweden |
| title_sort | safety netting strategies for primary and emergency care a codesign study with patients carers and clinicians in sweden |
| url | https://bmjopen.bmj.com/content/14/8/e089224.full |
| work_keys_str_mv | AT sarariggare safetynettingstrategiesforprimaryandemergencycareacodesignstudywithpatientscarersandcliniciansinsweden AT ritafernholm safetynettingstrategiesforprimaryandemergencycareacodesignstudywithpatientscarersandcliniciansinsweden AT karinpukkharenstam safetynettingstrategiesforprimaryandemergencycareacodesignstudywithpatientscarersandcliniciansinsweden AT carolinawannheden safetynettingstrategiesforprimaryandemergencycareacodesignstudywithpatientscarersandcliniciansinsweden AT johannahagman safetynettingstrategiesforprimaryandemergencycareacodesignstudywithpatientscarersandcliniciansinsweden |