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Developing a tool to measure enactment of complex quality improvement interventions in healthcare
Quality improvement (QI) projects are common in healthcare settings and often involve interdisciplinary teams working together towards a common goal. Many interventions and programmes have been introduced through research to convey QI skills and knowledge to healthcare workers, however, a few studie...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923287/ https://www.ncbi.nlm.nih.gov/pubmed/36754540 http://dx.doi.org/10.1136/bmjoq-2022-002027 |
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author | MacEachern, Lauren Ginsburg, Liane R Hoben, Matthias Doupe, Malcolm Wagg, Adrian Knopp-Sihota, Jennifer A Cranley, Lisa Song, Yuting Estabrooks, Carole A Berta, Whitney |
author_facet | MacEachern, Lauren Ginsburg, Liane R Hoben, Matthias Doupe, Malcolm Wagg, Adrian Knopp-Sihota, Jennifer A Cranley, Lisa Song, Yuting Estabrooks, Carole A Berta, Whitney |
author_sort | MacEachern, Lauren |
collection | PubMed |
description | Quality improvement (QI) projects are common in healthcare settings and often involve interdisciplinary teams working together towards a common goal. Many interventions and programmes have been introduced through research to convey QI skills and knowledge to healthcare workers, however, a few studies have attempted to differentiate between what individuals ‘learn’ or ‘know’ versus their capacity to apply their learnings in complex healthcare settings. Understanding and differentiating between delivery, receipt, and enactment of QI skills and knowledge is important because while enactment alone does not guarantee desired QI outcomes, it might be reasonably assumed that ‘better enactment’ is likely to lead to better outcomes. This paper describes the development, application and validation of a tool to measure enactment of core QI skills and knowledge of a complex QI intervention in a healthcare setting. Based on the Institute for Healthcare Improvement’s Model for Improvement, existing QI assessment tools, literature on enactment fidelity and our research protocols, 10 indicators related to core QI skills and knowledge were determined. Definitions and assessment criteria were tested and refined in five iterative cycles. Qualitative data from four QI teams in long-term care homes were used to test and validate the tool. The final measurement tool contains 10 QI indicators and a five-point scale. Inter-rater reliability ranged from good to excellent. Usability and acceptability among raters were considered high. This measurement tool assists in identifying strengths and weaknesses of a QI team and allows for targeted feedback on core QI components. The indicators developed in our tool and the approach to tool development may be useful in other health related contexts where similar data are collected. |
format | Online Article Text |
id | pubmed-9923287 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-99232872023-02-14 Developing a tool to measure enactment of complex quality improvement interventions in healthcare MacEachern, Lauren Ginsburg, Liane R Hoben, Matthias Doupe, Malcolm Wagg, Adrian Knopp-Sihota, Jennifer A Cranley, Lisa Song, Yuting Estabrooks, Carole A Berta, Whitney BMJ Open Qual Research & Reporting Methodology Quality improvement (QI) projects are common in healthcare settings and often involve interdisciplinary teams working together towards a common goal. Many interventions and programmes have been introduced through research to convey QI skills and knowledge to healthcare workers, however, a few studies have attempted to differentiate between what individuals ‘learn’ or ‘know’ versus their capacity to apply their learnings in complex healthcare settings. Understanding and differentiating between delivery, receipt, and enactment of QI skills and knowledge is important because while enactment alone does not guarantee desired QI outcomes, it might be reasonably assumed that ‘better enactment’ is likely to lead to better outcomes. This paper describes the development, application and validation of a tool to measure enactment of core QI skills and knowledge of a complex QI intervention in a healthcare setting. Based on the Institute for Healthcare Improvement’s Model for Improvement, existing QI assessment tools, literature on enactment fidelity and our research protocols, 10 indicators related to core QI skills and knowledge were determined. Definitions and assessment criteria were tested and refined in five iterative cycles. Qualitative data from four QI teams in long-term care homes were used to test and validate the tool. The final measurement tool contains 10 QI indicators and a five-point scale. Inter-rater reliability ranged from good to excellent. Usability and acceptability among raters were considered high. This measurement tool assists in identifying strengths and weaknesses of a QI team and allows for targeted feedback on core QI components. The indicators developed in our tool and the approach to tool development may be useful in other health related contexts where similar data are collected. BMJ Publishing Group 2023-02-08 /pmc/articles/PMC9923287/ /pubmed/36754540 http://dx.doi.org/10.1136/bmjoq-2022-002027 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Research & Reporting Methodology MacEachern, Lauren Ginsburg, Liane R Hoben, Matthias Doupe, Malcolm Wagg, Adrian Knopp-Sihota, Jennifer A Cranley, Lisa Song, Yuting Estabrooks, Carole A Berta, Whitney Developing a tool to measure enactment of complex quality improvement interventions in healthcare |
title | Developing a tool to measure enactment of complex quality improvement interventions in healthcare |
title_full | Developing a tool to measure enactment of complex quality improvement interventions in healthcare |
title_fullStr | Developing a tool to measure enactment of complex quality improvement interventions in healthcare |
title_full_unstemmed | Developing a tool to measure enactment of complex quality improvement interventions in healthcare |
title_short | Developing a tool to measure enactment of complex quality improvement interventions in healthcare |
title_sort | developing a tool to measure enactment of complex quality improvement interventions in healthcare |
topic | Research & Reporting Methodology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923287/ https://www.ncbi.nlm.nih.gov/pubmed/36754540 http://dx.doi.org/10.1136/bmjoq-2022-002027 |
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