'As soon as you've been there, it makes it personal' : The experience of health-care staff shadowing patients at the end of life

© 2020 The Authors. Health Expectations published by John Wiley & Sons Ltd..

BACKGROUND: Patient shadowing is an experiential technique intended to enable those who shadow to understand care experience from the patient's point of view. It is used in quality improvement to bring about change that focuses on what is important for patients.

AIM: To explore the acceptability of patient shadowing for health-care staff, the impact of the experience and subsequent motivations to make improvements.

METHOD: A qualitative study with a diverse sample of 20 clinical and non-clinical health-care staff in different end-of-life settings. Data were analysed thematically.

RESULTS: Anticipated anxieties about shadowing did not materialize in participant accounts, although for some it was a deeply emotional experience, intensified by being with patients who were at the end of life. Shadowing not only impacted on participants personally, but also promoted better insights into the experience of patients, thus focusing their improvement efforts. Participants reported that patients and families who were shadowed welcomed additional caring attention.

CONCLUSION: With the right preparation and support, patient shadowing is a technique that engages and motivates health-care staff to improve patient-centred care.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

Health expectations : an international journal of public participation in health care and health policy - 23(2020), 5 vom: 19. Okt., Seite 1259-1268

Sprache:

Englisch

Beteiligte Personen:

Goodrich, Joanna [VerfasserIn]
Ridge, Damien [VerfasserIn]
Cartwright, Tina [VerfasserIn]

Links:

Volltext

Themen:

End-of-life care
Journal Article
Patient experience
Patient shadowing
Patient-centred care
Quality improvement
Staff experience

Anmerkungen:

Date Completed 18.08.2021

Date Revised 18.08.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/hex.13107

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM312625030