Chadwick Liam M, MacPhail Aleece, Ibrahim Joseph E, McAuliffe Linda, Koch Susan, Wells Yvonne
National University of Ireland, Galway, Irish Centre for Patient Safety, University Road, Galway, Ireland. Email.
Ballarat Health Services, Ballarat, Vic. 3350, Australia. Email.
Aust Health Rev. 2016 Feb;40(1):54-62. doi: 10.1071/AH14197.
The aims of the present study were to describe the views of senior clinical and executive staff employed in public sector residential aged care services (RACS) about the benefits and limitations of using quality indicators (QIs) for improving care, and to identify any barriers or enablers to implementing the QI program.
A cross-sectional qualitative study using semistructured interviews and direct observation of key informants involved in the QI program was performed across 20 public sector RACS in Victoria, Australia. Participants included senior clinical, executive and front-line staff at the RACS. The main outcome measures were perceived benefits and the enablers or barriers to the implementation of a QI program.
Most senior clinical and executive staff respondents reported substantive benefits to using the QIs and the QI program. A limited number of staff believed that the QI program failed to improve the quality of care and that the resource requirements outweighed the benefits of the program, resulting in disaffected staff.
The QIs and QI program acted as a foundation for improving standards of care when used at the front line or point of care. Senior executive engagement in the QI program was vital to successful implementation.
本研究旨在描述受雇于公共部门住宿老年护理服务机构（RACS）的高级临床和管理人员对使用质量指标（QIs）改善护理的益处和局限性的看法，并确定实施质量指标项目的任何障碍或促进因素。
在澳大利亚维多利亚州的20家公共部门RACS中，采用半结构化访谈和对参与质量指标项目的关键信息提供者进行直接观察的横断面定性研究。参与者包括RACS的高级临床、行政和一线工作人员。主要结果指标是对实施质量指标项目的感知益处以及促进因素或障碍。
大多数高级临床和管理人员受访者报告称使用质量指标和质量指标项目有实质性益处。少数工作人员认为质量指标项目未能提高护理质量，且资源需求超过了该项目的益处，导致工作人员不满。
当在一线或护理点使用时，质量指标和质量指标项目是提高护理标准的基础。高级管理人员参与质量指标项目对成功实施至关重要。
