ArticleNursing open2020
Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: A qualitative study.
Article in Nursing open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors influencing patient safety incident reporting in African healthcare organisations: a systematic integrative review.BMC health services research · 2025Pooled it
- Determinants of Healthcare-Seeking Preferences of Female Sex Workers: A Cross-Sectional Study From the South-Western Region of Bangladesh.Health science reports · 2026Article
- A Descriptive Qualitative Study of Patient and Carer Perspectives on the Acceptability of Transcatheter Aortic Valve Implantation.Journal of advanced nursing · 2026Article
- 'I don't think they involve me in any way': Qualitative study of patient centrality in chronic non-communicable disease management in Ghana.BMJ public health · 2026Article
- Article
- Article
- Bridging the gap: summative content analysis of understanding barriers in elderly patient education from nurses' perspectives.BMC nursing · 2025Article
- The Neglected Role of Patients in Promoting Patient Safety.International journal of community based nursing and midwifery · 2024Article
- Patient and family engagement in patient safety in the Eastern Mediterranean Region: a scoping review.BMC health services research · 2024Article
- Patient Engagement in Provincial and Territorial Medical Association Decision-Making: A Rapid Scoping Review.Cureus · 2024Article
- The relationship between patient safety culture and adverse events in Iranian hospitals: a survey among 360 nurses.Patient safety in surgery · 2023Article
- How to engage patients in achieving patient safety: A qualitative study from healthcare professionals' perspective.Heliyon · 2023Article
- Engagement of patient and family advisors in health system redesign in Canada.Journal of health services research & policy · 2023Article
- From Testers to Cocreators-the Value of and Approaches to Successful Patient Engagement in the Development of eHealth Solutions: Qualitative Expert Interview Study.JMIR human factors · 2022Article
- Patient Engagement in Oncology Practice: A Qualitative Study on Patients' and Nurses' Perspectives.International journal of environmental research and public health · 2022Article
- Patient safety improvement with the patient engagement in Iran: A best practice implementation project.PloS one · 2022Article
- [Patient participation in its own safety].Atencion primaria · 2021Article
- Shared-decision-making Behavior in Hospitalized Patients: Investigating the Impact of Patient's Trust in Physicians, Emotional Support, Informational Support, and Tendency to Excuse Using a Structural Equation Modeling Approach.Journal of patient experience · 2021Article
- A scoping review of patient engagement activities during COVID-19: More consultation, less partnership.PloS one · 2021Article
- The impact of patient safety culture and the leader coaching behaviour of nurses on the intention to report errors: a cross-sectional survey.BMC nursing · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aim: To investigate barriers to patient engagement in the delivery of safe hospital care. Design: Qualitative exploratory study. Methods: A qualitative study with 35 Iranian health professionals was conducted from February to April 2019 using semi-structured interviews to elicit their opinions. MAXQDA 11 software was used for data management, and the data were analysed using framework analysis. Results: Barriers, which potentially have negative impact on patient engagement in the delivery of safer care, were categorized into four themes. The first category included patient-related barriers such as low levels of health literacy, ineffective education, patient unwillingness and cultural barriers. The second category included staff-related barriers such as the existence of negative attitudes towards engaging patients in matters relating to patient safety, ineffective communication, high workload and the reluctance on the part of physicians to engage with patients. Barriers created by limited resources and inadequate training provided by universities and in the workplace formed the third category and community-related barriers such as the inadequate dissemination of information via the mass media and a lack of community-based services formed the fourth category. Conclusion: Results demonstrate the multilayered nature of the significant barriers to the engagement of patients in the delivery of safe care and reflect the need for a collaborative approach between the recipients of care, researchers, care providers and policy makers if these are to be overcome.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.