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. 2013 Nov 6;8(11):e80759. doi: 10.1371/journal.pone.0080759

Table 5. Behavioural implications.

Patients
“I think the only way I’d feel comfortable doing that [ask if HCP had washed their hands] was if I actually caught a bad infection whilst in hospital, and I think then it would encourage me to say.” (Patient8 F Aged 40)
“There was one night nurse that I was apprehensive about … I hadn’t got any medication … she did get me morphine but … she wasn’t a very nice person, I didn’t like her she was very em, brusque - looked as if she hated the job … I didn’t want to ask her anything that was going to make her any more cross than she already was (laughs)” (Patient2 F Aged 78)
I would [ask] because it’s my meds and I don’t want them putting something into my body that’s not right, but I would probably, you know if they put me on a drip and I didn’t know what it was for, I would wait until the nice one came in and say, ‘what’s this?’, em so you’d save any question that could wait, for the nice ones.” (Patient16 F Aged 70)
Staff
“I noticed it more when I went into a Sister’s uniform, I was documenting everything, I was making my own little statements. Every conversation I was having with a relative - because they do, things get twisted, things are not heard right… you are encouraged [to keep notes] but you can go a bit ridiculous I don’t do that now…” (Senior Nurse, F, Staff43)
“Sometimes … I think it is just the news and things like that - everybody sort of has their heckles up don’t they … everybody is frightened that they are going to get a complaint because that’s all you hear now it’s just. You do watch everything that you are doing because you think they will complain ...” (Healthcare Assistant, F, Staff45)
“My longest documentation is when I discuss stuff with relatives. Because I write down what I’ve said, what they said; I quote stuff. I mean, it’s a bit tricky, especially in the kind of society we live in these days given that it’s so litigious… We’re doing that to defend ourselves if a patient turns around and sues. Um… so I think it would be very hard for health care services to kind of view a patient’s keeping detailed records as anything but that, that’s why we do it. That’s an absolute baseline (F2 Doctor, M, Staff39)
“Some [staff] like not to give very much information ‘cos it means they don’t get very many questions and people haven’t got to think of answers … [and] some nurses – especially newly qualified nurses – think they’ve got to do everything, you know; and that’s when you panic and mistakes happen” (Staff Nurse, Staff3)