Kjellström Sofia, Andersson Ann-Christine
Jönköping Academy for Improvement of Health and Welfare, Jönköping University , Jönköping, Sweden.
Int J Health Care Qual Assur. 2017 Aug 14;30(7):617-627. doi: 10.1108/IJHCQA-09-2016-0124.
Purpose The purpose of this paper is to address how adult development (AD) theories can contribute to quality improvement (QI). Design/methodology/approach A theoretical analysis and discussion on how personal development empirical findings can relate to QI and Deming's four improvement knowledge domains. Findings AD research shows that professionals have qualitatively diverse ways of meaning-making and ways to approach possibilities in improvement efforts. Therefore, professionals with more complex meaning-making capacities are needed to create successful transformational changes and learning, with the recognition that system knowledge is a developmental capacity. Practical implications In QI and improvement science there is an assumption that professionals have the skills and competence needed for improvement efforts, but AD theories show that this is not always the case, which suggests a need for facilitating improvement initiatives, so that everyone can contribute based on their capacity. Originality/value This study illustrates that some competences in QI efforts are a developmental challenge to professionals, and should be considered in practice and research.
目的 本文旨在探讨成人发展（AD）理论如何促进质量改进（QI）。设计/方法/途径 对个人发展实证研究结果如何与质量改进及戴明的四个改进知识领域相关进行理论分析和讨论。研究结果 AD研究表明，专业人员在意义建构方面有质的不同方式，以及在改进工作中探索可能性的方式。因此，需要具有更复杂意义建构能力的专业人员来创造成功的变革性变化和学习，同时认识到系统知识是一种发展能力。实际意义 在质量改进和改进科学中，有一种假设认为专业人员具备改进工作所需的技能和能力，但AD理论表明情况并非总是如此，这意味着需要推动改进举措，以便每个人都能根据自己的能力做出贡献。原创性/价值 本研究表明，质量改进工作中的一些能力对专业人员来说是一种发展挑战，在实践和研究中应予以考虑。
