Summary of barriers and strategies.

The person-centered care movement has influenced hospitals to make patient and family engagement (PE) an explicit commitment in their strategic plans. This is often reflected in mission, vision, and value (MVV) statements, which are organizational artifacts intended to influence the attitudes, beliefs, and actions of hospital teams and employees because of their saliency in organizational documents and communications. Previous research has found that organizational goals for PE, like those articulated in MVV statements, can lead to effective and meaningful PE. However, a deeper understanding of how and under which circumstances MVV statements encourage and promote PE practices is needed. A scoping review was conducted to understand the connection between hospital PE goals (such as MVV statements) and PE processes and practices. The research question was: what is known about how hospital MVV statements relate to PE processes and activities? Following Arksey and O’Malley’s scoping review approach, 27 articles were identified as relevant to the research question. These articles revealed five strategies that help realize hospital PE goals: communicating organizational goals; aligning documents that convey organizational goals; aligning organizational processes to support PE; providing employees with resources and support; and motivating and empowering employees to integrate PE into their work. We discuss the implications of misalignment between hospital goals and practices, which reduce team and individual motivation toward hospital PE goals.

以患者为中心的照护运动已推动医院将患者与家属参与度（Patient and Family Engagement, PE）列为战略规划中的明确承诺。该理念常体现在使命、愿景与价值观（Mission, Vision, and Value, MVV）声明中——这类组织文件凭借其在组织文档与沟通中的高显著性，旨在塑造医院团队及员工的态度、信念与行为。
既往研究显示，诸如使命愿景价值观声明中所阐明的患者与家属参与度组织目标，可推动实现高效且富有意义的患者与家属参与。然而，学界对使命愿景价值观声明如何、在何种情境下激励与促进患者与家属参与实践的认知仍有待深化。
本研究采用Arksey与O’Malley的范围综述（Scoping Review）方法，针对该研究问题共筛选出27篇相关文献。研究问题为：当前学界对医院使命愿景价值观声明与患者与家属参与流程及活动的关联已有哪些认知？
上述文献揭示了助力医院达成患者与家属参与度目标的五大策略：传递组织目标；统一传递组织目标的各类文件；调整组织流程以支持患者与家属参与；为员工提供资源与支持；激励并赋能员工将患者与家属参与融入日常工作。
本文还探讨了医院目标与实践脱节所带来的影响——这种脱节会削弱团队与个人对医院患者与家属参与度目标的积极性。