Improving Quality of Care in Renal Replacement Therapy Using Collaborative Approach
Başlık:
Improving Quality of Care in Renal Replacement Therapy Using Collaborative Approach
Yazar:
Nache, Azri, author.
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (158 pages)
Genel Not:
Source: Dissertation Abstracts International, Volume: 76-09C.
Advisors: Ruth Boaden; William Ollier.
Özet:
Introduction: In the past few decades, there have been rapid advances in knowledge of best practice in all areas within healthcare. Despite this, a large gap remains between what is best practice and the care that actually received by patients.Quality improvement collaborative is a way that has increasingly been used in healthcare to bridge the quality gap. Despite its increasing use and popularity, studies on effectiveness of quality improvement collaborative have shown conflicting results and it is still difficult to predict which collaborative can be successful.
Purpose: The aim of this study is to improve understanding of the quality improvement collaborative by analysing how this approach is used by an organisation to implement changes and improve service delivered to patients. In particular, this study focused on frontline staffs view on quality improvement collaborative.
Design: An evaluation of a quality improvement collaborative in an area of renal replacement therapy was conducted. The evaluation involved semi-structured interview on fifteen frontline staffs from five improvement teams working in an improvement collaborative. Data from existing and secondary sources were used to help with the evaluation. Thematic analysis was used to analyse the data obtained.
Findings and Conclusion: The key findings in this study can be summarised into eight recurring themes: 1. certain elements of the collaborative were perceived to be helpful to frontline staff performing a quality improvement work; 2. inappropriate application of collaborative elements can impede improvement work; 3. applications of collaborative elements need to be tailored to accommodate different characteristic of participants and improvement teams; 4. improvement teams determine the success of a collaborative; 5. improvement teams need to be organised to ensure a successful collaborative; 6. support from senior leadership and management is crucial; 7. there are many barriers to a quality improvement collaborative and 8. frontline staff identifies contextual factors that can influence a collaborative.
Research recommendation: The literature suggests that more focus should be given to evaluate the process around theimprovement collaborative to help to better understand ways to improve the success of a collaborative work. Frontline staffs participating in this research have provided some differing views on the collaborative elements, success and barriers to quality improvement collaborative. Further bigger research on multiple organisations can be beneficial to see whether similar trend can be found to improve generalisability and to assess the reproducibility of this study.
Recommendation for future collaborative: Future collaborative can use the findings in this study to help plan their collaborative work by improving application of elements, utilising determinants.
Notlar:
School code: 1543
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
---|---|---|---|
XX(695491.1) | 695491-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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